Get Random Case Review Form - Aaaasf - Aaaasf

Filling out the Random Case Review Form is essential for accurate reporting and review of surgical cases. This guide provides a clear, step-by-step approach to assist users in completing the form online with confidence.

Follow the steps to successfully complete the form online:

1. Click ‘Get Form’ button to access the RANDOM CASE REVIEW FORM and open it in your preferred online platform.
2. Indicate the applicable period by selecting either Period I or Period II, and fill in the corresponding year.
3. Enter the name of the reviewing physician in the appropriate field, along with the date of review and their medical license number.
4. Provide the facility information by filling in the name of the facility, the operating surgeon, and the total number of cases for the reporting period.
5. Input patient information, including the patient's initials, gender, age, height, weight, and ethnicity.
6. Document the surgical case information, including the date of the surgery, the duration in hours and minutes, and the procedure performed. If there are additional procedures, list them appropriately.
7. Fill in anesthesia information, specifying the type of anesthesia used, the anesthesia provider, and the duration in hours and minutes.
8. Complete the chart review section by marking 'Yes', 'No', or 'N/A' for each required item including pre-op plan, informed consent, medical history, physical examination, laboratory reports, post-op recovery record, and anesthesia record.
9. Review all entered information for accuracy and completeness. Once confirmed, you can save changes, download, print, or share the completed form as needed.

Complete your Random Case Review Form online to ensure accurate and efficient peer review.