PREOP CHECKLIST FOR COSMETIC TUMESCENT SURGERY

Light Food Dietbefore surgery. Photo Consent Formsigned and charted. Pregnancy Test. Tylenol #3PO. Clindamycin300mg PO. Dilaudid4mg PO. Ativan1mg PO. Cardiac-ECG, NIBP,pulse oximeter monitors on during procedure. PRECHEABDLIPO-1 Doctor’s Signature Date Medical Assistant Signature Date PREOP CHECKLIST FOR COSMETIC TUMESCENT SURGERY Rev 1/21 ................
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