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Date: Patient ID: USDA#: WT(ink): Sex: M/FBI: Contact: PH#: Species: The University of MichiganIntraOperative Monitoring Form Injectable DrugsProcedure:(including anesthetic administration)Gas AnesthesiaAnalgesics
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How to fill out intra-operative monitoring form
01
To fill out the intra-operative monitoring form, follow these steps:
02
Start by entering the patient's information, such as name, age, and medical record number.
03
Indicate the date and time of the surgery.
04
Specify the type of surgery being performed.
05
Include details about the anesthesia used during the procedure.
06
Document the various vital signs monitored during the surgery, including blood pressure, heart rate, oxygen saturation levels, and temperature.
07
Record any observed intra-operative events or complications.
08
Document the administration of any medications during the surgery.
09
Note the surgical team members involved and their roles.
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Finally, sign and date the form to validate the information.
11
Ensure that all information entered is accurate and complete before submitting the form.
Who needs intra-operative monitoring form?
01
The intra-operative monitoring form is needed by medical professionals involved in surgical procedures.
02
This includes surgeons, anesthesiologists, nurses, and other healthcare providers in the operating room.
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The form helps track and document the patient's vital signs, anesthesia usage, and any intra-operative events or complications.
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It is essential for maintaining comprehensive medical records and ensuring patient safety during surgery.
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