{"text":"- \nIl . . : - .- t\u2014 A1 \nPatient Name , ) Time Entering Theatre: \nSlgnature \nDate: ' \u00bb ' e e et b \nAt tervention - \nBlProcedure and operative site verified against consent by theatre team \n'7 #Availablility of correct implant confirmed (if applicable) \nAllergies checked against wristband, drug chart & medical records : A \nPatient handling risk assessed \n3\\ Correct techniques for moving patient adopted and specified on Handling Assessment Form \n\u2019 Table attachments used (specify type): \/{ 2, A \nPressure sore risk assessed: High \/ Medium \/(L ow (rircle) \nPressure area relieving devices used (specify): (%?\ufb02 ()& 0\\\/\u2019 \nAnti-embolic devices applied Yes \/ No c1rcle) \nPatient Warming Device Yes lrcle) \nTourniquet: - Left Arm Time On (specify) Right Arm ( 7 Time On (specify) \nPress_l{?&n)m\/ Hg Left Leg Time Off(specify) G{ight Leg . Time Off (specify) \nSkin Preparation (specify): 643{;\u20184&\u201c e c_l . oot 0 \nlrrigation;fluid use (specify): \nCatheter inserted (specify type, size, mls added to balloon, and name of person inserting catheter): - \n)Packs (specrfy) \nBlood loss measured-and recorded on fluid balance chart \nDrain inserted (specify): \nSkin Closure (specify): @\/ 0 E.\u2014[ m e~ \nDresgs (00O Gpuads ke Stcdon 1000 Qoo [-0f \nInfiltration (specify): \/ \/ I \n\ufb02@kuwwmw \nImplant@ No (circle and specify details on following page) \nType and number of specimens taken (specify): \nDiathermy plate removed and site shows no adverse skin reactions \n. 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