OPEN REDUCTION into OR ___ y/o, per ___ accompanied by ___ with an ongoing IVF of ___ at ____ infusing

well on the arm Consent for operation signed Oriented to OR set up Connected to cardiac monitor Vital signs taken as follows: BP___ RR___ HR___SPO2____ Assisted to the Or tables and positioned to side lying with arm extended on an arm board. Placed _____sheet under the shoulder on the affected site Applied electrosurgical dispersive pad Skin preparation done beginning with arm and hand, extending from the finger tips of the shoulder. Axilla well cleansed , extending posterioly beyond the midline of the chest interiorly and down to the level of the lower ribs. Draped extremity helped up in a ___ Large drape tucked under the shoulder incision started by Dr.___ over the fractured site Osteotomy performed to restore alignment Fracture fixed with screws and compression plate Suturing of incised wound done by above surgeon Wound cleansed and dresses aseptically Immobilization of the arm ensured brought to RR per stretcher by ___ with an ongoing IVF of infusing well at the ___ arm/hand ORTHO into OR a ___Y/o ___ patient per wheel chair with an ongoing IVF of ___ L at ___ level infusing well at___ hand With signed consent for operation attached to chart Positioned patient to Or table comfortably general endothrachial anesthesia inducted by Dr. ___ tourniquet applied skin preparation done aseptically Sterile drapes placed Operation started Ligation and cauterization of bleeders done E wound exploration R< primary anastomosis of radial artery done by Dr.___ tourniquet released IFC inserted and connected to urine bag skin test done

Inspection of bleeders done Instrument and sponge count complete Suturing done operation ended Wound dressing applied After care done OR record, OR tech and anesthesia record attached to chart brought to recovery room per stretcher by ___ with an ongoing IVF of ___ infusing well at the ___ arm/hand APPENDECTOMY into OR per ___, accompanied by ___, with an IVF of ___ l at ___ cc level on ___ extremity With consent signed and attached to chart Ushered to OR ambulatory/per bed etc. Positioned comfortably on OR table, ensured safety cardiac monitor attached; V/s taken as follows BP:___ RR:___SPO@___ Position on left lateral position for anesthetic induction Skin preparation done aseptically on lumbar area ___ anesthesia inducted by Dr.___ Repositioned comfortably to supine position, anesthetic effect assessed b y dr. ___ Cautery plate placed under ___, arm straps applied Abdominal skin preparation done aseptically by Dr.___ Sterile drapes applied aseptically by Dr.___ Initial sponge, instrument and needle count done with Ms./Mr.___NOD operation started with ___ incision done by Dr. ___, assisted to by Dr. ___ Deepening of incision done layer by layer by same surgeons Identification of appendix done Ligation and cauterization of bleeders done specimen out characterized as ___, approximately ___ cm in length Exploration done, ligation and cauterization of bleeders done Peritoneal lavage with irrigating solution and suctioning done Final sponge, instrument and needle count done, verified complete by NOD, Ms./Mr.___ closure of the abdominal cavity done layer by layer skin closure done, antiseptic solution applied, top dressing applied and secured with plaster operation ended with minimal blood loss and tolerated well by the patient

Drapes and straps removed, after care done Latest vital signs taken as follows: BP___ CR___ RR___ SPO2___ Transferred to RR bed comfortably OR tech and anesthesia record attached to chart transferred to RR/PACU per RR with an IVF of ___ L at ___ cc level on endorsed POLYPECTOMY into OR per ___ accompanied by ___, with an IVF of ___ L at ___ cc level on ___ extremity with consent signed and attached to chart ushered to OR ambulatory/per bed/etc. positioned comfortably on OR table, ensure safety cardiac monitor attached; vital signs taken as follows: BP___RR__HR__SPO2___ arm straps applied general endotracheal anesthesia inducted by Dr.___ skin preparation done aseptically by Dr. ___ sterile drapes applied aseptically by Dr. ___ initial sponge, instrument and needle count done with Ms./Mr.___NOD operation started by grasping and ligation of the nasal polyp suctioning done intermittently nasal cavity packing done with petrolatum impregnated gauze polypectomy done/completed with ___ bleeding. Top dressing applied and secured After care done Extubation done by Dr.___ Semi-conscious , transferred to RR per bed with same IVF on OR tech and anesthesia record attached to chart Transferred to RR/PACU per RR bed with an IVF of ___L at ___cc level on endorsed CHOLECYSTECTOMY into OR per___ accompanied by ___, with an IVF of ___ L at ___ cc level on ___ extremity with consent signed and attached to chart ushered to operating room ambulatory/ per bed etc. positioned comfortably on Or table; ensured safety cardiac monitor attached; vital signs taken as follows: BP___ RR___ HR___ SPO2___ positioned on side lying for anesthetic induction

repositioned comfortably to supine position, anesthetic effect assessed by Dr. ___ cautery plate placed under ___, arm straps applied abdominal skin preparation done aseptically by ___ sterile drapes applied aseptically by Dr. ___ initial sponge, instrument and needle count done with Ms./Mr.___ NOD operation started with a right sub coastal/ right paramedian/ midline incision done by Dr. ___ assisted by Dr. ___ deepening of the incision done layer by layer by same surgeons identification of specimen done ligation and cauterization of bleeders done specimen out characterized as ___, approximately ___ cm in length exploration done, ligation and cauterization of bleeders done final sponge, instrument and needle count done, verified complete by NOD, Ms./Mr.___ closure of the abdominal cavity done layer by layer skin closure done, antiseptic solution applied, top dressing applied and secured with plaster operation ended with minimal blood loss and tolerated well by patient drapes and straps removed, after care done latest BP___ RR___ HR___ SPO2___ transferred to Or bed comfortably OR tech and anesthesia record attached to chart Transferred to RR?PACU per RR bed with an IVF of ___ L at ___ cc level on Endorsed MASTOIDECTOMY into OR per___ accompanied by ___, with an IVF of ___ L at ___ cc level on ___ extremity with consent signed and attached to chart ushered to operating room ambulatory/ per bed etc. positioned comfortably on Or table; ensured safety cardiac monitor attached; vital signs taken as follows: BP___ RR___ HR___ SPO2___ ushered to OR bed, assisted to supine position with arm of the unaffected side extended on an head arm board and the arm of the affected side tucked in placed on a head dress with the operative ear up initial counting of sponges and instruments done by ___

anesthesia started where in induction of ___ anesthetic is administered by Dr.___ skin preparation done by painting betadine on the operative ear extending from the hairline to the shoulder and well beyond midline of the face draping done aseptically by Dr.___ operation started where a ___ incision was initiated by Dr.___ resection of posterior and superior walls of the auditory canal combining the middle ear, the attic and the mastoid cavity creation of tymphanomeatal flap done by above surgeon placement of a pack over the cavity done suturing of the wound incision procedure ended post op care done transferred to gurney, ensured safety brought to RR per gurney assisted by ___ with an ongoing IVF of ___ infusing well at ___ arm HEMMOROIDECTOMY into OR, a ___ y/o ___ per ___ accompanied by ___ with an ongoing IVF of ___ L infusing well on the ___ hand check consent for surgery oriented to OR set up assisted and placed comfortably at the OR table Initial vital signs taken as follows: BP___ RR___ SPO2___ HR___ Anesthesia induced by Dr.___ Assisted to jack knife position Ano-rectal skin preparation done by NOD Operation started by Dr.___ Proximal portions of the hemorroidal complex are suture ligated Hemorrhoid excise with ___ Specimen out characterized as a ___ mass Checked bleeders Swabbed incision with betadine Applied sterile gauze to cover the wound Latest BP___ Brought to RR per stretcher by ___ with an ongoing IVF of ___ infusing well at the ___ hand

HYDROCELECTOMY Into OR per ___ accompanied by ___ with an ongoing IVF of ___ L at ___ cc level on ___ extremity With consent signed and attached to chart Ushered to OR ambulatory per ___ Positioned comfortably on OR table ensures safety Cardiac monitor attached; vital signs taken BP___ RR___ HR___ SPO2___ Positioned at side lying position for anesthetic induction Skin preparation done aseptically ___ anesthesia inducted by Dr.___ Re positioned comfortably to supine position \, anesthetic effect assessed by Dr.___ Cautery plate placed under ___, arm straps applied Abdominal skin preparation done aseptically by ___. Sterile drapes applied aseptically by Dr.___ Initial instrument, sponge and instrument count done with Ms./Mr.___ NOD Operation started with an inguinal/ scrotal incision done by Dr.___, assisted to by Dr.___ Deepening of incision done layer by layer by same surgeons Hydrocelectomy done and completed with ___ bleeding Final sponge, instrument and needle count done and verified correct by Md./Mr.___, NOD Closure of incision done layer by layer Skin closure done, anti septic solution applied, top dressing applied and secured with plaster Drapes and straps removed, after care done Latest BP___ RR___ SPO2___ HR___ Transferred to RR/PACU per RR bed with an ongoing IVF of ___ L at ___cc level on Endorsed PANCREATECTOMY Into OR per ___ accompanied by ___ with an ongoing IVF of ___ L at ___ cc level on ___ extremity With consent signed and attached to chart Ushered to OR ambulatory per ___ Positioned comfortably on OR table ensures safety Cardiac monitor attached; vital signs taken BP___ RR___ HR___ SPO2___ Anesthesia induced by Dr.___ Assisted to supine position with arm extended on the arm boards Skin preparation done by painting betadine antiseptic over the operative site by ___. Draped with sterile towel and laparotomy sheet

Transverse/midline/ right paramedian incision done Abdominal exploration done Bleeders clamped Suctioning and sponging done Specimen out characterized as ___ Draining of operative site done Sponge count complete with the presence of ___ Closed in layers done by Dr. ___ Painted wound with betadine antiseptic and dry dressing applied on the operative site Brought to recovery room per stretcher by ___ with an ongoing IVF of ___ infusing well at the ___ hand VAGINAL HYSTERECTOMY Into OR per ___ accompanied by ___ with an ongoing IVF of ___ L at ___ cc level on ___ extremity With consent signed and attached to chart Ushered to OR ambulatory per ___ Positioned comfortably on OR table ensures safety Cardiac monitor attached; vital signs taken BP___ RR___ HR___ SPO2___ Positioned at side lying position for anesthetic induction Skin preparation done aseptically ___ anesthesia inducted by Dr.___ Re positioned comfortably to supine position \, anesthetic effect assessed by Dr.___ IFC inserted aseptically by Dr.___ Vaginal skin preparation done by ___ Draping done aseptically by Dr.___ Initial instrument, sponge and instrument count done with Ms./Mr.___ NOD Operation started with weighted vaginal speculum placed in the vaginal vault by Dr.___ Cervix grasped with tenaculum and anterior incision on the cervix thru the vaginal wall done Ligation of the uterosacral ligaments, cardinal ligaments and uterine arteries done Specimen out Repair of the incision into the cul-de-sac and vaginal apex done layer by layer Vaginal packing done with ___ abdominal pack Final sponge, instrument and needle count done and verified correct by Ms./Mr.___ Antiseptic solution applied, top dressing applied and secured Latest BP___ RR___ HR___ SPO2___ After care done and kept comfortable

Transferred to RR per RR bed with an ongoing IVF of ___ L at ___ cc level on Anesthesia record, OR tech and surgical checklist attached to chart Endorsed TURP Into OR, a __y/o__per__accompanied by __ with an ongoing IVF of __ L infusing well on the __ dorsum of the hand Consent for operation signed Oriented to OR set-up Connected to Cardiac Monitor with Initial V/S of BP__PR__RR__SPo2__ Assisted to side lying position with knees, legs, and arm flexed Skin preparation done by NOD by painting betadine antiseptic on the lumbar area Anesthesia inducted by Dr.__ Positioned to lithotomy Skin preparation by application of betadine antiseptic on the entire pubic area including scrutom and perineum Aseptically draped by Dr.__ Initial sponge count and instrument count done by ___ Operation started as a cystoscope was inserted into the urethra initiated by Dr.__ Electro dissection done Resection done, bladder and prostatic fossa examined Adequate hemostasis ensured A Foley catheter aseptically inserted by __ and connected to Urine bag Operation finished Post op care done, transferred to stretcher by __ With an ongoing IVF of __L infusing well @ the __arm/hand I&D Into OR per __accompanied by PGNT with an IVF of __l at __ level on __ upper extremity With consent signed and attached to chart Ushered to OR ambulatory/per bed/stretcher Positioned comfortably on OR table ensured safety Cardiac monitor attached Initial vital signs as follows BP:__SPO2__CR__RR__ Positioned on left lateral position for anesthetic induction Skin preparation done aseptically on lumbar area Spinal anesthesia inducted by Dr.__ Repostitoned comfortably to supine position, anesthetic effect assesd by Dr.__ Cautery plate placed under __ leg, arm strap applied Sterile drapesv applied aseptically by Dr__ Initial sponge, instrument and needle count done by __ Operation started, whereby small incision made by Dr.__ at

Incision and drainage completed by Dr__ assisted by Dr__ Lavage done with irrigating solution+betadine and hydrogen peroxide and suctioned Inserted penrose drain and secured Closure of incision site done by Dr.__ Antiseptic solution applied, top dressing applied and secured with plasters Operation ended with minimal blood loss and tolerated well by patient Drapes and straps removed After care done Latest VS BP__CR__RR_SPO2__ Transferred to recovery room bed comfortably OR tech and anesthesia record attached to chart Transferred to RR/PACU with an IVF of __L @ __ level on __ uppere extremity CESAREAN Into OR per __ accompanied by PGNT on duty with an IVF of __L @ __level of __ upper extremity With consent signed and attached to chart Ushered to operating room per ber Positioned comfortably on OR table, ensured safety Cardiac monitor attach with initial VS: BP__CR__RR__SPO2__ Positioned on left lateral position for anesthetic induction Skin preparation done aseptically on lumbar area Spinal anesthesia inducted by Dr.__ Repositioned comfortably to supine position, anesthesia effect assed by Dr__ Abdominal skin preparation done aseptically Sterile drapes applied aseptically by Dr__ Initial sponge,instrument and needle count done with __ Operation started with lower midline incision done by Dr__ assisted by Dr__ Deepening of incision done layer by layer by same surgeon Retracted to expose uterus Incised uterus layer by layed Placenta out with ___ presentation Final sponge, instrument and needle count done verified complete by NOD Closure of the abdominal cavity done layer by layer Skin closure done, anti septic solution applied, top dressing applied and secured with plaster Operation ended with minimal blood loss and tolerated well by the patient Drapes and straps removed , after care done Latest VS BP__CR__RR__SPo2__ OR tech and anesthesia record attached to chart

Transferred to PACU per stretcher with an IVF of __L @__ level endorsed