[604] | 1 | English French Notes Complete/Exclude
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| 2 | entries contain no assessment information.
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| 3 | The computer will then automatically merge those assessments for which the
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| 4 | patient has only one surgical case and one surgery risk assessment for the
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| 5 | date entered in the SURGERY RISK ASSESSMENT file (139).
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| 6 | If the patient has
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| 7 | more than one surgical case on that date, or if there is not any surgical case
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| 8 | entered for the corresponding date in the SURGERY RISK ASSESSMENT file, that
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| 9 | assessment will need to be manually matched.
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| 10 | Risk Assessment Pre-Conversion:
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| 11 | Deleting all entries from the SURGERY RISK ASSESSMENT file (139) which do not
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| 12 | contain assessment information or have an operation date prior to the
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| 13 | selected start date.
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| 14 | NO ASSESS
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| 15 | Entries in the SURGERY RISK ASSESSMENT file (139) which were deleted
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| 16 | because they contained no assessment information, or had an operation date
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| 17 | prior to the selected start date.
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| 18 | DATE OF OPERATION:
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| 19 | RISK ASSESSMENT ENTRIES NOT CONVERTED, NO ASSESSMENT INFORMATION
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| 20 | RISK ASSESSMENT CONVERSION
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| 21 | SROA CONVERT
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| 22 | The following entries in the SURGERY RISK ASSESSMENT file (139) cannot be
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| 23 | converted because the patient has no surgical cases entered in the SURGERY
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| 24 | Deleting all Assessments in which the patient entered has no Surgery cases
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| 25 | on file
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| 26 | Automatically matching Risk Assessment entries with Surgery Cases
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| 27 | The following assessments were matched with entries in the SURGERY file (130)
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| 28 | based on the patient identifier and date of operation.
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| 29 | Do you want to continue with the manual matching process now ? YES//
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| 30 | SURGERY CASE NUMBER:
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| 31 | SURGERY RISK ASSESSMENT ENTRIES AUTOMATICALLY CONVERTED
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| 32 | Enter 'YES' if you want to continue converting assessments manually, or 'NO'
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| 33 | ASSESSMENT NUMBER:
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| 34 | There were no Surgery cases for
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| 35 | within the 60 days before
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| 36 | or after the date of operation entered in this assessment.
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| 37 | Select the NUMBER corresponding to the
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| 38 | Surgery Case that this Assessment matches:
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| 39 | Enter the number that corresponds to the Surgery case that this assessment
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| 40 | matches. If the assessment does not relate to any of the cases listed above,
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| 41 | enter RETURN at the prompt.
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| 42 | Are you sure that this is the correct Surgery Case ? YES//
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| 43 | Enter 'YES' to convert the assessemnt into the Surgery file, or 'NO' to make
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| 44 | another selection.
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| 45 | Converting Risk Assessment Information...
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| 46 | Do you want to match the Risk Assessment with this Surgical Case ? NO//
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| 47 | Enter 'YES' to move the Risk Assessment information into this surgical case,
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| 48 | or 'NO' if the information does not relate to this surgical case.
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| 49 | Since this assessment cannot be matched to any Surgery case, it must be
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| 50 | Enter 'YES' to delete this assessment from the SURGERY RISK ASSESSMENT
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| 51 | file (139), or 'NO' to continue matching other assessments.
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| 52 | Deleting assessment from SURGERY RISK ASSESSMENT file (139)...
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| 53 | Queuing task to delete all SRA options from your system.
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| 54 | Delete all SRA options from OPTION file (19)
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| 55 | SROA RISK ASSESSMENT
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| 56 | This option will self destruct now...
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| 57 | 1. ATTENDING IN O.R.
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| 58 | 2. ATTENDING IN O.R. SUITE
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| 59 | 3. ATTEND NOT PRESENT, BUT AVAILABLE
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| 60 | ATTENDING CODE NOT ENTERED
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| 61 | POSTOPERATIVE DIAGNOSIS NOT ENTERED
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| 62 | There are more cases for the date range selected. If you want to continue
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| 63 | listing them, enter RETURN. Enter '^' to exit from this option.
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| 64 | ATTENDING SURGEON REPORT
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| 65 | 1ST ASST
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| 66 | ATTENDING CODE
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| 67 | 2ND ASST
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| 68 | TOTAL CASES
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| 69 | TOTAL CASES FROM
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| 70 | 3. ATTENDING NOT PRESENT, BUT AVAILABLE
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| 71 | * ATTENDING CODE NOT ENTERED
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| 72 | ATTENDING SURGEON CUMULATIVE REPORT
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| 73 | Enter RETURN to continue printing the report, or '^' to exit from this option.
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| 74 | ATTENDING SURGEON:
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| 75 | ZZ
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| 76 | There are more cases for the date range listed. If you want to continue
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| 77 | Enter RETURN if you want to display the totals for each specialty, or '^' to
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| 78 | exit from this report.
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| 79 | TOTAL CASES FOR THIS SPECIALTY
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| 80 | CARDIAC ASSESSMENT TRANSMISSION COMPLETE
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| 81 | RISK ASSESSMENT SCNR
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| 82 | The Cardiac Surgery Risk Assessment Transmission was completed at
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| 83 | assessment was sent.
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| 84 | assessments were sent.
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| 85 | OPERATION DATE:
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| 86 | NO ICD9
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| 87 | RISK ASSESSMENT TRANSMISSION COMPLETE
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| 88 | The Surgery Risk Assessment Transmission was completed at
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| 89 | assessment was
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| 90 | assessments were
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| 91 | G.RISK ASSESSMENT@ISC-CHICAGO.VA.GOV
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| 92 | Attending Surgeon Report
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| 93 | Do you want to print the report for all Attending Surgeons ? YES//
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| 94 | a specific person.
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| 95 | Attending Surgeon Reports
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| 96 | 1. Attending Surgeon Report
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| 97 | 2. Attending Surgeon Cumulative Report
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| 98 | 3. Attending Surgeon Report and Attending Surgeon Cumulative Report
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| 99 | Select the number corresponding with the desired report(s):
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| 100 | Start report for each attending surgeon on a new page ?
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| 101 | Do you want the report for all Surgical Specialties ? YES//
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| 102 | Enter 'YES' to print this report for all Surgical Specialties, or 'NO' to
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| 103 | The Attending Surgeon Report was designed to use a 132 column format.
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| 104 | The Attending Surgeon Cumulative Report was designed to use an 80 column format.
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| 105 | Print the report on which Device ?
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| 106 | Enter '1' if you want to print the Attending Surgeon Report only. If you only want to print the Attending Surgeon Cumulative Report, enter '2'. Enter '3' to
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| 107 | print both reports.
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| 108 | Print the Report for which Attending Surgeon ?
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| 109 | Do you want to view the totals for attending codes only ? NO//
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| 110 | Enter RETURN to dispay individual case information and the total number of
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| 111 | cases for each code. If you only want to display the totals for the attending
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| 112 | This report is designed to use an 80 column format.
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| 113 | ZZ ATTENDING NOT ENTERED
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| 114 | Enter RETURN to continue with this report, or '^' to quit this option.
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| 115 | ZZ SPECIALTY NOT ENTERED
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| 116 | This patient had a previous non-cardiac operation on
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| 117 | Do you want to duplicate the preoperative information from the earlier
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| 118 | assessment in this assessment?
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| 119 | Anesthesia Technique
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| 120 | Other Procedure CPT Code
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| 121 | POSTOP OCCURRENCE DATE
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| 122 | Date Noted on
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| 123 | (Postop Occurrence)
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| 124 | NO ICD9 CODE ENTERED
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| 125 | Death Unrelated/Related
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| 126 | Enter risk assessment preop information for this patient (Y/N)
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| 127 | Will this procedure require cardiopulmonary bypass (Y/N) ?
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| 128 | Enter Cardiac Preoperative information
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| 129 | 1. Clinical Information
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| 130 | 2. Cardiac Catheterization & Angiographic Data
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| 131 | 3. Operative Risk Summary Data
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| 132 | Enter the number of the selection to be edited.
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| 133 | PREOPERATIVE LABORATORY TEST INFORMATION
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| 134 | The SURGERY SITE PARAMETERS file indicates this site/division does not use
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| 135 | the Cardiac Risk Assessment module. Therefore, this option is not available
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| 136 | for use.
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| 137 | Enter category of emergency.
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| 138 | 1. Emergent (ongoing ischemia)
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| 139 | 2. Emergent (hemodynamic compromise)
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| 140 | 3. Emergent (arrest with CPR)
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| 141 | Enter number (1, 2 or 3):
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| 142 | Is this emergency case a cardiac procedure requiring cardiopulmonary
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| 143 | This is the category of emergency reflecting the patient's cardiovascular
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| 144 | condition at the time of transport to the operating room:
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| 145 | 1. Emergent (ongoing ischemia) - Clinical condition mandates immediate
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| 146 | surgery usually on day of catheterization because of ischemia despite
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| 147 | medical therapy, such as intravenous nitroglycerine. Ischemia should
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| 148 | be manifested as chest pain and/or ST-segment depression.
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| 149 | 2. Emergent (hemodynamic compromise) - Persistent hypotension (arterial
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| 150 | systolic pressure < 80 mm Hg) and/or low cardiac output (cardiac index
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| 151 | < 2.0 L/min/MxM) despite iontropic and/or mechanical circulatory
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| 152 | support mandates immediates surgery within hours of the cardiac
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| 153 | 3. Emergent (arrest with CPR) - Patient is taken to the operating room in
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| 154 | full cardiac arrest with the circulation supported by cardiopulmonary
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| 155 | resuscitation (excludes patients being adequately perfused by a
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| 156 | cardiopulmonary support system).
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| 157 | Enter the appropriate number to designate the category of emergency.
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| 158 | workload totals which include the following categories:
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| 159 | 4. Not logged major cases
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| 160 | The second part of this report provides the total number of incomplete
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| 161 | assessments remaining for the month selected and the prior 12 months.
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| 162 | REPORT OF MONTHLY SURGICAL CASE WORKLOAD
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| 163 | TOTAL CASES PERFORMED
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| 164 | TOTAL MAJOR CASES
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| 165 | TOTAL MINOR CASES
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| 166 | CASES MEETING EXCLUSION CRITERIA
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| 167 | ANESTHESIA TYPE
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| 168 | EXCEEDS MAX. ASSESSMENTS
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| 169 | EXCEEDS MAXIMUM TURPS
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| 170 | STUDY CRITERIA
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| 171 | SCNR WAS ON A/L
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| 172 | CONCURRENT CASE
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| 173 | EXCEEDS MAXIMUM HERNIAS
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| 174 | ASSESSED CASES
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| 175 | NOT LOGGED MAJOR CASES
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| 176 | CARDIAC CASES
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| 177 | NON-CARDIAC CASES
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| 178 | ASSESSED CASES PER DAY
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| 179 | NUMBER OF INCOMPLETE ASSESSMENTS REMAINING FOR PAST YEAR
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| 180 | SURGERY WORKLOAD
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| 181 | .13///SAFETY STRAP
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| 182 | Request Blood Availability (Y/N)
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| 183 | Type and Crossmatch, Screen, or Autologous
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| 184 | TYPE & CROSSMATCH
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| 185 | REQUESTED BLOOD COMPONENTS:
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| 186 | UNITS NOT ENTERED
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| 187 | Report of Cancellations
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| 188 | NOTE: This report contains all cancelled cases, including those that were
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| 189 | cancelled after the patient had entered the operating room. Aborted
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| 190 | cases are identified by an '*' next to the procedure name.
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| 191 | Do you want to print the report for all Surgical Specialties ? YES//
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| 192 | REPORT OF CANCELLATIONS
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| 193 | Select An Additional Specialty:
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| 194 | NO SPECIALTY ENTERED
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| 195 | >> SURGICAL SPECIALTY:
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| 196 | CANCEL DATE
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| 197 | Update Cancelled Case
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| 198 | No cancelled cases exist on this patient.
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| 199 | Enter the number of the desired operation.
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| 200 | Update Perioperative Occurrences for Individual Patient
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| 201 | Attending
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| 202 | Surgeon
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| 203 | No Date of Operation found !
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| 204 | There are no perioperative occurrences recorded for the selected date range.
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| 205 | SURGICAL SPECIALTY NOT ENTERED
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| 206 | These reports are
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| 207 | This report is
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| 208 | designed to use a 132 column format.
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| 209 | PERIOPERATIVE OCCURRENCES
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| 210 | OCCURRENCE(S) - (DATE)
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| 211 | OUTCOMES: U - UNRESOLVED, I - IMPROVED, W - WORSE, D - DEATH
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| 212 | '*' Represents Postoperative Occurrences
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| 213 | You do not have the access necessary to delete a case from the file.
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| 214 | By deleting this case, all information stored for this occurrence will be
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| 215 | removed from the computer.
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| 216 | Enter 'YES' to delete this occurrence, or RETURN if you have made a mistake.
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| 217 | Occurrence ...
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| 218 | 2. Occurrence Category:
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| 219 | 3. ICD Diagnosis Code:
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| 220 | 4. Treatment Instituted:
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| 221 | 5. Outcome to Date:
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| 222 | 6. Date Noted:
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| 223 | *** INFORMATION ENTERED ***
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| 224 | . Occurrence Comments:
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| 225 | Select Occurrence Information:
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| 226 | Enter the number, or range of numbers you want to edit. Examples of proper
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| 227 | 1. Enter 'A' to update all occurrence information.
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| 228 | to update a specific occurrence element. (For
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| 229 | example, enter '2' to update the occurrence category)
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| 230 | 3. Enter a range of numbers
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| 231 | separated by a ':' to enter a range of
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| 232 | elements. (For example, enter '1:3' to enter occurrence, occurrence
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| 233 | category, and ICD diagnosis code)
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| 234 | The occurrence selected does not have a corresponding category. A category
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| 235 | must be selected at this time, or the occurrence will be deleted.
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| 236 | Select Occurrence Category:
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| 237 | Enter 'YES' to delete this occurrence from the patient's record. Enter 'NO'
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| 238 | to backup and enter a category for this occurrence.
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| 239 | NOTE: You are about to enter an occurrence for a patient that has not had an
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| 240 | operation during this admission. If this patient has a surgical procedure
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| 241 | during the current admission, use the option to enter or edit intraoperative
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| 242 | and postoperative occurrences.
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| 243 | ENTER A NEW NON-OPERATIVE OCCURRENCE
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| 244 | Enter the number of the desired occurrence, or '
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| 245 | ' to enter a new occurrence.
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| 246 | Enter or Delete Data ? E//
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| 247 | OCCURRENCE IN WHICH THERE WAS NO SURGICAL PROCEDURE
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| 248 | DURING THE CURRENT ADMISSION
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| 249 | Enter RETURN to select an option used to enter or edit information for this
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| 250 | case. If you would like a two screen overview of this operation, enter
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| 251 | 'Review'. To delete this surgical case from your records, Enter 'Delete'.
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| 252 | Please note that choosing to delete a case will remove EVERYTHING pertaining
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| 253 | will be removed from the computer.
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| 254 | Select the Date of Occurrence:
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| 255 | When entering a new non-operative occurrence, a date MUST be entered.
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| 256 | Enter/Edit
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| 257 | Intraoperative
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| 258 | Postoperative
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| 259 | Select a number (
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| 260 | ), or type 'NEW' to enter another occurrence:
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| 261 | Select the number corresponding to the occurrence you want to update, or
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| 262 | enter 'NEW' to add another occurrence.
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| 263 | Occurrences entered for this case.
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| 264 | Enter a New
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| 265 | Since you have selected one of the 'OTHER' occurrence categories, an ICD
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| 266 | Diagnosis Code should be entered for this occurrence.
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| 267 | Select ICD Diagnosis Code
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| 268 | Circulating Nurse Staffing Report
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| 269 | Do you want the report for all nurses ? YES//
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| 270 | Enter RETURN to print the Circulating Nurse Staffing Report for all
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| 271 | nurses, or 'NO' to select a specific person.
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| 272 | Select Circulating Nurse:
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| 273 | CIRCULATING NURSE STAFFING REPORT
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| 274 | NURSE*
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| 275 | SCRUB NURSE
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| 276 | CIRC. NURSE
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| 277 | TIME IN
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| 278 | TIME OUT
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| 279 | ELAPSED (MINS)
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| 280 | Enter the name of the drug you wish to flag
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| 281 | This drug is already flagged for SURGERY.
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| 282 | Do you want to remove the flag (Y/N)
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| 283 | Do you want to flag this drug for SURGERY (Y/N)
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| 284 | ANESTHESIA AGENT^50^.01
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| 285 | Enter the number which corresponds to the case that you want to enter comments.
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| 286 | You have entered an invalid number, please select again.
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| 287 | Date of Operation:
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| 288 | Attending Surgeon:
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| 289 | Attending Code:
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| 290 | Principal
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| 291 | Postop
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| 292 | Preop
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| 293 | Intraoperative Occurrences:
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| 294 | Postoperative Occurrences:
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| 295 | Related Returns to Surgery:
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| 296 | Press RETURN to list more information, or '^' to leave this option.
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| 297 | Outcome:
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| 298 | Do you want to store this information in the concurrent case ? YES//
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| 299 | There is a concurrent surgical case associated with this procedure. A brief
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| 300 | description of that case is listed below.
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| 301 | If you answer 'YES', the information you entered for this field will also
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| 302 | be stored for the concurrent case. If this information is not pertinent for
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| 303 | #################### #################### ####################
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| 304 | #################### #################### ####################
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| 305 | #################### #################### ####################
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| 306 | #################### #################### ####################
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| 307 | #################### #################### ####################
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