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How to fill out the Surgical Log online
Completing the Surgical Log is an essential task that ensures accurate record-keeping for surgical procedures. This guide provides step-by-step instructions for filling out the Surgical Log online, catering to users with varying levels of experience.
Follow the steps to complete the Surgical Log efficiently.
- Click the ‘Get Form’ button to access the Surgical Log and open it in your preferred online editor.
- Begin by entering the confidential patient identifier, ensuring that you maintain the privacy and confidentiality of the patient.
- Input the date and time of arrival at the facility so that there is an accurate record of the patient’s entry.
- Fill in the surgeon's name and license number to verify the professional responsible for the operation.
- Document the diagnosis along with the corresponding ICD-9 codes to provide clear medical context.
- Indicate the patient's ASA classification, which reflects their preoperative health status.
- Enter the anesthesiologist's name and license number to ensure accountability for anesthesia administration.
- Specify the level of surgery and the method of anesthesia utilized during the procedure.
- Provide a summary of the patient's history and physical examination, along with relevant medical clearances.
- Note the time of arrival in the surgical suite, which is important for tracking the timeline of the procedure.
- List all the procedures to be performed, including their corresponding CPT codes for billing and reference.
- Record the time when the patient arrived in the recovery room and the discharge time.
- Detail the patient’s disposition upon discharge, indicating their status and any required follow-up.
- Document the time the procedure began and ended clearly to maintain a thorough timeline.
- Specify the type of postoperative care provided to the patient following the procedure.
- List all medications used during the procedure to ensure comprehensive medication management.
- Indicate if any adverse incidents occurred during the surgery by selecting 'Yes' or 'No' and noting any relevant details.
- Lastly, fill in the dates occurred and reported if applicable, and ensure all information is accurate before submitting the form.
Complete your Surgical Log online today to ensure all necessary documentation is in order.
( p r- -t v, - -r t v, p r -) adj. 1. Relating to or resulting from a surgical operation.
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