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Surgical Chart Audit Tool: Attestation or Review of History and Physical Mobile App

The Surgical Chart Audit Tool: Attestation or Review of History and Physical mobile app was designed to allow physicians and other select health care professionals to complete and document an Attestation or Review of History and Physical for surgical patients using an iPhone, iPad, or Android device.

The use of this tool will help prove that surgery is a medical necessity for a patient. The electronic signature capability allows any doctor to provide a handwritten signature directly in the app. Since the information is securely saved in the GoCanvas Cloud, you can easily save or print the medical records as a PDF to add to a patient's health records.

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Take a peek inside the Surgical Chart Audit Tool: Attestation or Review of History and Physical Mobile App

Included Features

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Included Fields

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

  • Ico date

    DATE:

  • Ico time

    TIME:

  • Ico multiline

    PRE-PROCEDURE DIAGNOSIS:

  • Ico statictext

    THE INDICATION FOR SURGERY IS AS STATED ABOVE.

  • Ico statictext

    THE HISTORY AND PHYSICAL HAS BEEN REVIEWED.

  • Ico checkbox

    There are no significant changes in the patient’s status which would impact the schedules procedure.

  • Ico checkbox

    There are no significant changes in the lab values would impact the scheduled procedure.

  • Ico multiline

    The following changes have occurred and are discussed below:

  • Ico signature

    PHYSICIAN’S SIGNATURE

  • ...and More!

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Surgery Center: Attestation or Review of History and Physical

Physicians can use a smartphone or tablet with the Surgery Center: Attestation or Review of History and Physical mobile app to fill out and sign an Attestation or Review of Physical History for their surgical patients. The app captures the physicians signature as well as the date. GoCanvas apps can all be made HIPAA compliant to ensure that medical records meet confidentiality and privacy standards.

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Surgical Chart Audit Tool: Pre Procedure Record

Use the Surgical Chart Audit Tool: Pre Procedure Record mobile app to ensure that your surgical team has completed pre procedure records accurately. Audits in the GoCanvas Application Store can easily be modified to meet your audit needs in only minutes. You can Customize an app by editing one from the Application Store.

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If your client has met all the eligibility and readiness criteria outlined in the official World Professional Association for Transgender Health Standards of Care for the treatment of individuals diagnosed with Gender Dysphoria use the Sample Letter for Gender Reassignment Surgery mobile app to complete a letter to recommend reassignment surgery.

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Surgery Center: Physician Orders Perioperative Anesthesia Orders - Adult

Registered nurses (RN) physicians and surgeons can use a smartphone and the Surgery Center: Physician Orders Perioperative Anesthesia Orders – Adult mobile app to complete perioperative anesthesia orders for adult patients. The app records date and time and includes Pre-op standing orders, post-op, analgesia, narcotic analgesics, antiemetics and notice that may discharge from PACU when criteria met. The app can be made HIPAA compliant and can easily be edited to match your current surgical centers perioperative anesthesia orders.

App Name

Surgical Chart Audit Tool: PACU Record

The Surgical Chart Audit Tool: PACU Record mobile app records patient’s vitals, allergies, Aldrete Score, Medication, Location/Site, and Actions Taken. Since the app is available for an iPhone, iPad, or Android device, any member of the surgical team can review the patient's medical record to ensure patient safety and provide excellent health care.

Medical records are securely stored in the GoCanvas Cloud. They can be printed or emailed as a PDF to surgical technicians, surgical assistants, nurses, and doctors before surgical procedures take place.

App Name

Surgical Chart Audit Tool: Patient Satisfaction Survey

Patient satisfaction is extremely important to surgical teams. The Surgical Chart Audit Tool: Patient Satisfaction Survey mobile app is designed to allow patients to take a few moments and answer questions so that the surgical team can continue to provide superior care. The questions can be answered and shared using a smartphone or tablet. Audits in the GoCanvas Application Store can easily be modified to meet your audit criteria in only minutes. You can Customize an app by editing one from the Application Store.

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