| [604] | 1 | English French Notes Complete/Exclude
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| 2 | C. Pulmonary Embolism
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| 3 | C. Peripheral Nerve Injury
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| 4 | D. On Ventilator >48 Hours
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| 5 | Cardiac Occurrences Total Other Occurrences Total
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| 6 | A. Cardiac Arrest Req. CPR
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| 7 | A. Ileus/Bowel Obstruction
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| 8 | B. Myocardial Infarction
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| 9 | D. Low Cardiac Output >6 Hrs.
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| 10 | F. Repeat Card-Pul Bypass
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| 11 | E. Systemic Sepsis
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| 12 | F. Reoperation for Bleeding
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| 13 | Clean Wound Infection Rate:
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| 14 | Report of Missing Quarterly Report Data
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| 15 | For surgical cases with an entry in the TIME PAT IN OR field and that are not
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| 16 | aborted, this option generates a report of cases missing any of the following
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| 17 | pieces of information used by the Quarterly Report:
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| 18 | In/Out-Patient Status
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| 19 | Major/Minor
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| 20 | Case Schedule Type
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| 21 | Attending Code
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| 22 | Time Pat Out OR
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| 23 | Wound Classification
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| 24 | ASA Class
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| 25 | CPT Code (Principal)
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| 26 | CPT Code (Other)
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| 27 | Report of Missing Data for Quarterly Report
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| 28 | TOTAL CASES MISSING DATA:
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| 29 | MISSING ITEMS
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| 30 | MISSING ITEMS CODES: A-IN/OUT-PATIENT STATUS, B-MAJOR/MINOR, C-CASE SCHEDULE TYPE, D-ATTENDING CODE,
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| 31 | E-TIME PAT OUT OR, F-WOUND CLASSIFICATION, G-ASA CLASS, H-CPT CODE (PRINCIPAL), I-CPT CODE (OTHER)
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| 32 | QUARTERLY REPORT TRANSMISSION
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| 33 | The Quarterly Report for quarter #
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| 34 | transmitted to the central database of Surgical Service, VHA Headquarters.
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| 35 | Queue report to run at what date/time ?
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| 36 | Enter/Edit Information for which Operating Room ?
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| 37 | CANCELLATION RATE FOR SCHEDULED CASES:
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| 38 | AVOIDABLE CANCELLATION RATE FOR SCHEDULED CASES:
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| 39 | AVOIDABLE CANCELLATION RATE FOR CANCELLED CASES:
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| 40 | TOTAL SCHEDULED SURGICAL CASES:
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| 41 | TOTAL CANCELLATIONS
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| 42 | ZZNO REASON ENTERED
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| 43 | CANCELLATION RATE REPORT
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| 44 | CANCELLATION REASON
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| 45 | TOTAL CANCELS
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| 46 | TOTAL AVOIDABLE
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| 47 | TOTAL SURGICAL CASES SCHEDULED FOR
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| 48 | CANCELLATION RATE REPORT, SPECIALTY SUMMARY
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| 49 | PERCENT AVOIDABLE CANCELLATIONS
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| 50 | SCHEDULED CASES CANCELLED CASES
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| 51 | TOTAL DELAY REASONS
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| 52 | Enter RETURN to continue displaying the delay reasons for the entire
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| 53 | medical center.
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| 54 | REPORT OF DELAY REASONS
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| 55 | TOTAL DELAYS FOR
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| 56 | Report of Delay Reasons
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| 57 | Do you want to print the Report of Delay Reasons for all Surgical
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| 58 | Do you want to display the totals for each Surgical Specialty ? YES//
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| 59 | Enter RETURN to display the totals for delay reasons for each specialty. If
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| 60 | you want to display the totals for all delay reasons for the entire medical
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| 61 | Print Requests for which Surgical Specialty ?
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| 62 | Print the Requests on which Device:
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| 63 | OPERATION REQUESTS
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| 64 | OPERATION REQUESTS FOR
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| 65 | Press <RET to continue, or '^' to quit:
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| 66 | Req. Anesthesia Technique:
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| 67 | OPERATION REQUESTS (SHORT FORM)
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| 68 | Requested Anesthesia:
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| 69 | Concurrent Case #
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| 70 | Case Schedule Order:
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| 71 | REQUESTS FOR
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| 72 | A surgical case has not been entered.
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| 73 | Enter/Edit Irrigations or Restraints and Positioning Aids:
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| 74 | 2. Restraints and Positioning Aids
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| 75 | Type '1' to enter irrigation solutions, or '2' to enter restraints
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| 76 | or positioning aids.
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| 77 | Restraints and Positioning Aids
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| 78 | Operating Room Reservations:
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| 79 | Scheduled Start:
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| 80 | Scheduled End:
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| 81 | Report of Returns to Surgery
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| 82 | This report will list cases completed during the date range entered that
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| 83 | have had return cases associated with them. It is designed to use a 132
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| 84 | column format.
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| 85 | REPORT OF RETURNS TO SURGERY
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| 86 | RETURNS TO SURGERY:
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| 87 | Operating Room Normal Working Hours Report
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| 88 | Print normal working hours starting with which date ?
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| 89 | Print normal working hours through which date ?
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| 90 | The ending date must be more recent than the starting date.
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| 91 | Do you want to print the Operating Room Normal Working Hours Report for all
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| 92 | operating rooms ? YES//
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| 93 | Enter RETURN if you want to print the normal working hours for every operating
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| 94 | room, or 'NO' to print the report for one particular room.
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| 95 | Print the report for which Operating Room ?
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| 96 | O.R. Normal Working Hours Report
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| 97 | OPERATING ROOM NORMAL WORKING HOURS
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| 98 | ** OPERATING ROOM:
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| 99 | The start and end times for each operating room for the above dates have been
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| 100 | entered with default start and end times. Do you still want to print the
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| 101 | report even though the start and end times might be inaccurate ? NO//
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| 102 | Enter RETURN if you want to update the start and end times to accurately
|
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| 103 | reflect utilization, or 'YES' to print the report with the days listed
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| 104 | having the default start and end times.
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| 105 | The following dates are missing start and end times for all operating rooms.
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| 106 | The times will be automatically entered.
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| 107 | This date is a holiday, some/all Operating Rooms and Specialties
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| 108 | may have been inactivated.
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| 109 | Start Times and End Times Entered.
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| 110 | The Utilization Report can not be generated with incomplete dates.
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| 111 | Press RETURN to exit the option
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| 112 | Number of Returns to O.R. Related to Index Procedure:
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| 113 | Number of Returns to O.R. Unrelated to Index Procedure:
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| 114 | Operating Room Utilization Report
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| 115 | Print utilization information starting with which date ?
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| 116 | Print utilization information through which date ?
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| 117 | Do you want to print the Operating Room Utilization Report for all
|
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| 118 | Enter RETURN if you want to print utilization information for every operating
|
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| 119 | Print the Operating Room Utilization Report on which Device ?
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| 120 | OPERATING ROOM UTILIZATION REPORT
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| 121 | ALL OPERATING ROOMS
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| 122 | -
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| 123 | PERCENT UTILIZATION
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| 124 | NUMBER OF CASES
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| 125 | TOTAL OPERATION TIME
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| 126 | TIME WORKED OUTSIDE NORMAL HRS
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| 127 | (INCLUDING OR MAINTENANCE)
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| 128 | TOTAL UTILIZATION FOR
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| 129 | ALL ROOMS
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| 130 | TOTAL CASES SCHEDULED:
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| 131 | No operations scheduled for this date.
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| 132 | MONITORED ANES
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| 133 | TO BE ADMITTED
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| 134 | UNITS NOT ENTERED
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| 135 | Print Schedule of Operations for which date ?
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| 136 | Schedule will be queued to print at all locations defined in the SURGERY
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| 137 | SITE PARAMETERS file....
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| 138 | SCHEDULE OF OPERATIONS
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| 139 | SIGNATURE OF CHIEF:
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| 140 | REQ ANESTHESIA
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| 141 | ** Concurrent Case #
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| 142 | Do you want to print the schedule at all locations ? NO//
|
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| 143 | Enter RETURN to select a specific printer, or 'YES' to print the Schedule of
|
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| 144 | Operations on all of the printers specified in your SURGERY SITE
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| 145 | PARAMETERS file.
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| 146 | FROZEN SECTION TESTS REQUIRED
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| 147 | PREOPERATIVE XRAYS:
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| 148 | INTRAOPERATIVE X-RAYS REQUESTED
|
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| 149 | C-ARM REQUESTED
|
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| 150 | INTRAOPERATIVE X-RAYS REQUESTED
|
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| 151 | C-ARM REQUESTED
|
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| 152 | Scrub Nurse Staffing Report
|
|---|
| 153 | Enter RETURN to print the Scrub Nurse Staffing Report for all nurses, or 'NO'
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| 154 | to select a specific person.
|
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| 155 | Print the Report for which Scrub Nurse ?
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| 156 | SCRUB NURSE STAFFING REPORT
|
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| 157 | TOTAL CASES WITHOUT SPECIMENS:
|
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| 158 | CASES WITHOUT SPECIMENS
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| 159 | OPERATIVE PROCEDURE
|
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| 160 | Report of Cases Without Specimens
|
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| 161 | Do you want the report sorted by Surgical Specialty ? NO//
|
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| 162 | Enter 'YES' to print this report sorted by surgical specialty or enter RETURN
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| 163 | Cases Without Specimens
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| 164 | Print the Report of Cases Without Specimens for which Specialty ?
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| 165 | TOTAL CASES WITHOUT SPECIMENS: 0
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| 166 | MEDICAL RECORD OPERATION REPORT PAGE
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| 167 | CASE #:
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| 168 | PREOPERATIVE DIAGNOSIS:
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| 169 | 1ST ASST:
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| 170 | 2ND ASST:
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| 171 | CASE TYPE:
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| 172 | OTHER ASSISTANTS:
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| 173 | ATTEND SURG:
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| 174 | ATT CODE:
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| 175 | ATTEND ANESTH:
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| 176 | ANESTHESIA SUPERVISOR CODE:
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| 177 | ANESTHETIST:
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| 178 | ASST ANES:
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| 179 | PERFUSIONIST:
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| 180 | ASST PRFST:
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| 181 | OR SUPPORT PERSONNEL:
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| 182 | ANESTHESIA TECHNIQUE:
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| 183 | ANES BEGINS:
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| 184 | ANES ENDS:
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| 185 | OP BEGINS:
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| 186 | OP ENDS:
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| 187 | TUBES AND DRAINS:
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| 188 | AGENTS:
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|---|
| 189 | SPONGE AND NEEDLE COUNT VERIFIED AS
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| 190 | MATERIAL SENT TO LAB FOR ANALYSIS:
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| 191 | SPECIMENS:
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| 192 | CULTURES:
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|---|
| 193 | POST OPERATIVE DIAGNOSIS:
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| 194 | MAJOR
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| 195 | MINOR
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| 196 | OPERATION(S) PERFORMED:
|
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| 197 | DATE/TIME OF DICTATION:
|
|---|
| 198 | DATE/TIME TRANSCRIBED:
|
|---|
| 199 | INDICATIONS FOR OPERATION:
|
|---|
| 200 | SURGEON'S DICTATION:
|
|---|
| 201 | This routine will add the Tissue Examination Report to the Non-O.R.
|
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| 202 | Procedures (Enter/Edit) Menu. It also provides the ability to add the
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| 203 | fields BRIEF CLIN HISTORY, OPERATIVE FINDINGS, and SPECIMENS to the
|
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| 204 | SRNON-OR input template.
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| 205 | After updating the input template, the TISSUE EXAM/NON O.R. entry in the
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| 206 | PACKAGE file will be removed. It was created to provide the template
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| 207 | updates and is no longer needed. The PACKAGE file entry SURGERY V3.0
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| 208 | PATCH, which was created by an earlier Surgery patch, will be removed
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| 209 | also since it, too, is no longer needed.
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| 210 | SRONOP-ENTER
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| 211 | You are missing the Non-O.R. Procedures (Enter/Edit) Menu. Please contact
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| 212 | your local ISC customer service representative for assistance.
|
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| 213 | You are missing the Tissue Examination Report option. Please contact your
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| 214 | local ISC customer service representative for assistance.
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| 215 | Adding the Tissue Examination Report to Non-O.R. Procedures (Enter/Edit)...
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| 216 | This routine provides the ability to overlay the input template SRNON-OR.
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| 217 | This template is used within the option
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| 218 | Edit Non-O.R. Procedure
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| 219 | update Non-O.R. Procedure information.
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| 220 | If you have already made local changes to this template, you may opt to
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| 221 | bypass this portion of the process and update your input template manually.
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|---|
| 222 | The fields to be added are SPECIMENS, BRIEF CLIN HISTORY, and OPERATIVE
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|---|
| 223 | FINDINGS.
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|---|
| 224 | Do you want to overlay the input template SRNON-OR? YES//
|
|---|
| 225 | . If you need additional help, enter
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| 226 | No updates have been made to the SRNON-OR template.
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|---|
| 227 | Updating the SRNON-OR template.
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|---|
| 228 | TISSUE EXAM/NON O.R.
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| 229 | The update to SRNON-OR is complete.
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| 230 | Removing TISSUE EXAM/NON O.R. from the PACKAGE file...
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|---|
| 231 | SURGERY V3.0 PATCH
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| 232 | Removing SURGERY V3.0 PATCH from PACKAGE file...
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|---|
| 233 | The process is complete. The Tissue Examination Report can now be printed
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| 234 | for Non-O.R. Procedures.
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|---|
| 235 | if you want to overlay the input template SRNON-OR. If you have
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| 236 | made local changes to this template, answering
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|---|
| 237 | will remove them.
|
|---|
| 238 | If you have made local changes and do not wish to have them removed, you should
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|---|
| 239 | to this question. Then, using VA FileMan, add the fields
|
|---|
| 240 | SPECIMENS, OPERATIVE FINDINGS, and BRIEF CLIN HISTORY to the SRNON-OR
|
|---|
| 241 | SR STAFF SURGEON
|
|---|
| 242 | Update Information for which Surgeon:
|
|---|
| 243 | Do you want to designate this person as a 'Staff Surgeon' ? YES//
|
|---|
| 244 | Enter 'YES' if this person is a Staff Surgeon, or 'NO' to quit this option.
|
|---|
| 245 | is now designated as a staff surgeon.
|
|---|
| 246 | This person is already designated as a staff surgeon. Do you want to remove
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|---|
| 247 | that designation ? NO//
|
|---|
| 248 | Enter 'YES' to remove the key used to designate this person as a staff
|
|---|
| 249 | surgeon, or 'NO' to leave this designation unchanged.
|
|---|
| 250 | Removing key designating
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|---|
| 251 | as a staff surgeon...
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|---|
| 252 | ** Task Being Stopped at User's Request **
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|---|
| 253 | Press RETURN to continue, or '^' to quit:.
|
|---|
| 254 | ROLE:
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|---|
| 255 | OTHER ASSISTANT
|
|---|
| 256 | SURGEON STAFFING REPORT
|
|---|
| 257 | Surgeon Staffing Report
|
|---|
| 258 | Do you want to print this report for an individual surgeon ? YES//
|
|---|
| 259 | Enter RETURN if you would like to print the report for a specific surgeon, or
|
|---|
| 260 | 'NO' to print the report for all surgeons.
|
|---|
| 261 | Print the report for which Surgeon ?
|
|---|
| 262 | A surgical case must be selected prior to using this option.
|
|---|
| 263 | to edit an existing procedure, or 'NEW' to
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| 264 | enter another operative procedure:
|
|---|
| 265 | enter an additional operative procedure.
|
|---|
| 266 | ) to edit an existing procedure, or RETURN to continue:
|
|---|
| 267 | to continue listing procedures.
|
|---|
| 268 | OTHER OPERATIVE PROCEDURES
|
|---|
| 269 | There are no additional procedures entered for this case. Do you want to add
|
|---|
| 270 | a new procedure ? YES//
|
|---|
| 271 | Enter 'YES' to add another operative procedure, or 'NO' to return to the
|
|---|
| 272 | previous screen.
|
|---|
| 273 | Other Operative Procedure
|
|---|
| 274 | TISSUE EXAM REPORT
|
|---|
| 275 | (Continue on reverse side)
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|---|
| 276 | PATHOLOGIST'S SIGNATURE
|
|---|
| 277 | ID #
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|---|
| 278 | ETHNICITY:
|
|---|
| 279 | REGISTER NO.
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|---|
| 280 | REPLACEMENT FORM 515
|
|---|
| 281 | Specimen Submitted By:
|
|---|
| 282 | Obtained:
|
|---|
| 283 | SURGERY CASE #
|
|---|
| 284 | Specimen(s):
|
|---|
| 285 | Brief Clinical History:
|
|---|
| 286 | Operative Procedure(s):
|
|---|
| 287 | Operative Findings:
|
|---|
| 288 | Signature and Title
|
|---|
| 289 | Name of Laboratory
|
|---|
| 290 | Accession Number(s)
|
|---|
| 291 | Gross Description, Histologic Examination and Diagnosis
|
|---|
| 292 | Press RETURN to continue or '^' to quit
|
|---|
| 293 | MEDICAL RECORD |
|
|---|
| 294 | TISSUE EXAMINATION
|
|---|
| 295 | Do you want the list for all Surgical Specialties ? YES//
|
|---|
| 296 | Enter RETURN if you would like to list the unverified cases for
|
|---|
| 297 | all Surgical Specialties, or 'NO' to select a specific specialty.
|
|---|
| 298 | Print the List of Unverified Cases to which Printer ?
|
|---|
| 299 | UNVERIFIED CASES
|
|---|
| 300 | * CPT CODE MISSING *
|
|---|
| 301 | List of Unverified Cases for
|
|---|
| 302 | Operation Date
|
|---|
| 303 | #################### #################### ####################
|
|---|
| 304 | #################### #################### ####################
|
|---|
| 305 | #################### #################### ####################
|
|---|
| 306 | #################### #################### ####################
|
|---|
| 307 | #################### #################### ####################
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