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Type of airway used (specify): L+ Y \u2014 c',Q \nThroat pack inserted Yes \/\/No' (o} cle) e \nEyes taped @\/\/No (circle) (G \nPatient handling risk asse;sed ) C < \nCorrect techniques for moving patient adopted and Specified on Patient Handling Assessment From \nPatient transferred to theatre ' <. \nIV Cannulae & \nColour of line \nArterial Line & \ncolour \nPulse Oximeter \nDiathermy Plate \n. Temperatyre \nProbe \nBt \nSeagy, \n2 \nOther eg. Epidural \nDate \/ Time Multidisciph' \nnary Evaluatijon Signature \/ Designatjon \nDate \/ Time \nVariance \/ Action taken \/ Outcome \n'|Signature \/ Designation \nV2 January 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