|
Surgery Type
• • •
|
Surgery Type Comments
|
|
DJ was not placed
|
|
|
DJ was placed
|
DJ location
• • •
|
|
Complains of:
• • •
|
Denies
• • •
|
|
No Complaints
|
Additional Comments
|
|
|
|
|
General Physical Exam WNL
|
General Abnormal
|
|
General Exam Comments
|
|
|
Abdomen WNL
|
Abdomen Abnormal
|
|
Abdomen Comments
|
|
|
Foley WNL
|
Foley Abnormal
|
|
|
|
|
Assesment (Protocol)
|
Assesment Comments
|
|
|
|
|
Plan (No DJ Protocol)
|
Plan (DJ Protocol)
|
|
Plan Comments
|
|
|
|
|
|
URS Female
|
|
