ORTHOPAEDICS

GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

CARE PATH PROGRESS NOTES

Day of Surgery

 

 

Date: _________         Time:___________      Day:__________

 

Mental Status: ____________     N-V operated limb: __________

 

H/H:  ___ pending   other :    __________________    

 

Platelet count: ___ pending    other:___________________

 

X- Ray : ___pending

 

        other :  ___________________________________

 

Acute postoperative blood loss anemia ? ______________

 

Other:____________________________________________________

 

________________________________________________________

 

                     ___________________

                    Douglas A. Waldman, MD


GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

CARE PATH PROGRESS NOTES

 

Post-op Day 1

 

Date: _________         Time:___________      Day:__________

 

Temperature: _________________________________________

 

Mental Status: ____________     N-V operated limb?: __________

 

H/H: ________________    Platelet Count:_____________

 

Start Lovenox/PT today

 

Acute postoperative blood loss anemia ?? __________________

 

Foley removed ? :  ___  yes     ___ no

 

Reason for leaving foley in :

 

__  limited mobility  __ incontinence  ___  dementia   __ sedation

 

Stopping antibiotics 24 hr postop ; up in chair for meals

 

Drains out [x ___ ]      Intact? : ______

 

Status on :    ARC?: __ pending    other: __________ 

        

                    SNF?:__ pending   other :______________

 

Other:___________________________________________________

 

______________________________________________________

  

                         ___________________  

                         Douglas A. Waldman, MD


GOOD SHEPHERD MEDICAL CENTER / MARSHALL

MARSHALL, TEXAS

CARE PATH PROGRESS NOTES

 

Post-op Day 2

 

Date: _________         Time:___________      Day:__________

 

Temperature: _____________________________________

 

Mental Status: ____________     N-V operated limb?: __________

 

Dressing Change today; weaning from PCA; stopping hot ice and abduction pillow

 

Femoral nerve catheter removed [if used]. 

 

Urinalysis ordered; BRP / BSC  with help today; CBC tomorrow

 

P.T. Status ?:__________________________________________

 

Acute postoperative blood loss anemia ? _____________________

 

Foley removed ? :  ___  yes     ___ no

 

Reason for leaving foley in :

 

__  limited mobility  __ incontinence  ___  dementia   __ sedation

  

Status on :    ARC?: __ pending    other: __________ 

        

                  SNF?:__ pending   other :______________

 

Other:___________________________________________________

 

______________________________________________________

 

                           ___________________

                             Douglas A. Waldman, MD