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The Christ Hospital ENT Pre-Op Order Form R ? 3591 11/2013 Fax to (513) 585-0169 Surgeon name Phone Fax THE FOLLOWING ABBREVIATIONS ARE NOT PERMITTED FOR USE: IU, U (Units), CD (Daily), GOD (Every
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How to fill out ent pre-op order form

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How to fill out an ENT pre-op order form:

01
Start by gathering all necessary information. Make sure you have the patient's name, contact information, and any relevant medical history.
02
Indicate the reason for the ENT pre-operative consultation. This could be for procedures such as tonsillectomy, sinus surgery, or cochlear implant placement.
03
Specify the date and time of the pre-operative consultation.
04
Include any pre-operative instructions or requirements. This may include the need for fasting before surgery or discontinuation of certain medications.
05
If applicable, indicate the need for any pre-operative diagnostic tests or imaging. This could include a CT scan, MRI, or audiogram.
06
Provide a space for the attending physician or surgeon to sign and date the form.
07
Finally, make a copy of the completed form for your records and provide the patient with their own copy.

Who needs an ENT pre-op order form?

01
Patients who require ENT surgeries or procedures.
02
Physicians or surgeons who are referring patients for ENT pre-operative consultations.
03
Hospital or surgical center staff who are responsible for coordinating and scheduling surgeries and pre-operative assessments.
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The ent pre-op order form is a document that outlines the required orders and instructions for the pre-operative procedures related to ear, nose, and throat (ENT) surgeries.
Surgeons or healthcare providers performing ENT surgeries are typically required to file the ent pre-op order form.
To fill out the ent pre-op order form, the surgeon or healthcare provider must provide detailed instructions for the pre-operative procedures, such as necessary tests, medications, and patient preparations.
The purpose of the ent pre-op order form is to ensure proper coordination and preparation for ENT surgeries, allowing healthcare providers to plan and execute the pre-operative procedures effectively.
The ent pre-op order form typically requires information such as patient details, scheduled surgery date, specific orders for pre-operative tests and medications, and any additional instructions related to the surgery.
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