Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 12 views

    Aftercare Clearance (Original)

    Uploaded by

    Allison Crooke
    The document contains two operating room aftercare clearance forms from Holy Name University College of Nursing. The forms list the name of a student, patient, and surgical procedure. They include checklists to verify that various instruments used in surgery were received and accounted for after the procedure. The forms require signatures from OR staff and a clinical instructor to confirm the instruments were received completely.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Aftercare Clearance (Original)

    Uploaded by

    Allison Crooke
    12 views1 page
    The document contains two operating room aftercare clearance forms from Holy Name University College of Nursing. The forms list the name of a student, patient, and surgical procedure. They include checklists to verify that various instruments used in surgery were received and accounted for after the procedure. The forms require signatures from OR staff and a clinical instructor to confirm the instruments were received completely.

    Original Title

    aftercare-clearance(original)

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document contains two operating room aftercare clearance forms from Holy Name University College of Nursing. The forms list the name of a student, patient, and surgical procedure. They include checklists to verify that various instruments used in surgery were received and accounted for after the procedure. The forms require signatures from OR staff and a clinical instructor to confirm the instruments were received completely.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    12 views1 page

    Aftercare Clearance (Original)

    Uploaded by

    Allison Crooke
    The document contains two operating room aftercare clearance forms from Holy Name University College of Nursing. The forms list the name of a student, patient, and surgical procedure. They include checklists to verify that various instruments used in surgery were received and accounted for after the procedure. The forms require signatures from OR staff and a clinical instructor to confirm the instruments were received completely.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    HOLY NAME UNIVERSITY HOLY NAME UNIVERSITY

    COLLEGE OF NURSING COLLEGE OF NURSING


    TAGBILARAN CITY TAGBILARAN CITY

    OPERATING ROOM AFTERCARE CLEARANCE OPERATING ROOM AFTERCARE CLEARANCE


    Name of Student: _____________________________________ Name of Student: _____________________________________
    Name of Patient: _____________________________________ Name of Patient: _____________________________________
    Surgical Procedure Done: ______________________________ Surgical Procedure Done: ______________________________
    Operating Room No. ________ Operating Room No. ________

    Instruments: Instruments:

    SH- TF- Richardson SH- TF- Richardson


    KS- NH- Suction Tubing KS- NH- Suction Tubing
    KC- SR- Suction Bottle KC- SR- Suction Bottle
    MS- AN- Mayo Collins MS- AN- Mayo Collins
    MC- KB- Deaver MC- KB- Deaver
    AF- Sci- Medicine glass AF- Sci- Medicine glass
    TC- TC-

    Additional Instruments: Additional Instruments:

    Received complete by:


    Received complete by:
    ___________________________________
    OR STAFF/ CSSD Staff ___________________________________
    OR STAFF/ CSSD Staff
    ____________________________________
    ____________________________________
    OR CLINICAL INSTRUCTOR  OR CLINICAL INSTRUCTOR 

    HOLY NAME UNIVERSITY


    COLLEGE OF NURSING HOLY NAME UNIVERSITY
    TAGBILARAN CITY COLLEGE OF NURSING
    TAGBILARAN CITY

    OPERATING ROOM AFTERCARE CLEARANCE


    OPERATING ROOM AFTERCARE CLEARANCE
    Name of Student: _____________________________________
    Name of Patient: _____________________________________ Name of Student: _____________________________________
    Surgical Procedure Done: ______________________________ Name of Patient: _____________________________________
    Operating Room No. ________ Surgical Procedure Done: ______________________________
    Operating Room No. ________
    Instruments:
    Instruments:
    SH- TF- Richardson
    KS- NH- Suction Tubing SH- TF- Richardson
    KC- SR- Suction Bottle KS- NH- Suction Tubing
    MS- AN- Mayo Collins KC- SR- Suction Bottle
    MC- KB- Deaver MS- AN- Mayo Collins
    AF- Sci- Medicine glass MC- KB- Deaver
    TC- AF- Sci- Medicine glass
    TC-
    Additional Instruments:
    Additional Instruments:

    Received complete by:


    Received complete by:
    ___________________________________
    OR STAFF/ CSSD Staff ___________________________________
    OR STAFF/ CSSD Staff
    ____________________________________
    OR CLINICAL INSTRUCTOR  ____________________________________
    OR CLINICAL INSTRUCTOR 

    You might also like