MAJOR CIRCULATING Case number: Name of Student: Perey, Perrilyn J.

Year and Section: III-8

OR Preference Cards Circulating Nurse

Name of Patient: Dianne Christine L. Pascual Age: 27 Sex: Female Civil Status: Single Date of Admission: September 22, 2012 Date of Surgery: September 20, 2012 Time Started / Ended: 8:40 pm-10:25 pm Surgeon: Dr. Bagsic Scrub Nurse: Erika Donato RN Anesthesiologist: Dra. Milo Circulating Nurse: Margareth Landayan RN

Chief Complaint: Right Upper Quadrant Pain Rationale / Definition: gallstone formation Irritation Inflammation RUQ pain

Complete Surgical Procedure: Open Cholesystectomy Definition: Invasive surgical removal of gallbladder. It is a common treatment of symptomatic gallstones and other gallbladder conditions. Indication: Symptomatic cholelithiasis Type of Anesthesia: General Specific Technique: Inhalation Skin Preparation/ Assistance Done: Cutasept and Betadine Spray Anesthetic Agent: Sevoflurane Mechanism of action:Produces CNS depressing properties so that varying degrees of pain relief, depression of consciousness, skeletal muscle relaxation and reflex reduction Position: Supine with arms extended Incision: Right subcostal (Kocher) incision Skin Preparation: Cutasept and Betadine spray on the abdominal area Draping: Sterile

Sample Charting: D: A: For surgery at 8:00 pm c/o Dr. Bagsic/ Dr. Milo Pre-operation instructions given: NPO, to remove underwear and dentures, to wear gown prior to transport to OR Endorsed Accordingly

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MAJOR CIRCULATING Case number: Name of Student: Perey, Perrilyn J. Year and Section: III-8

OR Preference Cards Circulating Nurse

Name of Patient: Arthur R. Macapagal Age: 41 Sex: Male Civil Status: Married Date of Admission: April 21, 2013 Date of Surgery: April 26, 2013 Time Started / Ended: 8:30 am 11:00am Surgeon: Dr. Quesada Corazon Scrub Nurse: Ma. Kenjie Gardon RN

Circulating Nurse: Francis Fullon RN

Chief Complaint: Lower Back Pain Rationale / Definition: Stone formation Irritation of Urinary Tract Inflammation L. Back Pain

Complete Surgical Procedure: Nephrolithotomy Definition: Removal of stone formation on kidney Type of Anesthesia: General Specific Technique: InhalationSkin Preparation/ Assistance Done: Spray Anesthetic Agent: Sevoflurane

Cutasept

and

Betadine

Mechanism of action:Produces CNS depressing properties so that varying degrees of pain relief, depression of consciousness, skeletal muscle relaxation and reflex reduction Position: Flank Incision: Flank incision Skin Preparation: Lower left lateral side Draping: Sterile

Sample Charting: D: A: For surgery today at 8:00 am c/o Dr. Corazon/ Dr. Milo Pre-operation instructions given: NPO, to remove underwear and dentures, to wear gown prior to transport to OR Endorsed Accordingly

R: