S/N 821 Peri-Operative Record 2008-2025 free printable template

PERIOPERATIVE RECORD AFFIX PATIENT INFO LABEL HERE Page 1 of 3 Patient Name MR# Date: Patient in Room: Anesthesia Start: Suite #: Patient out of Room: Anesthesia Finish: Patient Identification: Verbal

How to fill out SN 821 Peri-Operative Record

How to fill out S/N 821 Peri-Operative Record

1. Start with the patient's identification: Fill in the patient's name, date of birth, and medical record number at the top of the form.
2. Record the date of the surgery: Write the date when the procedure is scheduled or performed.
3. Indicate the type of procedure: Specify the surgical procedure being conducted.
4. Complete the pre-operative assessment section: Include information about the patient's medical history, allergies, and current medications.
5. Document vital signs: Record baseline vital signs such as blood pressure, heart rate, and oxygen saturation.
6. List the anesthetic plan: Detail the type of anesthesia to be used and any special requirements.
7. Fill in the surgical team members: List the names and roles of all personnel involved in the surgery.
8. Complete any required checklists: Ensure that all necessary protocols are checked off before proceeding.
9. Sign and date the record: Have the responsible personnel sign and date the form to validate the information.

Who needs S/N 821 Peri-Operative Record?

1. Surgeons and surgical teams who are planning and conducting procedures.
2. Anesthesiologists responsible for administering anesthesia.
3. Nursing staff involved in pre-operative and post-operative care.
4. Hospital administrators and auditors for compliance with medical records regulations.

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What is S/N 821 Peri-Operative Record?

S/N 821 Peri-Operative Record is a document that captures comprehensive details about a patient's surgical procedure, including pre-operative, intra-operative, and post-operative information.

Who is required to file S/N 821 Peri-Operative Record?

The S/N 821 Peri-Operative Record must be filed by the surgical team, which includes surgeons, anesthesiologists, and nursing staff involved in the patient's peri-operative care.

How to fill out S/N 821 Peri-Operative Record?

To fill out the S/N 821 Peri-Operative Record, include patient identification details, surgical procedure information, any administered medications, vital signs, and notes on any complications or observations made during the procedure.

What is the purpose of S/N 821 Peri-Operative Record?

The purpose of the S/N 821 Peri-Operative Record is to ensure accurate documentation of the surgical process, which aids in continuity of care, legal protection, and quality assurance within healthcare settings.

What information must be reported on S/N 821 Peri-Operative Record?

The information that must be reported includes patient demographics, the type and details of the surgery performed, anesthetic used, duration of the procedure, any intraoperative findings, and post-operative care instructions.