ID
23989
Description
Routine documentation in German hospitals. Source file name: TH130110_Prämedikationsprotokoll Examplary forms provided by DMI (http://www.dmi.de/)
Link
Keywords
Versions (4)
- 7/5/17 7/5/17 -
- 7/20/17 7/20/17 -
- 7/31/17 7/31/17 -
- 9/20/21 9/20/21 -
Uploaded on
July 20, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Premedication Example 1 Routine documentation in German hospitals DMI
Premedication Example 1 Routine documentation in German hospitals DMI
Description
Laboratory values
Description
Hemoglobin
Data type
float
Description
Potassium
Data type
float
Description
Blood sugar
Data type
float
Description
Hematocrit
Data type
float
Description
Sodium
Data type
float
Description
Creatinine
Data type
float
Description
Prothrombin time
Data type
integer
Description
Partial thromboplastin time
Data type
integer
Description
Platelets
Data type
integer
Description
Risk regarding organ function
Description
Heart
Data type
boolean
Description
Lungs
Data type
boolean
Description
Circulation
Data type
boolean
Description
Neurology / CNS
Data type
boolean
Description
Metabolism
Data type
boolean
Description
ASA
Data type
boolean
Description
Preoperative assessment
Description
Preoperative condition
Data type
text
Description
Re-narcosis
Data type
boolean
Description
Long-term medication
Data type
text
Description
Allergies
Data type
text
Description
Postoperative nausea and vomiting
Data type
boolean
Description
Aspiration risk
Data type
boolean
Description
Difficult intubation
Data type
boolean
Description
State of teeth
Data type
text
Description
Mallampati score
Data type
integer
Description
ASA score
Data type
text
Description
Urgency
Data type
text
Description
Medical procedure
Description
Procedure
Data type
text
Description
Diagnosis
Data type
text
Description
Anesthetic technique
Data type
text
Description
Planned anesthetic technique
Data type
text
Description
Preoperative round
Data type
text
Description
Preoperative round conducted
Data type
boolean
Description
Duration of preoperative round
Data type
integer
Measurement units
- min
Description
Type of duty
Data type
text
Description
Date of premedication
Data type
date
Description
Checklist for ward
Description
Checklist Laboratory
Data type
text
Description
Checklist ECG
Data type
text
Description
Checklist Blood type
Data type
text
Description
Blood type AB0
Data type
text
Description
Blood type Rhesus
Data type
text
Description
Checklist Consultation
Data type
text
Description
Consultation
Data type
text
Description
Checklist Pulmonary function
Data type
text
Description
Checklist Chest X-ray
Data type
text
Description
Checklist Autologous blood
Data type
text
Description
Autologous blood
Data type
integer
Description
Checklist Autologous Fresh frozen plasma
Data type
text
Description
Autologous Fresh frozen plasma
Data type
integer
Description
Checklist Allogeneic blood on demand
Data type
text
Description
Allogeneic blood on demand
Data type
integer
Description
Checklist Allogeneic blood in OR
Data type
text
Description
Allogeneic blood in OR
Data type
integer
Description
Checklist Fresh frozen plasma in OR
Data type
text
Description
Fresh frozen plasma in OR
Data type
integer
Description
Medication
Description
Further instructions
Description
Further information
Description
Continued self-medication
Data type
boolean
Description
Continued self-medication exceptions
Data type
text
Description
Name
Data type
text
Description
Signature
Data type
text
Description
Time
Data type
time