Copy of snippet "IC Warm Transfer"

IC's will use this snippet for warm transfers to RN

Surgery Specific Questions: 

  • Procedure name:
If Bariatric: first-time surgery or revision:
If Hysterectomy: total, partial, or radical:
[If applicable] Is it on your left or right side? Or bilateral?:
  • Have you seen anyone regarding this condition yet:
  • What kind of doctor did you see:
  • Did the doctor provide any recommended next steps - What were the next steps:
  • Do you happen to know the doctor’s name and the facility you saw them at:
  • Have you had any imaging completed related to the procedure:
What type of imaging:
Where was that done:
About when was that done:
  • [If MSK] Have you tried any conservative care such as physical therapy, or injections:
  • [If applicable] Is this related to workers comp or an auto accident:

Clinical Information:
  • Height & Weight:
History of:
  • Diabetes:
  • High Blood Pressure:
  • Sleep Apnea (Do you use a CPAP?):

Assigned Case to RN, XXXXX