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دليل السياسات والإجراءات في غرفة العمليات
→ F-OT-07
F-OT-09 ←
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الرئيسية
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الرئيسية
📋 محتويات
📚 الأقسام
→ F-OT-07
F-OT-09 ←
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General Hospital • Operating Theatre
Doctor's Operation Notes
F-OT-08
Patient Name
MRN
Dept. / Unit
Date of Birth
Age (Yrs)
Months
Days
Gender
Male
Female
Operation Details
Date of Surgery
Time Commenced
Time Completed
O.R. No.
Operation Category
Elective
Day Case
Emergency
O.R. Nurse (Circulating / Scrub)
Surgeon(s)
1.
2.
3.
Assistant(s)
1.
2.
3.
Anesthetist Name
Type of Anesthesia
Pre-Operative Diagnosis
Name of Operation Performed
Post-Operative Diagnosis
Narrative Findings & Procedures
Page 1 of 2
Indication for Surgery, Findings, and Procedures:
(Including the condition of all organs examined, incision, ligatures, sutures, drainage, swab count verification, and closure)
Continued...
Page 2 of 2
Intra-Operative Outcomes & Verification
Intra-Operative Complication
No
Yes
Specimen(s) sent to Pathology
No
Yes
Instrument and Swab Count Correct
Yes
No
Blood Transfusion Given
Yes
No
Type of Blood/Product
Units Used
Units
Total Blood Loss
ml
Post-Operative Instructions
Instructions for Ward/Recovery:
(Detail requirements for Packs, Drains, Transfusions, Sedation, Antibiotics, VTE Prophylaxis, and Diet)
Primary Surgeon
Stamp & Signature
Date