Table of Contents
PRE OPERATIVE
Operation:
Date: CEPOD: Surgeon:
Assistant:
Anaesthetist: Anaesthetic: ASA Grade: WHO Checklist: Antibiotics: Urinary Catheter:
VTE prophylaxis
Patient Position:
Prep and drape in sterile fashion.
OPERATION NOTE
INCISION: FINDINGS:
PROCEDURE: CLOSURE:
POST OPERATIVE INSTRUCTIONS
Observations Q4H
Build up diet (NBM/Sips/Soup & Sweet/ Light Diet/Normal Diet)
Empty drain at 08:00 daily
Post operative bloods tomorrow (dd/mm)