Pre op exam template
[PDF File]Preoperative Evaluation
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In most cases pre-op eval won’t result in delay or cancellation. General components • History focusing on: – cardiopulmonary dysfunction, including assessment of exercise ability – Bleeding tendency – Substance use • Medications • Focused physical exam • Limited preoperative testing . Labs • No overarching guideline ...
[PDF File]The Ob-Gyn Clerkship: Your Guide to Success
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The Ob-Gyn Clerkship: Your Guide to Success Tools for the Clerkship, contained in this document: 1. Sample obstetrics admission note 2. Sample delivery note 3. Sample operative note 4. Sample postpartum note a. Vaginal delivery b. Cesarean section orders/note 5. Sample gynecologic history & physical (H&P) 6. Admission orders 7. Commonly-used ...
[PDF File]health.uconn.edu
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Refer to Dept of Anesthesiology "Guidelines for the Pre-op Preparation of the Surgical Patient" If a Preadmissions Consult is indicated, contact APRN beeper 860-588-7948 / phone 860-679-6688 Day of Procedure Practitioner Attestation I have examined the patient and the above information is accurate.
[PDF File]PRE-OPERATIVE CHECKLIST - Hospital Forms
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Pre-Op Teaching 2. Seen by Anesthesia 3. ID Band 4. Fall Precaution Band 5. Allergy List / Allergy Band 6. Type / Screen / Cross (if order) a. ... Pre Operative Checklist_NURSING CHECKLIST ITEMS TO BE CHECKED YES NO N/A EXPLAIN "NO" ANSWER INITIALS PART OF THE MEDICAL RECORD PRE-OPERATIVE. Title: 8850021_1.xls
[PDF File]Pre-procedure History and Physical Examination Form
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Pre-Procedure Orders: Pre-Anesthesia Consult (schedule through Pre-Admission Testing): Required for non -emergency patients for whom Anesthesia Services are anticipated if patient has DNR or Limited Resuscitation Order or Outof- - Hospital DNR Order. Consult is …
[PDF File]History and Physical Evaluation Form - American Surgery
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History and Physical Evaluation Form ... DAY OF SURGERY PRE OP REVIEW (Required for straight local anesthesia cases only) - I have reviewed this History and Physical and examined the patient for changes since its performance. Based upon my assessment no changes ...
[PDF File]PRE -OPERATIVE CHECK LIST - 3sHealth Home
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Pre -Op Teaching Done: Yes No Physical/Intellectual Challenges : (List) Health Care Directives (describe) Copies on chart Yes (If yes, check boxes) No Living Will Advanced Directive Feeding Restrictions Medication Restrictions Blood Product Restrictions Other Restrictions (Specify)
[PDF File]Anesthetic Plan - Stanford University
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Name Surgeon Room: Age: Surgery Diagnosis: Attending: H: W: PSH: PMH: h/o Anesthesia: MEDS: Allergies: Labs/Studies: PTT CXR:
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