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Procedure: Power injectable chest port placement with imaging Date: 5/16/2022 Indication: Access site: Right internal jugular with ultrasound Operator: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 1 gram IV Ancef,…
Read More →Procedure: Percutaneous antegrade gastrostomy tube placement Indication: Altered Mental Status; Date: Operators: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 1 mg IV glucagon, 600 mg IV Clindamycin, 4 mg IV Zofran,…
Read More →PROCEDURE: TUNNELED CENTRAL VENOUS CATHETER WITH US & FLUORO DATE OF PROCEDURE: 01/01/2022 CLINICAL INDICATION: Chemotherapy OPERATING PHYSICIANS: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: Local. 1 gram IV Ancef.. Versed…
Read More →Procedure: Replace G-tube Indication: Loss of G tube for feeding Date: [ ] Operators: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: Lidocaine 2% local Fluoroscopy time: 1 minutes Catheter: Balloon…
Read More →Procedure: Percutaneous Mic Key button gastrostomy tube placement Indication: Head and neck cancer Date: 01/01/2021 Operators: John Doe, MD (Attending)/Jane Doe, MD (Fellow) Medications: 1 mg IV glucagon, Ancef, 4 mg IV…
Read More →Patient Name: DOB: SEX: Ordering Physician: Procedure: Percutaneous AV graft thrombectomy, balloon dilatation of the venous outflow tract Indication: Thrombosed AV graft. Date: …
Read More →Patient Name: , DOB: SEX: Ordering Physician: , Procedure: upper extremity AV fistulogram Indication: Decreased function dialysis. Date: Operators: John Doe, MD (Attending)/Jane Doe, MD…
Read More →PROCEDURE: Right/Left upper extremity AV fistulogram Central venoplasty Peripheral venoplasty Post venoplasty (Right/Left) upper extremity AV fistulogram INDICATION: DATE: OPERATORS: John Doe, MD (Attending)/Jane Doe, MD (Fellow) MEDICATIONS: Versed …
Read More →PROCEDURE: AV fistulogram Venous angioplasty CLINICAL HISTORY: Patient is a _____ with history of end-stage renal disease and prior AV fistula placement. Patient with abnormal pressures during dialysis. DATE OF PROCEDURE: OPERATORS: John Doe,…
Read More →Patient Name: , DOB: SEX: Ordering Physician: , PROCEDURE: Arm port / Portacath placement with image guidance INDICATION: DATE: ACCESS SITE: ______ vein with ultrasound OPERATORS:…
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