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Physician: Patient Name: Date of Procedure:Phone Number: Location: Time to Arrive:Date of Removal:Time to Arrive:PreProcedure Instructions for 24 Hour pH Study Welcome to the MPH GI Manometry Unit.

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How to fill out pre-procedure instructions for upper

01

Read the pre-procedure instructions carefully before beginning to fill them out.

02

Start by entering the patient's personal information, such as their name, date of birth, and contact information.

03

Next, provide details about the specific procedure being performed on the upper body, including the date and time of the procedure.

04

If there are any medical conditions or allergies that the patient has, make sure to mention them in the instructions.

05

Include any special dietary restrictions or medication adjustments that need to be followed before the procedure.

06

Mention any necessary preparations that need to be made by the patient, such as fasting or stopping certain medications.

07

Provide contact information for the healthcare provider or facility in case the patient has any questions or concerns.

08

Finally, make sure to review the instructions to ensure that all necessary information has been included and that they are clear and easy to understand.

Who needs pre-procedure instructions for upper?

01

Anyone who is scheduled to undergo a pre-procedure or surgical intervention on the upper part of their body needs pre-procedure instructions. This includes patients who will be having surgeries or procedures related to their head, neck, chest, shoulders, arms, or back. These instructions help ensure that the patient is well-prepared for the procedure and can minimize any potential risks or complications.

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