Hospital CMS

Welcome :

THEATRE PRE-OPERATIVE CHECK LIST

Operation

NURSING PROCEDURES

Pre-medication

Known allergies

BP

Pulse

Respiration

Temperature

Time Taken

IV Line Fixed running

Urethral cathererizatin

Shaving

Starved since(time)

Theatre Gown

Dentures,Rings,etc removed

Enema(where indicated)

Theatre Fee Ksh

Receipt

Informed consent

INVESTIGATIONS

HB

Urinalysis

Urea

Electrolytes

Creatinine

Blood Sugar

Blood GXM

Units of Blood

X-rays/Ultrasound