Daily Schedule of Surgery Sample

Daily Schedule of Surgery Sample.pdf

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

Daily Schedule of Surgery Sample

OMB: 2900-0770

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(Example of daily schedule of surgery.)
SAN JUAN VAMC
SURGICAL SERVICE
SCHEDULE OF OPERATIONS
FOR: OCT 17, 2012

PRINTED: OCT 16, 2012 13:33

PATIENT
ID#
WARD

AGE

DISPOSITION
START TIME
END TIME

PREOPERATIVE DIAGNOSIS
OPERATION(S)

PAGE 1
SIGNATURE OF CHIEF:

REQ ANESTHESIA
ANESTHESIOLOGIST
PRIN. ANESTHETIST

SURGEON
FIRST ASST.
ATT SURGEON

Operating Room:OR3

88

fARD
07:30
09:45

OBSTRUCTIVE PROSTATE
TRANSURETHRAL RESECTION OF PROSTATEOUTPATIENT

Case #
WARD
10:00
12:30

OUTPATIENT
Case #

URINARY INCONTINENCE
ARTIFICIAL URINARY SPHINCTER PLACEMENT

ROOM: OR4
PACU (RECOVERY EPIGASTRIC PAIN
07:30
UPPER ENDOSCOPY
08:

Case #

PACU (RECOVERY DIVERTICULITIS
08:45
COLONOSCOPY
OUTPATIENT
09:45
Case #

52
OUTPATIENT

PACU (RECOVERY SCALP LIPOMA
10:00
EXCISIONAL BIOPSY SCALP LIPOMA
11:00

Case #

PACU (RECOVERY COLOSTOMY STATUS
11:15
COLONOSCOPY
12:15

OUTPATIENT
Case #

OPERATING ROOM: OR6PACU (RECOVERY RIGHT ROTATOR CUFF TEAR
58
07:30
RIGHT SHOULDER ARTHROSCOPIC ROTATOR CUFF REPAIR,
OUTPATIENT
10:15
SUBACROMIAL DECOMPRESSION
Case #

55

OUTPATIENT

PACU (RECOVERY LEFT ROTATOR CUFF TEAR
10:30
LEFT SHOULDER ROTATOR CUFF REPAIR, SUBACROMIAL
13:00
DECOMPRESSION

Case #

OPERATING ROOM: OR7

OUTPATIENT

PACU (
07:30
08:30

RECOVERY MATURE CATARACT LEFT EYE68
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
LEFT EYE SN 18.5 / BL 18

Case #

SAN JUAN VAMC

1

PAGE 2

SURGICAL SERVICE
SCHEDULE OF OPERATIONS
FOR: OCT 17, 2012

PRINTED: OCT 16, 2012 13:33

PATIENT
ID#
WARD

DISPOSITION
START TIME
END TIME

AGE

PREOPERATIVE DIAGNOSIS
OPERATION(S)

SIGNATURE OF CHIEF:

REQ ANESTHESIA
ANESTHESIOLOGIST
PRIN. ANESTHETIST

SURGEON
FIRST ASST.
ATT SURGEON

OPERATING ROOM: OR7
82

PACU (RECOVERY MATURE CATARACT LEFT EYE
08:45
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
09:45
LEFT EYE SN 24.5 / BL 24

75

PACU
(RECOVERY MATURE CATARACT LEFT EYE
10:00
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
11:00
LEFT EYE SN 25 / BL 24.5

50

PACU
(RECOVERY MATURE CATARACT RIGHT EYE
11:15
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
12:15
RIGHT EYE SN 20.5 / BL 20, SYNECHIOLYSIS

68

PACU
(RECOVERY MATURE CATARACT RIGHT EYE
12:30
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
13:30
RIGHT EYE SN 26.5 / BL 26

82

(RECOVERY MATURE CATARACT LEFT EYE
S PACU
13:45
PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANT
14:45
LEFT EYE SN 22 / BL 21.50

OUTPATIENT
Case #

OUTPATIENT
Case #

OUTPATIENT
Case #

OUTPATIENT
Case #

OUTPATIENT
Case #

OPERATING ROOM:

OR8
J
67

OUTPATIENT
Case #

(RECOVERY LEFT HAND GRANULOMA
LEFT HAND EXCISION, CAUTERIZATION

PACU
(RECOVERY LEFT CARPAL TUNNEL SYNDROME
08:45
LEFT RELEASE MEDIAN NERVE ENTRAPMENT
09:45

56

PACU
(RECOVERY LEFT WRIST DEQUERVAINS
10:00
LEFT RELEASE DORSAL SPACES
11:00

62

PACU
(RECOVERY RIGHT CARPAL TUNNEL SYNDROME
11:15
RIGHT RELEASE MEDIAN NERVE ENTRAPMENT, RIGHT Al
12:15
PULLEY RELEASE

64

PACU
(RECOVERY RIGHT INDEX TRIGGER FINGER
12:30
RIGHT INDEX Al PULLEY RELEASE
13:30

OUTPATIENT
Case #

OUTPATIENT
Case #

2

07:30
08:30

58
OUTPATIENT
Case #

OUTPATIENT
Case # 130443

PACU

SAN JUAN VAMC

PAGE 3

PRINTED: OCT 16, 2012 13:33
PATIENT
ID#
WARD

AGE

DISPOSITION
START TIME
END TIME

SURGICAL SERVICE
SCHEDULE OF OPERATIONS
FOR: OCT 17, 2012
PREOPERATIVE DIAGNOSIS
OPERATION(S)

OPERATING ROOM: OR8
PACU (RECOVERY LEFT HAND DUPUYTRENS CONTRACTURE
69
13:45
LEFT PALMAR FASCIECTOMY
OUTPATIENT
14:45
Case #
PACU (RECOVERY RIGHT RING TRIGGER FINGER
65
15:00
RIGHT Al PULLEY RELEASE
OUTPATIENT
16:00
Case #

TOTAL CASES SCHEDULED: 21

3

SIGNATURE OF CHIEF:

REQ ANESTHESIA
ANESTHESIOLOGIST
PRIN. ANESTHETIST

SURGEON
FIRST ASST.
ATT SURGEON

4


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AuthorEIE Desktop Technologies
File Modified2014-01-22
File Created2014-01-22

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