Clinical Experience Operative Case Summary: Enter Name of Procedure ST310/ST320 Concorde Career College, Enter Campus Student Name: Enter Name Date: Enter Due Date Surgeon: Enter Name Preceptor: Enter Name

Name of Procedure Choose the most challenging procedure scrubbed since the previous Clinical Conference, or first day of the term if First Clinical Conference. Receive an assigned procedure from the instructor if no cases scrubbed

Definition of Procedure Include a detailed definition of the procedure

Indications for Surgery List the specific indications (signs & symptoms, diagnostic results, preoperative diagnosis) that led to this surgical intervention These must be specific to the patient and not hypothetical

Anesthesia Type What type of anesthesia was used (route of administration, agents, etc.)? Why was this chosen?

Skin Prep Provide a detailed diagram of the skin prep perimeters used on this patient

Surgical Incision Provide a detailed diagram of the incision site Label the anatomy within the incision What was this incision/approach chosen? May need to hand draw

Patient Position List the specific position used List all supplies and equipment used Why was this position chosen?

Draping List all materials and the sequence of application Where there any special considerations made?

Equipment List all equipment used and state why each was necessary

Instrumentation List all basic and specialty instrumentation Provide images and descriptions of three particular instruments used in this procedure Preferably items that were unfamiliar

Supplies List all supplies needed and utilized Use physician preference card as resource

Pharmacology List ALL agents used and state their specific purpose during this procedure

Mayo Setup Outline and diagram the specific Mayo stand setup used to facilitate this procedure List reasons why this setup was useful How can the setup be improved?

Sutures List all suture used on this procedure List the physical characteristics for each What types of suture needles were used? In which tissues/wound layers was each suture used? What was the surgeon’s rational for specific suture choice?

Operative Procedural Steps Provide a detailed account of each step of the procedure This section should mirror the surgeon’s operative report in style and content. Highlight specific anatomy and physiology and provide detailed diagrams

Drains & Dressing List any drains used and state the purpose of each List all dressing materials used Outline the procedure used to dress this wound

Specimens & Implants List all surgical specimens List all materials implanted into the wound

Postoperative Diagnosis State the diagnosis Did this change from the preoperative diagnosis? If so, why?

Possible Complications List all specific possible complications that may result from this procedure Be specific

Prognosis How is the patient expected to recover? What is the wound class? Are there any long-term effects to consider? Will another operation be needed?

Most Important Knowledge Learned What was the most interesting or valuable thing that you learned while scrubbing this procedure? How will this information help you in the field? Looking back, would you have done anything differently?

REFERENCES Insert references here