Get the free DATE ORDERED POST-OP THORACOTOMY, LOBECTOMY,

*ORD×ORD DATE ORDERED PATAPHYSICIANS ORDERSTIME1.2.POS TOP THORACOTOMY, LOBECTOMY, PNEUMONECTOMY ORDERS Dr. CrockerSIGN, DATE AND TIME ALL ENTRIESAdmit to CCU. Diagnosis: I & Os VS Q 15 min til stable

How to fill out date ordered post-op thoracotomy

How to fill out date ordered post-op thoracotomy

1. Start by gathering all the necessary information such as the patient's medical history, surgical procedure details, and post-operative care instructions.
2. Begin by documenting the date and time of the thoracotomy surgery.
3. Record any pre-operative medications given to the patient.
4. Document the patient's vital signs before the surgery, including blood pressure, heart rate, and oxygen saturation levels.
5. Note the type of anesthesia used during the surgery and any complications or reactions observed.
6. Record the surgical technique employed, including any specific details or instruments used.
7. Document the findings from the intraoperative exploration, such as the condition of the thoracic organs or any abnormalities encountered.
8. Include details of any additional procedures performed, such as lymph node dissection or chest tube placement.
9. Document the patient's condition during the immediate post-operative period, including any observed complications, pain levels, and monitoring measurements.
10. Record the type and dosage of any analgesics or antibiotics administered post-operatively.
11. Note the timing and extent of patient mobilization and ambulation.
12. Document any further interventions or follow-up appointments recommended.
13. Finally, ensure that the post-op thoracotomy notes are organized chronologically and easily accessible for reference and future care.
14. Remember to adhere to your institution's documentation guidelines and consider the specific needs of the patient in your documentation.

Who needs date ordered post-op thoracotomy?

1. Date ordered post-op thoracotomy documentation is needed for patients who undergo thoracotomy surgery.
2. This includes individuals with conditions requiring surgical intervention in the thoracic cavity, such as lung cancer, mediastinal tumors, or traumatic injuries.
3. Surgeons, anesthesiologists, nurses, and other healthcare professionals involved in the patient's care often require this documentation.
4. Additionally, medical coders, researchers, and insurance companies may also benefit from having accurate and detailed post-op thoracotomy records.

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What is date ordered post-op thoracotomy?

Date ordered post-op thoracotomy is a medical procedure performed after thoracic surgery.

Who is required to file date ordered post-op thoracotomy?

The healthcare provider who performed the thoracotomy is required to file the date ordered post-op thoracotomy.

How to fill out date ordered post-op thoracotomy?

Date ordered post-op thoracotomy should be filled out with relevant patient information and details of the post-operative care provided.

What is the purpose of date ordered post-op thoracotomy?

The purpose of date ordered post-op thoracotomy is to document the post-operative care received by the patient following thoracic surgery.

What information must be reported on date ordered post-op thoracotomy?

Information such as post-operative medications, wound care instructions, follow-up appointments, and any complications experienced must be reported on date ordered post-op thoracotomy.