Surgery Notes

Patient was seen in pre-OP area.
Patient was taken to OR where time-out was performed; name & DOB verified, position marking verified, equipment necessary confirmed.


Patient sent to post-op area stable.


PE:
General: NAD, AOX3
Respiratory: CTAB w/o WRR
CV: RRR w/o murmurs
Abdo: soft, NT, ND, incisions healing well
Neuro: no focal deficits
Extremities: WWP