Pre-Anesthesia Assessment & Pre-Induction Form

Key fields: patient demographics, PMH/PSH, allergies, meds, ASA, airway, investigations, risk stratification, optimization plan, consent status.

Day-of-Surgery Update (DOS Addendum)

Key fields: interval changes, fasting/NPO, new labs/vitals, last oral intake, new meds, updated plan, final readiness.

Airway Assessment & Plan Form

Key fields: predictors, airway grade plan A/B/C, devices, backup, aspiration risk, extubation plan.

Anesthesia Consent Form (EN) + Arabic version

Key fields: procedure/anesthesia type, risks/benefits, alternatives, patient questions, signatures.

Intraoperative Anesthesia Record

Key fields: timeline, vitals intervals, airway events, drugs/fluids, blocks, lines, blood loss, urine, complications, postop plan.

Airway Management Note

Key fields: indication, devices, attempts, view grade, confirmation, complications, rescue techniques, extubation details.

Post-Anesthesia Note / Transfer Note

Key fields: immediate recovery status, vitals, pain/nausea, events, destination, handover essentials, discharge/transfer readiness.

OR Safety Checklist (Sign-In / Time-Out / Sign-Out)

Key fields: ID/site/procedure confirmation, allergies, airway risk, antibiotic, blood loss plan, specimen, equipment issues, postop concerns.

OR → PACU Handover Form (SBAR)

Key fields: procedure, anesthetic type, airway course, key intraop events, fluids/blood, analgesia plan, PONV plan, monitoring/oxygen needs.

PACU Forms Pack / Recovery & Discharge

Key fields: PACU phase documentation, serial vitals, pain score tracking, nausea/vomiting, discharge criteria, destination instructions.

Pain Assessment & APS Daily Rounds Form

Key fields: assessment tool (NRS/VAS/FACES/FLACC…), pain at rest/movement, analgesia regimen, side effects, functional goals, reassessment + plan.

Blood Product / Massive Transfusion Record

Key fields: indication, MTP activation, baseline vitals/labs, product type & unit numbers, timings, reactions, calcium/temperature management, totals + outcome.

Comprehensive Procedural Sedation Record

(يُستخدم كحزمة واحدة تشمل: pre-assessment + monitoring + meds + recovery/discharge + adverse events)
Key fields: ASA/airway/NPO, vitals q5 min, sedation score, meds doses & cumulative totals, discharge criteria, adverse events & response.

NORA Site Readiness Checklist

Key fields: oxygen/suction, monitors, emergency drugs, airway access, defib access, staffing, transport plan.

Stop-Before-You-Block Time-Out

Key fields: correct side/site, consent, anticoag review, LA dose plan, LAST readiness.

Neuraxial Block Record

Key fields: level/approach, attempts, meds/doses, vitals, complications.

Peripheral Nerve Block Record

Key fields: block type/side, technique (US/NS), LA dose, aspiration/incremental injection, result/complications.

Continuous Catheter Record + Infusion Orders

Key fields: catheter site/depth, labeling, infusion settings, bolus parameters, follow-up plan.

LAST Event Record

Key fields: timeline, lipid dosing, airway/CPR actions, outcome, escalation.

Anesthesia Machine Checkout

Key fields: machine checks, alarms, vaporizers, suction, scavenging, backup oxygen.

Difficult Airway Cart Log

Key fields: inventory check, seals, restock, readiness sign-off.

Controlled Drug Register

Key fields: drug, quantity, patient/case, user ID, balance.

Controlled Drug Wastage Witness Form

Key fields: drug, amount wasted, method, two signatures, date/time.

High-Alert Medication Double-Check Form

Key fields: drug/concentration, pump rate, line trace, two sign-offs.

Syringe/Line Labeling Spot-Check

Key fields: unlabeled syringes/lines, corrective actions.

Between-Case Cleaning Checklist

Key fields: high-touch surfaces, disinfectant/contact time, sign-off.

Reprocessing Tracking Slip

Key fields: item, sent to CSSD/HLD, time out/in, returned, storage.

Isolation Case Workflow Checklist (OR + PACU)

Key fields: PPE, route, minimal equipment, recovery location, terminal clean sign-off.

Sharps & Waste Area Check Log

Key fields: sharps bins, segregation, point-of-use availability.

Critical Incident / Near Miss Report (Anesthesia)

Key fields: incident type (critical/near miss/adverse/sentinel), phase of care, narrative description, contributing factors (equipment/meds/human/system), immediate actions, outcome, recommendations, follow-up.