PREOP CHECKLIST
Name
Hx. #
Ward
Attending
OR Room
Procedure
Dentition
Carotid
UE BP: Right
UE BP: Left
Pedal Pulses
Veins
Labs:	H8
	M7
	PT/PTT
Type & cross
CXR
EKG
UA
Preop Note
Preop Orders:
1. NPO except meds
2. Ancef or Vanco 5gm to chart
3. TNG SL 0.4mg to chart
4. Hibiclens scrubs x3
5. D/C ASA
6. Continue heparin
Consent

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