Template Notes

Patient was transferred from the floor to the OR holding area pt was interviewed by oral maxilla facial surgery, anesthesia, and the OR nursing service. It was established a proper H&P and consent have been obtained. All patient questions were answered. Patient was then transferred on a gurney to the OR holding area. He was […]

The patient was greeted in the preoperative area. All the risks and benefits of the procedure were once again explained and the risks of malocclusion, nonunion, malunion, pain ,bleeding, infection, swelling, permanent nerve dysfunction including lower chin and lip numbness were explained in detail all questions were answered. Consent had already been signed. Care was

A Time Out was performed verifying patient procedure and laterality. Vitals, associated labs and imaging reviewed. *** carpules (1.7 ml each) of 2% lidocaine 1:100,000 epinephrine was used to anesthetized ***. Anesthesia was verified. Archbars were measured and cut to fit patient’s maxillary and mandibular arches. 24 gauge wires were used to secure archbars to

The patient and the family were greeted in the preoperative area. All the risks and benefits of the procedure were once again explained to both the patient and the family and the risks of gait disturbances, paresthesias or the thigh, as well as lower chin and lip numbness were explained in detail all questions were

The patient was greeted in the preoperative area. All the risks and benefits of the procedure were once again explained and the risks of sinus communication as well as lower chin and lip numbness were explained in detail all questions were answered. Consent had already been signed. Care was then handed back to the anesthesia

FINDINGS This is a ***-year-old *** with a significant dental facial deformity who will undergo maxillary mandibular osteotomies.  The case was discussed at length with patient.  Risks, benefits, and alternative therapies reviewed.  The clinical indications discussed, understood, and accepted. Risks of bleeding, infection, hardware failure, injury to the inferior alveolar nerve, and reoperation were discussed, understood, and accepted.  The patient is

The patient was greeted in the preoperative area. All the risks and benefits of the procedure were once again explained and the risks of sinus communication as well as lower chin and lip numbness were explained in detail all questions were answered. Consent had already been signed. Care was then handed back to the anesthesia

The patient was greeted at the bedside in the prep and hold area. I reviewed previously signed informed consent. All questions regarding extraction of teeth #1,16,17,32 were answered. The patient was brought in the operating room and placed in a supine position on the operating room table. A time out was performed with surgical, nursing,

Extraction Antibiotics: {OMFS ABX:33800:n} Analgesia per primary team, recommend Tylenol/Motrin for mild/moderate pain, Percocet or Tylenol #3 for breakthrough pain Soft/puree diet, chew away from extraction sites if possible Apply gauze pressure directly over extraction socket and keep in place with firm biting pressure, changing gauze every 20 min for 30-40min or until hemostasis has

FINDINGS: This is a ***-year-old *** who presented to the emergency room approximately one week prior to admission with history of single blunt trauma to the lower third of the face. The patient underwent CT evaluation in which an angle of the mandible fracture compounded through impacted tooth #32 was made. The patient refused admission