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Procedure Template
Surgical Team
Colorectal
Cysto
Dental
ENT
General
Hand
Neuro
Ortho
Surgeon
Anderson, Gary
Bankhead
Burneikis
Carey
Carlson
Dyer
Gauthier
Goodson
Holzer
Johnson
Kropp
Le
Lentz
Letton
Levy
Mahoney
Mantor
Martin
McIntire
Miller
Nechtow
Organ Procurement Provider
Phelps
Porembski
Renouard
Richards
Ruiz
Samara
Samara, Scott
Samara, Shea
Santos
Shepherd
Smith
Stetson
Stierlen
Wendelken
Wicks
Procedure
AKA
Alveolar Bone Graft
Amputation revision
Anterior Cervical Disc Fusion
Anterior Cervical Discectomy and Discarthroplasty
Anterior Cervical Discectomy and Fusion
AV Fistula
AV Transposition
Bilateral Sagittal Split Osteotomy
BKA
Cervical Laminectomy
Closed Reduction with Perc Pinning
Closure of Wound
Closure of Wound (Supine scalp cases)
Crani
Cystoscopy
DCD
EGD PEG
Excision of Mass
Exploratory Laparotomy
Feeding tube placement
Full Thickness Skin Graft
Fusion of CMC Joint
Hernia Repair
Inguinal Hernia
Inguinal Hernia Repair
Irrigation and Debridement
Irrigation and Debridment
J Tube Placement
Kidney Transplant
Kyphoplasty
Laminectomy
Lap Colectomy
Laparascopic Donor Nephrectomy
Laparascopic Nephrectomy
Laparoscopic Appendectomy
Laparoscopic Cholecystectomy
Laparoscopic Gastrostomy
Laparoscopic Inguinal Hernia Repair
Laparoscopic Peritoneal Dialysis Catheter Placement
Laparoscopic Splenectomy
Laparoscopic Umbilical Hernia Repair
Laparoscopy
Laproscopic Cholecystectomy
Laser
Lobectomy, Thyroid
Lymph Node Excision
Meek Mesher Split Thickness Skin Graft
Myringotomy with Tubes
Nissen Fundoplication
Odontoid Fracture Fusion
Open Nephrectomy
Orchiopexy
Organ Procurement (Brain Death)
ORIF Mandible
ORIF Mandibular Fracture
Parathyroidectomy
Partial Nephrectomy
PEG Tube Placement
Penile Prosthesis
Penoplasty
Percutaneous Nephrolithotomy
Peritoneal Dialysis Catheter Placement
Peritoneal Dialysis Catheter Removal
Permacath Placement
Port Placement
Prostatectomy Supra Pubic Open
Radical Cystectomy with Ileo Loop Conduit
Rectal Fistula Repair
Release of Contractures with Full Thickness Skin Graft
Removal of Peritoneal Dialysis Catheter
Removal of stent placement
Repair of nerve, artery, tendon
Sentinel Node Biopsy
Septoplasty with TURBS
Sling Tot
Split Thickness Skin Graft
Thumb Arthroplasty
TMJ
Tonsils and Adenoids
Tooth Extraction
Total Hip Arthroplasty
Total Knee Arthroplasty
Total Thyroidectomy
Tracheostomy
Transurethral Resection of Prostate
Trigger Finger Release
Tympanomastoidectomy
Ulnar Styloidectomy
Umbilical Hernia Repair
Ureteroscopy, Stone Manipulation
Ventral Hernia Repair
Wrist Arthroscopy
Surgeon
Procedure Name
Drug Box
Orientation
Position
Arms
Equipment
Instrumentation
Prep
Suction
Foley
Meds
Dressing
Closure
X-Ray
Notes