Surgical Log 2026

1. Click ‘Get Form’ to open the Surgical Log in the editor.
2. Begin by entering the Confidential Patient Identifier, followed by the Date and Time of Arrival at Facility. This ensures accurate tracking of patient information.
3. Fill in the Surgeon Name and License Number to identify the responsible surgeon for the procedure.
4. Document the Diagnosis with ICD-9 Codes, which is crucial for medical records and billing purposes.
5. Complete the Patient ASA Classification and Anesthesiologist Name along with their License Number to provide necessary anesthesia details.
6. Indicate the Level of Surgery and Method of Anesthesia used during the procedure.
7. Record History and Physical, including any Medical Clearances required prior to surgery.
8. Log Time of Arrival in Surgical Suite, Procedure(s) to be Performed with CPT Codes, and Time Arrived in Recovery Room for comprehensive documentation.
9. Finally, fill out Discharge Time, Patient Disposition at Discharge, Time Procedure Began, Time Procedure Ended, Type of Post Operative Care, Medications used, Adverse Incident details if applicable, and any additional Notes.

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