Name of Patient ____________________ OR performed ___________________
Time started ____________ Time ended ____________ Specimen _______________ Your role in the surgical team: _______________________ Section/Group #: __________________________________
Part 1: Preparation of the patient
Part 2: Roles of the surgical team members Part 3: Equipment used during surgery Part 4: Conclusion of the procedure Provide three (3) nursing diagnoses are likely to be identified for this patient in the early postoperative period? Part 5: Integration of Core Values What do you think has been the most defining moment(s) in this experience? What HAU core values did this experience help solidify for you?
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