308 lines
12 KiB
Plaintext
308 lines
12 KiB
Plaintext
English French Notes Complete/Exclude
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C. Pulmonary Embolism
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C. Peripheral Nerve Injury
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D. On Ventilator >48 Hours
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Cardiac Occurrences Total Other Occurrences Total
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A. Cardiac Arrest Req. CPR
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A. Ileus/Bowel Obstruction
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B. Myocardial Infarction
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D. Low Cardiac Output >6 Hrs.
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F. Repeat Card-Pul Bypass
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E. Systemic Sepsis
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F. Reoperation for Bleeding
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Clean Wound Infection Rate:
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Report of Missing Quarterly Report Data
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For surgical cases with an entry in the TIME PAT IN OR field and that are not
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aborted, this option generates a report of cases missing any of the following
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pieces of information used by the Quarterly Report:
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In/Out-Patient Status
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Major/Minor
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Case Schedule Type
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Attending Code
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Time Pat Out OR
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Wound Classification
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ASA Class
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CPT Code (Principal)
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CPT Code (Other)
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Report of Missing Data for Quarterly Report
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TOTAL CASES MISSING DATA:
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MISSING ITEMS
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MISSING ITEMS CODES: A-IN/OUT-PATIENT STATUS, B-MAJOR/MINOR, C-CASE SCHEDULE TYPE, D-ATTENDING CODE,
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E-TIME PAT OUT OR, F-WOUND CLASSIFICATION, G-ASA CLASS, H-CPT CODE (PRINCIPAL), I-CPT CODE (OTHER)
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QUARTERLY REPORT TRANSMISSION
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The Quarterly Report for quarter #
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transmitted to the central database of Surgical Service, VHA Headquarters.
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Queue report to run at what date/time ?
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Enter/Edit Information for which Operating Room ?
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CANCELLATION RATE FOR SCHEDULED CASES:
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AVOIDABLE CANCELLATION RATE FOR SCHEDULED CASES:
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AVOIDABLE CANCELLATION RATE FOR CANCELLED CASES:
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TOTAL SCHEDULED SURGICAL CASES:
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TOTAL CANCELLATIONS
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ZZNO REASON ENTERED
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CANCELLATION RATE REPORT
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CANCELLATION REASON
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TOTAL CANCELS
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TOTAL AVOIDABLE
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TOTAL SURGICAL CASES SCHEDULED FOR
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CANCELLATION RATE REPORT, SPECIALTY SUMMARY
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PERCENT AVOIDABLE CANCELLATIONS
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SCHEDULED CASES CANCELLED CASES
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TOTAL DELAY REASONS
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Enter RETURN to continue displaying the delay reasons for the entire
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medical center.
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REPORT OF DELAY REASONS
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TOTAL DELAYS FOR
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Report of Delay Reasons
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Do you want to print the Report of Delay Reasons for all Surgical
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Do you want to display the totals for each Surgical Specialty ? YES//
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Enter RETURN to display the totals for delay reasons for each specialty. If
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you want to display the totals for all delay reasons for the entire medical
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Print Requests for which Surgical Specialty ?
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Print the Requests on which Device:
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OPERATION REQUESTS
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OPERATION REQUESTS FOR
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Press <RET to continue, or '^' to quit:
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Req. Anesthesia Technique:
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OPERATION REQUESTS (SHORT FORM)
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Requested Anesthesia:
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Concurrent Case #
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Case Schedule Order:
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REQUESTS FOR
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A surgical case has not been entered.
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Enter/Edit Irrigations or Restraints and Positioning Aids:
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2. Restraints and Positioning Aids
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Type '1' to enter irrigation solutions, or '2' to enter restraints
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or positioning aids.
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Restraints and Positioning Aids
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Operating Room Reservations:
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Scheduled Start:
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Scheduled End:
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Report of Returns to Surgery
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This report will list cases completed during the date range entered that
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have had return cases associated with them. It is designed to use a 132
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column format.
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REPORT OF RETURNS TO SURGERY
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RETURNS TO SURGERY:
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Operating Room Normal Working Hours Report
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Print normal working hours starting with which date ?
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Print normal working hours through which date ?
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The ending date must be more recent than the starting date.
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Do you want to print the Operating Room Normal Working Hours Report for all
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operating rooms ? YES//
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Enter RETURN if you want to print the normal working hours for every operating
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room, or 'NO' to print the report for one particular room.
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Print the report for which Operating Room ?
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O.R. Normal Working Hours Report
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OPERATING ROOM NORMAL WORKING HOURS
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** OPERATING ROOM:
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The start and end times for each operating room for the above dates have been
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entered with default start and end times. Do you still want to print the
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report even though the start and end times might be inaccurate ? NO//
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Enter RETURN if you want to update the start and end times to accurately
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reflect utilization, or 'YES' to print the report with the days listed
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having the default start and end times.
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The following dates are missing start and end times for all operating rooms.
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The times will be automatically entered.
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This date is a holiday, some/all Operating Rooms and Specialties
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may have been inactivated.
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Start Times and End Times Entered.
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The Utilization Report can not be generated with incomplete dates.
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Press RETURN to exit the option
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Number of Returns to O.R. Related to Index Procedure:
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Number of Returns to O.R. Unrelated to Index Procedure:
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Operating Room Utilization Report
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Print utilization information starting with which date ?
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Print utilization information through which date ?
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Do you want to print the Operating Room Utilization Report for all
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Enter RETURN if you want to print utilization information for every operating
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Print the Operating Room Utilization Report on which Device ?
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OPERATING ROOM UTILIZATION REPORT
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ALL OPERATING ROOMS
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-
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PERCENT UTILIZATION
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NUMBER OF CASES
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TOTAL OPERATION TIME
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TIME WORKED OUTSIDE NORMAL HRS
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(INCLUDING OR MAINTENANCE)
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TOTAL UTILIZATION FOR
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ALL ROOMS
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TOTAL CASES SCHEDULED:
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No operations scheduled for this date.
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MONITORED ANES
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TO BE ADMITTED
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UNITS NOT ENTERED
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Print Schedule of Operations for which date ?
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Schedule will be queued to print at all locations defined in the SURGERY
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SITE PARAMETERS file....
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SCHEDULE OF OPERATIONS
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SIGNATURE OF CHIEF:
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REQ ANESTHESIA
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** Concurrent Case #
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Do you want to print the schedule at all locations ? NO//
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Enter RETURN to select a specific printer, or 'YES' to print the Schedule of
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Operations on all of the printers specified in your SURGERY SITE
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PARAMETERS file.
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FROZEN SECTION TESTS REQUIRED
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PREOPERATIVE XRAYS:
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INTRAOPERATIVE X-RAYS REQUESTED
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C-ARM REQUESTED
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INTRAOPERATIVE X-RAYS REQUESTED
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C-ARM REQUESTED
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Scrub Nurse Staffing Report
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Enter RETURN to print the Scrub Nurse Staffing Report for all nurses, or 'NO'
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to select a specific person.
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Print the Report for which Scrub Nurse ?
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SCRUB NURSE STAFFING REPORT
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TOTAL CASES WITHOUT SPECIMENS:
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CASES WITHOUT SPECIMENS
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OPERATIVE PROCEDURE
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Report of Cases Without Specimens
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Do you want the report sorted by Surgical Specialty ? NO//
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Enter 'YES' to print this report sorted by surgical specialty or enter RETURN
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Cases Without Specimens
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Print the Report of Cases Without Specimens for which Specialty ?
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TOTAL CASES WITHOUT SPECIMENS: 0
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MEDICAL RECORD OPERATION REPORT PAGE
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CASE #:
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PREOPERATIVE DIAGNOSIS:
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1ST ASST:
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2ND ASST:
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CASE TYPE:
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OTHER ASSISTANTS:
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ATTEND SURG:
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ATT CODE:
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ATTEND ANESTH:
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ANESTHESIA SUPERVISOR CODE:
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ANESTHETIST:
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ASST ANES:
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PERFUSIONIST:
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ASST PRFST:
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OR SUPPORT PERSONNEL:
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ANESTHESIA TECHNIQUE:
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ANES BEGINS:
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ANES ENDS:
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OP BEGINS:
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OP ENDS:
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TUBES AND DRAINS:
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AGENTS:
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SPONGE AND NEEDLE COUNT VERIFIED AS
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MATERIAL SENT TO LAB FOR ANALYSIS:
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SPECIMENS:
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CULTURES:
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POST OPERATIVE DIAGNOSIS:
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MAJOR
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MINOR
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OPERATION(S) PERFORMED:
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DATE/TIME OF DICTATION:
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DATE/TIME TRANSCRIBED:
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INDICATIONS FOR OPERATION:
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SURGEON'S DICTATION:
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This routine will add the Tissue Examination Report to the Non-O.R.
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Procedures (Enter/Edit) Menu. It also provides the ability to add the
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fields BRIEF CLIN HISTORY, OPERATIVE FINDINGS, and SPECIMENS to the
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SRNON-OR input template.
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After updating the input template, the TISSUE EXAM/NON O.R. entry in the
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PACKAGE file will be removed. It was created to provide the template
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updates and is no longer needed. The PACKAGE file entry SURGERY V3.0
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PATCH, which was created by an earlier Surgery patch, will be removed
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also since it, too, is no longer needed.
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SRONOP-ENTER
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You are missing the Non-O.R. Procedures (Enter/Edit) Menu. Please contact
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your local ISC customer service representative for assistance.
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You are missing the Tissue Examination Report option. Please contact your
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local ISC customer service representative for assistance.
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Adding the Tissue Examination Report to Non-O.R. Procedures (Enter/Edit)...
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This routine provides the ability to overlay the input template SRNON-OR.
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This template is used within the option
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Edit Non-O.R. Procedure
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update Non-O.R. Procedure information.
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If you have already made local changes to this template, you may opt to
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bypass this portion of the process and update your input template manually.
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The fields to be added are SPECIMENS, BRIEF CLIN HISTORY, and OPERATIVE
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FINDINGS.
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Do you want to overlay the input template SRNON-OR? YES//
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. If you need additional help, enter
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No updates have been made to the SRNON-OR template.
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Updating the SRNON-OR template.
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TISSUE EXAM/NON O.R.
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The update to SRNON-OR is complete.
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Removing TISSUE EXAM/NON O.R. from the PACKAGE file...
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SURGERY V3.0 PATCH
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Removing SURGERY V3.0 PATCH from PACKAGE file...
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The process is complete. The Tissue Examination Report can now be printed
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for Non-O.R. Procedures.
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if you want to overlay the input template SRNON-OR. If you have
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made local changes to this template, answering
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will remove them.
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If you have made local changes and do not wish to have them removed, you should
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to this question. Then, using VA FileMan, add the fields
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SPECIMENS, OPERATIVE FINDINGS, and BRIEF CLIN HISTORY to the SRNON-OR
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SR STAFF SURGEON
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Update Information for which Surgeon:
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Do you want to designate this person as a 'Staff Surgeon' ? YES//
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Enter 'YES' if this person is a Staff Surgeon, or 'NO' to quit this option.
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is now designated as a staff surgeon.
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This person is already designated as a staff surgeon. Do you want to remove
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that designation ? NO//
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Enter 'YES' to remove the key used to designate this person as a staff
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surgeon, or 'NO' to leave this designation unchanged.
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Removing key designating
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as a staff surgeon...
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** Task Being Stopped at User's Request **
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Press RETURN to continue, or '^' to quit:.
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ROLE:
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OTHER ASSISTANT
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SURGEON STAFFING REPORT
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Surgeon Staffing Report
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Do you want to print this report for an individual surgeon ? YES//
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Enter RETURN if you would like to print the report for a specific surgeon, or
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'NO' to print the report for all surgeons.
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Print the report for which Surgeon ?
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A surgical case must be selected prior to using this option.
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to edit an existing procedure, or 'NEW' to
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enter another operative procedure:
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enter an additional operative procedure.
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) to edit an existing procedure, or RETURN to continue:
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to continue listing procedures.
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OTHER OPERATIVE PROCEDURES
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There are no additional procedures entered for this case. Do you want to add
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a new procedure ? YES//
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Enter 'YES' to add another operative procedure, or 'NO' to return to the
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previous screen.
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Other Operative Procedure
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TISSUE EXAM REPORT
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(Continue on reverse side)
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PATHOLOGIST'S SIGNATURE
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ID #
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ETHNICITY:
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REGISTER NO.
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REPLACEMENT FORM 515
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Specimen Submitted By:
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Obtained:
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SURGERY CASE #
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Specimen(s):
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Brief Clinical History:
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Operative Procedure(s):
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Operative Findings:
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Signature and Title
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Name of Laboratory
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Accession Number(s)
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Gross Description, Histologic Examination and Diagnosis
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Press RETURN to continue or '^' to quit
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MEDICAL RECORD |
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TISSUE EXAMINATION
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Do you want the list for all Surgical Specialties ? YES//
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Enter RETURN if you would like to list the unverified cases for
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all Surgical Specialties, or 'NO' to select a specific specialty.
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Print the List of Unverified Cases to which Printer ?
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UNVERIFIED CASES
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* CPT CODE MISSING *
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List of Unverified Cases for
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Operation Date
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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