Development of a standardized peripheral nerve block procedure note form

Reg Anesth Pain Med. 2005 Jan-Feb;30(1):67-71. doi: 10.1016/j.rapm.2004.11.001.


Objectives: Despite the tremendous growth of peripheral nerve blocks, no standard format exists to document their performance. Our objective was to create a peripheral nerve block form based on key elements of literature evidence and on our own group consensus.

Results: We describe the process and results of our multi-institutional effort to construct a standardized peripheral nerve block procedure form.

Conclusion: A form was developed to help meet the medical, legal, and billing requirements of documentation consistent with the performance of peripheral nerve block.

MeSH terms

  • Humans
  • Medical Records / standards*
  • Nerve Block / methods*
  • Nerve Block / standards*
  • Neurosurgical Procedures / methods
  • Neurosurgical Procedures / standards
  • Peripheral Nerves* / physiology