Plastic Surgery – Limb Service

OR Pt:
Steinberg

Surgery Date:

21

MR: Procedure:

DOB:

SDS
Aware of case: No

Time:

ID MD: Abruzzesse Abx Recs: Isolation: Anesthesia: Local only PMH: Cultures/baseline Cr:Cr: POV: Dressing/WB: Extra Notes: OR Pt:
Steinberg

Supine

ASA:

6" ACE

6" ACE

6" ACE

21

MR: Procedure:

DOB:

SDS
Aware of case: No

Time:

ID MD: Abruzzesse Abx Recs: Isolation: Anesthesia: Local only PMH: Cultures/baseline Cr:Cr: POV: Dressing/WB: Extra Notes:

Supine

ASA:

6" ACE

6" ACE

6" ACE

OR Pt:

21

Steinberg

MR: Procedure:

DOB:

SDS
Aware of case: No

Time:

ID MD: Abruzzesse Abx Recs: Isolation: Anesthesia: Local only PMH: Cultures/baseline Cr:Cr: POV: Dressing/WB: Extra Notes:

Supine

ASA:

6" ACE

6" ACE

6" ACE

OR Pt:

21

Steinberg

MR: Procedure:

DOB:

SDS
Aware of case: No

Time:

ID MD: Abruzzesse Abx Recs: Isolation: Anesthesia: Local only PMH: Cultures/baseline Cr:Cr: POV: Dressing/WB: Extra Notes:

Supine

ASA:

6" ACE

6" ACE

6" ACE

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