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An
Anesthetic Record should be prepared for each patient. A current
weight should be obtained and recorded on the patient’s
anesthetic record. The
anesthetic record should be maintained as consistently as possible during
the event. All unusual developments should be noted on the
record and all important points transferred to the Master Problem List in
the patients medical record. Record
the dose and timing of all medications given to the patient.
Postanesthetic
recovery notes are an essential component of the anesthetic record.
Please do not fail to record this valuable
information. Properly
maintained anesthetic records provide a significant advantage when
planning subsequent anesthetic events for that patient. Pitfalls can be
avoided and effective strategies can be repeated. |