{"text":"Acute Services Division \nSurgery & Anaesthetics \nGG&C Day Surgery\/23 hour Care Plan \nAdmission Checklist \n(IR \u2014 \n95 \nNi CLELLAND \nAgnes \nC} 39 Rennie Road \nKilsyth \nD! Glasgow, Lanarkshire \n328 \nF \n08\/09\/1 \nG65 9P _J \n{ \nPatient mode of transport to theatre Trolley CT \nWalking U] \nChair [ \nPre-op Checklist - to be completed immediately prior to the patient being given a Pre Med \n-Preoperative Checks . Admission Check Reception Check N\/A Anaesthetic Check \nIdentity band correct ( Name, DOE, Yes B No O Yes O No (O ves A No \nCHI number, Gender) and checked with \nPatient o~ \nCase Notes\/Scanner Folder Yes & no [ Yes O wNo O ves [ No OO \nAddressograph Labels Yes No DI Yes O No O Yes No [ i \nX-Rays and Scans \u2014 Hardcopy Yes 0 No IQ\/N\/AEI' Yes O No Ol NAO |ves O no O T | \nPrescription Chart Yes L~ No O Yes 1 o O Yes No [ \nAlert sticker Please see page 1 Checked 1 | Please see page 1 Checked [ \nConsent \/ Incapacity ( circle) g \nSigned & Dated Ys 0 nNo O Yes 1 No O Yes [ Nno O \nChecked against theatre list \nCheck with: ves @ no O Ys 0 No O Yes BT _nNo O \nPatient\/Incapacity\/Consent(Clrcle) Yes \u00a5 No O Ys 0 No E Yes D\/- No \u2018[ \nProcedure and site for Surgery Yes B\/ No [ Yes No Yes Z\/ No [ \nCorrect site marked . Yes 1 nNo O \nComments & details eg Welfare Guardian\/ | Yes [ No g \nPower of Attorney Yes (1 No \nZ o~ \nAllergies\/Sensitivities and Reactions Yes [ No 0 Yves O no O | Ye_gy No [J \nIf Yes, please specify . \u00a2 . \nFasted from - specify time ( 24hr clock Food: Fluid: 2V [ Checked: Checked: \nveseddm . Y oe\u201d : \nBlood Glucose Score N\/A Time: Score: Time: Score Time:- Score \n- IR 1% e~ T s e - \nInternal IProsl:hesis in slitu ot Yes Q\/No O Yes E] No O NaO Yes \u2018B\/ No OO wald \ne.g metalwork, pacemaker, implan \nIf \u2018Yes' state Jocation and type oAz l\/\\\/()\\\ufb02(@ .@\u20185{ @ FosT St v \nhExt_em_\ufb02I prosthesis e.g. hair extensions, Ys O NoO NAE-Fves O no O NaO |ves O nNo O naE \nair pieces. 2 : \nIf left in situ, state location on patient - \u2018 \nIf removed state where stored \nL \nJewellery\/Body piercing removed vs 0 no O naEF{ves O no O naO [ves O no B a0 \nIf \u2018Yes' state where stored. ) . \nJewellery\/Body piercing taped Yes O No O NAD {Yes O wNo 1 nNALD | es E\u2019 Noe DD wnal \nIf \"Yes' state Location on body Z\"\\\/b m 4 V\\q \/ \nMake-up\/Nail polish removed vs 0 nNo OO NaB\u2014fves O No O wnNal [ves O No O naBE] \nComments ' ' |, \nFalse Nails ves O No O NaB-TYes O No O naO [Yes O 8o O waE \nComments . \nLooseTeeth\/capsridges\/dentalwgrk Ives & no O NAEL | vYes No O NADO [ves O nNo O wnaO \nState Location: \u2014< ( ] \nDentures Removed . Yes 0 No O NAER\u2014M . 9 \nIf \"Yes\u2019 state where stored: es o \/ Yes O nNo O naO |ves O wNo O N\/A;Z\/ ) \nSpectacles\/ contact lenses removed ves T1 No O wnaD\u2014t+ \n(circle) if Yes' state where stored: & \u00b0 \/ Yes O~ O wnaO vengI' No O N\/AE!","words":[{"t":"Acute","x":0.101168883514711815951869766649906523525714874267578125,"y":0.0746651467654602385426443333926727063953876495361328125,"w":0.0374848851269649341322320879044127650558948516845703125,"h":0.0082644628099173556012857488894951529800891876220703125},{"t":"Services","x":0.1438935912938331396215829727225354872643947601318359375,"y":0.0743801652892562004115717400054563768208026885986328125,"w":0.051189036678758563503333078870127792470157146453857421875,"h":0.00854944428612140240597572216074695461429655551910400390625},{"t":"Division","x":0.2007255139056831894084353962171007879078388214111328125,"y":0.073525220860644058262778344214893877506256103515625,"w":0.051189036678758563503333078870127792470157146453857421875,"h":0.01025933314334568323411556178825776441954076290130615234375},{"t":"Surgery","x":0.10157194679564691963680189701335621066391468048095703125,"y":0.08777429467084639502783005582386977039277553558349609375,"w":0.050785973397823459818400948506678105331957340240478515625,"h":0.0113992590481618687181519788964578765444457530975341796875},{"t":"&","x":0.15759774284562677593157786759547889232635498046875,"y":0.0874893131946423430189696546221966855227947235107421875,"w":0.00967351874244256303148059572549755102954804897308349609375,"h":0.00854944428612140240597572216074695461429655551910400390625},{"t":"Anaesthetics","x":0.172108020959290619611437023195321671664714813232421875,"y":0.08691935024223425287903666003330727107822895050048828125,"w":0.08262797259169689378932588397219660691916942596435546875,"h":0.00911940723852949601535566870325055788271129131317138671875},{"t":"GG&C","x":0.10237807335751712700666615774025558494031429290771484375,"y":0.10800797948133371295664773015232640318572521209716796875,"w":0.047561467150342602583368289970167097635567188262939453125,"h":0.009404388714733542820045641974502359516918659210205078125},{"t":"Day","x":0.156388553002821450998993668690673075616359710693359375,"y":0.10800797948133371295664773015232640318572521209716796875,"w":0.02861749294639258367478618083623587153851985931396484375,"h":0.0119692220005699623275319254389614798128604888916015625},{"t":"Surgery\/23","x":0.1902458686013704103334731598806683905422687530517578125,"y":0.10686805357651753267678174097454757429659366607666015625,"w":0.08504635227730754365449428178180824033915996551513671875,"h":0.013109147905386149546291818523968686349689960479736328125},{"t":"hour","x":0.28174123337363965458024495092104189097881317138671875,"y":0.10715303505272157080785433436176390387117862701416015625,"w":0.036275695284159616138541792906835325993597507476806640625,"h":0.009404388714733542820045641974502359516918659210205078125},{"t":"Care","x":0.322853688029020535754654019910958595573902130126953125,"y":0.10715303505272157080785433436176390387117862701416015625,"w":0.03426037887948407689719942936790175735950469970703125,"h":0.0088344257623254492106656954319987562485039234161376953125},{"t":"Plan","x":0.363966142684401472440214320158702321350574493408203125,"y":0.10629809062410942865906093857120140455663204193115234375,"w":0.031438935912938330285992805102068814449012279510498046875,"h":0.00968937019093758962473561524575416115112602710723876953125},{"t":"Admission","x":0.101168883514711815951869766649906523525714874267578125,"y":0.12368196067255628201042583214075420983135700225830078125,"w":0.0999596936719064910192855677451007068157196044921875,"h":0.0119692220005699623275319254389614798128604888916015625},{"t":"Checklist","x":0.2087867795243853186182292347439215518534183502197265625,"y":0.12339697919635224387935323875353788025677204132080078125,"w":0.08706166868198307595694274141351343132555484771728515625,"h":0.0113992590481618687181519788964578765444457530975341796875},{"t":"(IR","x":0.66626360338573153985208818994578905403614044189453125,"y":0.061840980336278141005212916070377104915678501129150390625,"w":0.185812172511084228165856302439351566135883331298828125,"h":0.03077799943003704796762320938796619884669780731201171875},{"t":"\u2014","x":0.88149939540507860069595835739164613187313079833984375,"y":0.07124536905101168382525855804487946443259716033935546875,"w":0.02337767029423619413730506266801967285573482513427734375,"h":0.005129666571672841617057780894128882209770381450653076171875},{"t":"95","x":0.70133010882708590738587872692733071744441986083984375,"y":0.08577942433741807259917067085552844218909740447998046875,"w":0.0120918984280532042230316136510737123899161815643310546875,"h":0.00683955542889712157783588253323614480905234813690185546875},{"t":"Ni","x":0.66384522370012088998691979213617742061614990234375,"y":0.09518381305215160848032240892280242405831813812255859375,"w":0.01410721483272873826020354925958599778823554515838623046875,"h":0.01339412938159019635098179179522048798389732837677001953125},{"t":"CLELLAND","x":0.68158000806126561865738722190144471824169158935546875,"y":0.0948988315759475564714620077211293391883373260498046875,"w":0.060056428859330913960778985938304685987532138824462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