Presentation on theme: "Clinical Experience Operative Case Summary: Enter Name of Procedure"— Presentation transcript:
1 Clinical Experience Operative Case Summary: Enter Name of Procedure ST310/ST320Concorde Career College, Enter CampusStudent Name: Enter NameDate: Enter Due DateSurgeon: Enter NamePreceptor: Enter Name
2 Name of ProcedureChoose the most challenging procedure scrubbed since the previous Clinical Conference, or first day of the term if First Clinical Conference.Receive an assigned procedure from the instructor if no cases scrubbed
3 Definition of Procedure Include a detailed definition of the procedure
4 Indications for Surgery List the specific indications (signs & symptoms, diagnostic results, preoperative diagnosis) that led to this surgical interventionThese must be specific to the patient and not hypothetical
5 Anesthesia TypeWhat type of anesthesia was used (route of administration, agents, etc.)?Why was this chosen?
6 Skin PrepProvide a detailed diagram of the skin prep perimeters used on this patient
7 Surgical Incision Provide a detailed diagram of the incision site Label the anatomy within the incisionWhat was this incision/approach chosen?May need to hand draw
8 Patient Position List the specific position used List all supplies and equipment usedWhy was this position chosen?
9 Draping List all materials and the sequence of application Where there any special considerations made?
10 EquipmentList all equipment used and state why each was necessary
11 Instrumentation List all basic and specialty instrumentation Provide images and descriptions of three particular instruments used in this procedurePreferably items that were unfamiliar
12 Supplies List all supplies needed and utilized Use physician preference card as resource
13 PharmacologyList ALL agents used and state their specific purpose during this procedure
14 Mayo SetupOutline and diagram the specific Mayo stand setup used to facilitate this procedureList reasons why this setup was usefulHow can the setup be improved?
15 Sutures List all suture used on this procedure List the physical characteristics for eachWhat types of suture needles were used?In which tissues/wound layers was each suture used?What was the surgeon’s rational for specific suture choice?
16 Operative Procedural Steps Provide a detailed account of each step of the procedureThis section should mirror the surgeon’s operative report in style and content.Highlight specific anatomy and physiology and provide detailed diagrams
17 Drains & Dressing List any drains used and state the purpose of each List all dressing materials usedOutline the procedure used to dress this wound
18 Specimens & Implants List all surgical specimens List all materials implanted into the wound
19 Postoperative Diagnosis State the diagnosisDid this change from the preoperative diagnosis? If so, why?
20 Possible Complications List all specific possible complications that may result from this procedureBe specific
21 Prognosis How is the patient expected to recover? What is the wound class?Are there any long-term effects to consider?Will another operation be needed?
22 Most Important Knowledge Learned What was the most interesting or valuable thing that you learned while scrubbing this procedure?How will this information help you in the field?Looking back, would you have done anything differently?