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We use progressive surgical solutions and have been very happy with them!! All the mandated staff training and then some... plus all kinds of regulatory calendars, examples of policies and procedures, QAPI studies, credentialing guides, etc. etc. etc. ...

Watch the documentation.  A Physician must take responsibility for this decision.  Our medical advisor/anesthesiologist assesses all pts. in preop.  In the event case is cxd. due to medical reasons (ex:  glucose 450 or new onset afib) AND asymptomatic  ...