Get Surgery Assessment Form For - Ophthalmology And Eye Resources ...

Completing the Surgery Assessment Form for ophthalmology is an essential step in documenting the details of surgical procedures. This guide provides clear instructions on how to fill out the form efficiently and accurately, ensuring all necessary information is captured.

Follow the steps to complete the form online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin with the ‘Date’ section, entering the current date in the provided format (DD/MM/YYYY).
3. In the ‘Hospital’ field, write the name of the facility where the surgery is being performed.
4. Move to the ‘Stage’ section where you will record details regarding preparation, draping, and other procedural steps. Complete the descriptions for each stage.
5. For each procedural step (incisions, rhexis, hydrodisection, etc.), provide comments and assign scores from 0 to 10 in the ‘Points’ section based on the performance.
6. Specify the type of lens to be inserted in the ‘Specify Type of Lens’ field after performing soft lens matter removal.
7. Indicate the length of the operation by selecting the appropriate time bracket and the corresponding points.
8. In the ‘Type of cataract’ section, check the relevant options (Cortical, Nuclear sclerotic, Posterior Sub capsular) with the corresponding severity ratings.
9. Include any additional items used during surgery, such as Vision blue, Miochol, and hooks, by marking ‘Yes’ or ‘No’.
10. Document the condition of the capsule and any necessary vitrectomy results in the respective fields.
11. Finally, collect signatures from the surgeon and supervising surgeon, ensuring all names are clearly printed.
12. Once all sections are filled out, review the form for accuracy, then save changes, download, print, or share the completed form as needed.

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