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Get Surgery Day Checklist
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How to fill out the Surgery Day Checklist online
Completing the Surgery Day Checklist online ensures you are well-prepared for your upcoming procedure. This guide will provide you with clear instructions on how to effectively fill out each section of the checklist to facilitate a smooth surgical experience.
Follow the steps to complete your Surgery Day Checklist online.
- Click the ‘Get Form’ button to access the Surgery Day Checklist and open it for completion.
- Begin by reviewing the checklist items carefully. Make sure you understand all requirements, including bringing necessary items such as your folder and all prescribed drops to the surgery.
- Locate the section regarding prescriptions. Ensure that you have filled your prescriptions one week prior to your surgery, as indicated on the checklist.
- Fill in the prescribed drops as follows: for -RX Antibiotic, remember to place one drop in the affected eye(s) the night before and the morning of your surgery. Confirm you have secured medication after surgery, including -RX Anti-inflammatory.
- Fill in your scheduled arrival time and other relevant timings. Double-check for accuracy, as arrival times may change.
- Make a note of when to remove your contact lenses prior to the procedure and ensure they are recorded accurately on the checklist.
- Review the important notes about what to avoid on the day of surgery. Clearly mark that you will not wear eye makeup or use scented products before your procedure.
- Provide a method of payment for your surgery. Ensure you complete the total cost section and understand payment options, including any financing arrangements if needed.
- Finalize your checklist by confirming any appointment changes and potential fees for cancellations or rescheduling if applicable.
- Once all fields are complete, ensure changes are saved. You can then download, print, or share the form as needed.
Complete your Surgery Day Checklist online today for a seamless surgical experience.
Five Steps to Safer Surgery is a surgical safety checklist. It involves briefing, sign-in, timeout, sign-out and debriefing, and is now advocated by the National Patient Safety Agency (NPSA) for all patients in England and Wales undergoing surgical procedures.
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