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Clinical Experience Operative Case Summary: Enter Name of Procedure

Clinical Experience Operative Case Summary: Enter Name of Procedure. ST310/ST320 Concorde Career College, Enter Campus Student Name: Enter Name Date: Enter Due Date Surgeon: Enter Name Preceptor: Enter Name. Name of Procedure.

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Clinical Experience Operative Case Summary: Enter Name of Procedure

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  1. Clinical ExperienceOperative Case Summary:Enter Name of Procedure ST310/ST320 Concorde Career College, Enter Campus Student Name: Enter Name Date: Enter Due Date Surgeon: Enter Name Preceptor: Enter Name

  2. Name of Procedure • Choose 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 intervention • These must be specific to the patient and not hypothetical

  5. Anesthesia Type • What type of anesthesia was used (route of administration, agents, etc.)? • Why was this chosen?

  6. Skin Prep • Provide 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 incision • What was this incision/approach chosen?

  8. Patient Position • List the specific position used • List all supplies and equipment used • Why was this position chosen?

  9. Draping • List all materials and the sequence of application • Where there any special considerations made?

  10. Equipment • List 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 procedure • Preferably items that were unfamiliar

  12. Supplies • List all supplies needed and utilized • Use physician preference card as resource

  13. Pharmacology • List ALL agents used and state their specific purpose during this procedure

  14. Mayo Setup • Outline and diagram the specific Mayo stand setup used to facilitate this procedure • List reasons why this setup was useful • How can the setup be improved?

  15. Sutures • List all suture used on this procedure • List the physical characteristics for each • What 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 procedure • This 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 used • Outline 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 diagnosis • Did this change from the preoperative diagnosis? If so, why?

  20. Possible Complications • List all specific possible complications that may result from this procedure • Be 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?

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