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Principles and Techniques of Trauma Care

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RECORD KEEPING<br />

Operating theatre records<br />

– Patient identity<br />

– Procedure performed: both major <strong>and</strong> minor<br />

– Personnel involved<br />

– Complications<br />

– Blood loss<br />

– St<strong>and</strong>ardized forms save time, encourage staff to record required<br />

information<br />

Postoperative notes<br />

– All patients assessed at least once after surgery<br />

– Vital signs, patient’s condition accurately recorded<br />

50 |<br />

Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />

www.who.int/surgery

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