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Chris Allan

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Parkside Hospital

Highgate Private Hospital

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Inpatient

ADT : Theatre Care

Pre-Admit / Admit

Package Details

Interaction Log

Insurance Details

Credit Card Details

Patient Pathway

Pre - operative

Patient Name :

Centurion House,

3rd Floor,

37 Jewry Street,

London

EC3N 2ER

Home Phone : 989-876-3423

Work Phone : 989-876-9086

Mobile : 989-876-7760

Email : Chris.Allan@email.com

Patient ID :

NHS Number :

Date of Birth :

Age :

In yrs

Gender :

Religion :

Surgeon :

Ward :

Room :

GP Practice :

G P :

Theatre Date :

Theatre Time :

Next of Kin

Medical History

MRSA

HIV

Treatment Codes

Diagnoses Codes

Perioperative

Patient ASA Grade :

Reason For Delay :

ODP :

Pre-op Check :

Notes :

Anaesthetist :

Anaesthetic Type :

Comments :

Reason For Delay :

Intra-operative

Primary Surgeon :

Reason For Delay :

Add Surgeon / Nurse

Role :

Sub Role :

Surgeon / Nurse :

Surgeon / Nurse List

Role	Sub Role	Surgeon / Nurse	Delete
Surgeon	Assistant	Mike Miller
Anaesthestist	Assistant	James Peterson
Nurse	Scrub	Donna Williams
Nurse	Circulating	Kelly Petra

		HH:MM:SS
Reason For Delay :

Recommended Procedures

Treatment Code :

Description :

Status :

Primary

Not Required

Performed

Recommended Procedure List

Treatment Code		Description	Primary	Not Required	Performed
G3210		Gastro-Jejunostomy
250		Gastrostomy

Postoperative

Add PACU Staff

Role :

PACU Staff :

PACU Staff List

Role	PACU Staff	Delete
Nurse	Donna Williams
Nurse	Kelly Petra




Reason For Delay :

Reason For Delay :