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Get Christ Hospital R3600 2022-2024

Patient Name : Fax: Procedure Order: WEIGHT (kg): ALLERGIES: o General/MAC/Regional Anesthesia Pre Admission Testing/Same Day Surgery RN to check if below criteria is met ECG required - within 6 months of surgery if: Diagnosis of: CAD, arrhythmia, CHF, CRF, arterial vascular disease, pulmonary disease (ex.

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