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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THE INDICATION FOR SURGERY IS AS STATED ABOVE.
THE HISTORY AND PHYSICAL HAS BEEN REVIEWED.
There are no significant changes in the patient’s status which would impact the schedules procedure.
There are no significant changes in the lab values would impact the scheduled procedure.
The following changes have occurred and are discussed below:
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Apps... and they're all free for GoCanvas subscribers!
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.
Prior to Gender Reassignment use the Gender Reassignment Surgery Authorization Form mobile app to complete surgery authorization. The app details requirements for requirements for mastectomy (female-to-male patients), requirements for gonadectomy (hysterectomy and oophorectomy in female-to-male and orchiectomy in male-to-female), requirements for genital reconstructive surgery (i.e., vaginectomy, urethroplasty, metoidioplasty, phalloplasty, scrotoplasty, and placement of a testicular prosthesis and erectile prosthesis in female-to-male; penectomy, vaginoplasty, labiaplasty, and clitoroplasty in male-to-female), characteristics of a qualified mental health professional, format for referral letters from qualified health professional and dsm 5 criteria for gender dysphoria in adults and adolescents. The app should be completed by the clinician who has a thorough knowledge of the member’s current clinical presentation and his/her treatment history. Please complete all parts as clearly and specifically as possible. Omissions, generalities and illegibility will result in the form being returned for completion or clarification.
The Surgical Chart Audit Tool: Perioperative Anesthesia Orders-Adult mobile app allows surgeons to complete pre op standing orders, post op medications and PACU criteria.
Audits in the GoCanvas Application Store can easily be modified to match your audit in only minutes. You can Customize an app by editing one from the Application Store.
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.
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.
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.
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.