As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual includes this customizable template, Anesthesia Record Form. MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Anesthesia Record Form:

	ANESTHESIA RECORD Patient Name: Surgeon:Pre-op Diagnosis:Operation Date:Assistant Surgeon:Operative Procedure:StartFinishAnesthesiologist/CRNA:Anes.Surg. Patient IDAge: Sex:Patient Weight: Lb. Time: 1 2 3 4 5 6Pre-op Immediately Prior to Induction: BP HctSignificant Lab Unchanged Prior to Induction General Regional Spinal Epidural Local/Mac OtherAIRWAY MANAGEMENT: ? Natural Airway ? Naso-LR/Oro-Pharyngeal Airway ? Naso-LR/Oro-Tracheal Tube ? Direct ? Taped Needle Size/Type: Puncture Site: Position: 168 Reference #2311 Outpatient...
Second excerpt:
	...Patient IDAge: Sex:Patient Weight: Lb. Time: 1 2 3 4 5 6Pre-op Immediately Prior to Induction: BP HctSignificant Lab Unchanged Prior to Induction General Regional Spinal Epidural Local/Mac OtherAIRWAY MANAGEMENT: ? Natural Airway ? Naso-LR/Oro-Pharyngeal Airway ? Naso-LR/Oro-Tracheal Tube ? Direct ? Taped Needle Size/Type: Puncture Site: Position: 168 Reference #2311 Outpatient...