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Knee Clinic Pre-Operatieve Questionnaire Mobile App

Deze Knee Clinic Pre-operatieve vragenlijst app is een uitgebreide screening worden afgerond voorafgaand aan de operatie. Inclusief gezondheid van de patiënt geschiedenis en nog veel meer. Deze app kan eenvoudig worden aangepast aan uw specifieke behoeften te passen.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Knee Clinic Pre-Operatieve Questionnaire Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico multiline

    PATIËNT ETIKET

  • Ico statictext

    (Invullen door anesthesioloog/anesthesieassistent)

  • Ico textbox

    Voorgenomen ingreep

  • Ico date

    Operatiedatum

  • Ico multiline

    Bijzonderheden

  • Ico textbox

    BMI

  • Ico statictext

    Akkoord anesthesiemedewerker

  • Ico textbox

    Naam

  • Ico date

    Datum

  • Ico signature

    Handtekening

  • Ico textbox

    Plaats

  • Ico dropdown

    Akkoord anesthesioloog

  • Ico textbox

    Naam

  • Ico date

    Datum

  • Ico signature

    Handtekening

  • Ico textbox

    Plaats

  • Ico textbox

    ASA klasse

  • Ico statictext

    Verder gewenst onderzoek:

  • Ico checkbox

    ECG

  • Ico checkbox

    Laboratorium

  • Ico checkbox

    Consult andere specialist

  • Ico checkbox

    Tensie meting huisarts (brief meegegeven aan patiënt)

  • Ico statictext

    Anesthesietechniek

  • Ico checkbox

    Algeheel

  • Ico checkbox

    Spinaal

  • Ico checkbox

    Plexus

  • Ico dropdown

    Correspondentie opvragen

  • Ico multiline

    Zo ja, bij

  • ...and More!

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  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Questionnaires
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