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This document serves as an intra-operative care form detailing the assessment and procedures performed during an operation, including skin integrity assessments, irrigation details, and cautery types. It also includes a registry for orthopaedic implantable devices, documenting deployment sites, quantities used, and associated equipment.

How to fill out intra-operative care form

How to fill out intra-operative care form

1. Start with the patient's identification details including name, age, and medical record number.
2. Document the date and time of the surgery.
3. Record the type of surgery being performed.
4. Note the names of the surgical team members, including the surgeon and anesthesiologist.
5. Check and document vital signs before the surgery commences.
6. Include details about the patient's allergies and current medications.
7. Describe the pre-operative assessment findings.
8. Record any previous surgical interventions and relevant medical history.
9. Document the anesthesia plan and any pre-medication given.
10. Include pertinent intra-operative observations, such as blood loss and any complications.
11. Conclude with post-operative instructions and a summary of the patient's condition before transfer.

Who needs intra-operative care form?

1. The intra-operative care form is needed by the surgical team, including surgeons, anesthesiologists, nurses, and post-operative care providers.
2. It is also essential for hospital administration and quality assurance departments to maintain accurate patient records.
3. Any clinical staff involved in the patient's care before, during, or after the surgery require this form to ensure comprehensive patient management.

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What is intra-operative care form?

The intra-operative care form is a document used to capture important clinical data and events that occur during a surgical procedure, ensuring detailed records are maintained for patient safety and quality assurance.

Who is required to file intra-operative care form?

Typically, it is required to be filed by the surgical team members including surgeons, anesthesiologists, and nursing staff involved in the patient's care during the operation.

How to fill out intra-operative care form?

To fill out the intra-operative care form, you should accurately document the time of surgery, type of procedure, patient's status, anesthesia used, and any complications or significant events noted during the procedure.

What is the purpose of intra-operative care form?

The purpose of the intra-operative care form is to provide a comprehensive record of the surgical procedure, facilitate communication among healthcare providers, and support legal and compliance requirements.

What information must be reported on intra-operative care form?

The form must report information such as patient identification, procedure details, time of anesthesia, monitoring parameters, intra-operative findings, any complications, and personnel involved in the operation.