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ROUTINE Post-Op Visit?
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NON-ROUTINE Post-Op Visit:
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IMMEDIATE Surg'l Complic(s):
• • •
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SURGICAL PROCEDURE:
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Comment(s):
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INTRA-OP Surgical Comp(s):
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Comment(s):
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POST-OP Surgical Comp(s):
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Comment(s):
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CONSULTANT(S):
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Consultant Action(s):
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HScopic Procedure?
• • •
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Comment
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LScopic Procedure?
• • •
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Comment
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Laparotomy Procedure?
• • •
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Comment
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Vaginal Procedure?
• • •
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Comment
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Incision Site(s):
• • •
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Drainage:
• • •
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Post-Op Assessment:
• • •
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Comment(s):
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PLAN:
• • •
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Comment(s):
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