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GI Laboratory Nurses' Notes Form



Manual: GI Laboratory Policy and Procedure Manual (Ver 7)
External Reference: (TJC PC.03.01.05, RC.02.01.01)

MCN's customizable template, GI Laboratory Nurses' Notes Form, is taken from our GI Laboratory Policy and Procedure Manual. MCN Healthcare's proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

Health care organizations around the world utilize MCN's compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from GI Laboratory Nurses' Notes Form:

     GI LABORATORY NURSES' NOTES Patient Name: Pre-op Assessment Check all applicable boxes Date: Patient Identification q Verbal q Scheduled q Add-On Verification of Procedure Allocation q Verbal q Blood Transfusion Consent Form Signed NPO After Midnight q Inpatient Mental/Emotional Status q Alert q Agitated Patient In Room Out of Room Anesthesia Start Stop Procedure Start Stop Limitations q None q Other: Procedure verified before incision/start? Time-Out q Yes Personal Items Items: Dispositions: Comfort Measures Implemented q Adequate Transfer to OR Bed Type of Anesthesia q ...
Second excerpt:
     ... Halothane q Ethane q Refer to Anesthesia Record Patient Monitoring: Local Cases Comments: Pre-op Diagnosis: Procedure: Post-op Diagnosis: Specimen 1. 2. 3. 4. 5. 6. Wound Classification q Clean q None q Culture Implants stents, tubes Medications/Irrigations Other than Anesthesia Name Amount Route Time Patient Response Signature: Position for Procedure: q Arm Board q Jackknife q Pad bony prominences Position Aids: Positioned by: ESU Serial # ESU: Ground Pad Lot #:...


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