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Dr. Doug S. Clouse
Dr Danton Dungy
Dr. Adam Farber
Dr. Lewis Freed
Dr. Stephen Hatfield
Dr. Benjamin MacQueen
Dr. George Myo
Dr. Steven Porter
Dr. Gregory Stewart
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2015-09-14T05:18:37+00:00
Post-Op Telephone Call
Phone Number
Procedure
Block:
Yes
No
Spoke To:
Patient
Spouse
Parent
Other
PROBLEMS: Are you having problems with?
Nausea/Vomiting
Yes
No
Dressing comfortable
Yes
No
Elevated temperature
Yes
No
Excessive Swelling
Yes
No
Drainage/Bleeding
Yes
No
Numbness
Yes
No
Pain under control
Yes
No
Discharge instructions
Yes
No
Rate pain level:
1
2
3
4
5
6
7
8
9
10
OTHER/EXPLAIN
Follow up appointment made:
Yes
No
Reminded to call to schedule appt.
First Attempt:
Date/Time:
Left Message
Busy
No answer
Other:
RN
Second Attempt:
Date/Time:
Left Message
Busy
No answer
Other:
RN
Third Attempt:
Date/Time
Left Message
Busy
No answer
Other:
RN
Letter sent out to patient
Date/Time
RN
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