Time Entry Test

Email Address (required)

Make a Selectionaagbay@qita.comeazar@qita.comsbennett@qita.comjgold@qita.comjgoodman@qita.commgraybill@qita.comthoffman@qita.comwschrock@qita.comdmccleaf@qita.comjmcgurrin@qita.comfmoeslein@qita.comjpennypacker@qita.commjama@qita.com

Location (required)

Select a LocationCarlisleCGOHEvanHanoverHHHoly SpiritLancasterLitizWSH

Procedure Date (required)

Procedure Time (required)

Hr010203040506070809101112 : Min00153045am/pmampm

Procedure Duration (mins) (required)

Procedure Done/Study Read (required)

Choose a ProcedureOne Phone CallTwo or More CallsCall(s) with Image ReviewThoracentesisParacentesisPicc LineCentral LineTunneled Picc LineLumbar PuncturePermacatherCT Guided Abscess DrainageNephrostomyEmbolizationIVC FilterOther

On Call (required)

YesNo