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IP Encounter ReportMRN: DOB: Sex: FAdm:7/23/2013, D/C:7/27/2013SURGICAL/PROCEDURAL INFO ON ENCOUNTER (continued)Electro Surgery Units (continued)ESU TypeESUBlend SettingModePad LocLateralityCoag SetCut SetApplied ByarG.TourniquetsWarming DevicesDevice TypeDeviceSettingAreaLateralityTempApplied ByK-ThermiaK THERMIA CDH 10772 - #10Medium - 38CelsiusFull bodyBilateralpt temp monitored by anesthesiaImplantsSpecimensNonePNDS Information(MR # Printed by  at 10/11/13 10:27 AMPage 54YesThe patient is free from signs and symptoms of injury caused by extraneous objects. (O2)YesApplies safety devices. (I11)YesRecords devices implanted during the operative or invasive procedure. (I112)YesUses supplies and equipment within safe parameters. (I122)YesMaintains continuous surveillance. (I128)YesImplements protective measures prior to operative or invasive procedure. (I138)YesEvaluates for signs and symptoms of physical injury to skin and tissue. (I152)YesConfirms identity before the operative or invasive procedure. (I26)YesImplements protective measures to prevent injury due to laser sources. (I73)YesImplements protective measures to prevent skin or tissue injury due to thermal sources. (I76)YesImplements protective measures to prevent skin/tissue injury due to mechanical sources. (I77)YesManages specimen handling and disposition. (I84)YesPerforms required counts. (I93)YesPerforms venipuncture. (I95)YesThe patient is free from signs and symptoms of chemical injury. (O3)YesImplements latex allergy precautions as needed. (I139)YesEvaluates for signs and symptoms of chemical injury. (I36)YesImplements protective measures to prevent skin and tissue injury due to chemical sources. (I75)YesThe patient is free from signs and symptoms of injury related to positioning. (O5)YesVerifies presence of prosthetics or corrective devices. (I127)YesEvaluates for signs and symptoms of injury as a result of positioning. (I38)YesIdentifies physical alterations that require additional precautions for procedure-specific positioning. (I64)YesPositions the patient. (I96)YesThe patient is free from signs and symptoms of injury related to transfer/transport. (O8)YesTransports according to individual needs. (I118)YesEvaluates for signs and symptoms of skin and tissue injury as a result of transfer or transport. (I42)YesThe patient receives appropriate medication(s), safely administered during the perioperative period. (O9)YesVerifies allergies. (I123)YesThe patient is free from signs and symptoms of infection. (O10)YesAssesses susceptibility for infection. (I21)YesClassifies surgical wound. (I22)YesImplements aseptic technique. (I70)YesInitiates traffic control. (I81)YesManages culture specimen collection. (I83)YesMinimizes the length of invasive procedure by planning care. (I85)YesMonitors for signs and symptoms of infection. (I88)YesPerforms skin preparations. (I94)YesProtects from cross-contamination. (I98)YesThe patient is at or returning to normothermia at the conclusion of the immediate postoperative period. (O12)YesAssesses risk for inadvertent hypothermia. (I131)YesEvaluates response to thermoregulation measures. (I55)