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  • Da 5179-1 1987

Get Da 5179-1 1987-2025

INTRAOPERATIVE DOCUMENT MEDICAL RECORD For use of this form see AR 40-66 the proponent agency is the office of The Surgeon General. 1. PATIENT TRANSPORTED TO OPERATING ROOM VIA BY 3. DATE TIME PATIENT ARRIVED IN SUITE 2. PATIENT IDENTIFIED RECORD REVIEWED AND PROCEDURE VERIFIED BY 4. PATIENT IN ROOM TIME NUMBER 5. PREOPERATIVE EMOTIONAL STATUS CALM ANXIOUS EXCITED CRYING ANGRY WITHDRAWN OTHER Specify COMMENTS 6. NURSING PERSONNEL ASSIGNED SCRUB RELIEF CIRCULATOR 7. POSITION AND POSITIONAL AIDS Specify SUPINE LITHOTOMY PRONE KRASKE LATERAL LEFT SIDE UP RIGHT SIDE UP 8. SKIN PREPARATION HAIR REMOVAL DONE BY METHOD NO YES OR DEPILATORY CLIP NURSING UNIT RAZOR PREP SOLUTION Specify SITE BY WHOM 9. LOCATION OF EXTERNAL DEVICES LEGEND X Ground Pad 10. COUNTS -- Safety Strap C Correct Other Tourniquet I Incorrect First Closing Count Final Closing Sponge Yes No Needle Sharp Instrument Name - Last first middle Grade Date Hospital or Medical Facility 12. ELECTROSURGERY DEVICE S ESU ESU NO GROUN....

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(2) The intraoperative phase is the period during which the patient is undergoing surgery in the operating room. It ends when the patient is transferred to the post-anesthesia recovery room. (3) The postoperative phase lasts from the patient's admission to the recovery room through the complete recovery from surgery.

Intraoperative care is patient care during an operation and ancillary to that operation. Activities such as monitoring the patient's vital signs , blood oxygenation levels, fluid therapy, medication transfusion, anesthesia, radiography, and retrieving samples for laboratory tests, are examples of intraoperative care.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232