Knee replacement operative note

OVERALL_INSTRUCTIONS

Chief Complaint

Consult Letter Template

Template

Patient Name: [Patient Name] Date of Surgery: [Date of Surgery] Time In/Out of OR: [Time In/Out of OR] Medical Record Number: [Medical Record Number] Surgeon(s): [Surgeon(s)] Assistants: [Assistants] Anesthetist: [Anesthetist] Procedure Performed: [Procedure Performed] Laterality: [Laterality] Patient Positioning: [Patient Positioning] Tourniquet Details: [Tourniquet Details] Anesthesia Type: [Anesthesia Type] Pre-op Diagnosis: [Pre-op Diagnosis] Post-op Diagnosis: [Post-op Diagnosis] Intraoperative Findings: [Intraoperative Findings] Procedure Description: [Procedure Description — include details of patient preparation, surgical steps, and closure.] Implants Used: [Implants Used] Intraoperative Imaging: [Intraoperative Imaging] Reduction and Alignment: [Reduction and Alignment] Neurovascular Exam: [Neurovascular Exam] Drains/Lines Placed: [Drains/Lines Placed] Estimated Blood Loss: [Estimated Blood Loss] Specimens Sent: [Specimens Sent] Counts (Sponge/Instrument/Needle): [Counts] Complications (Intra-op): [Complications] Disposition: [Disposition] Post-Operative Plan: Vital Signs Monitoring: [Vital Signs Monitoring] Pain Management: [Pain Management] Fluid Management: [Fluid Management] Antibiotics: [Antibiotics] Thromboprophylaxis: [Thromboprophylaxis] Wound Care: [Wound Care] Activity: [Activity] Diet: [Diet] Investigations/Follow-up Labs: [Investigations/Follow-up Labs] Review/Follow-up: [Review/Follow-up] Additional Notes: [Additional Notes] Signature: [Signature]