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Repeat Pain Blocks
Repeat Pain Blocks
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Created by Qualaris Staff
Critical Access Hospital
Recovery Room
Table of Contents
Audit Form
Audit Form
Repeat Pain Blocks
Description
To track effectiveness of Pain Blocks during the Peri-Operative period
Required
Observed Date
Provider for Initial Block
CRNA
Anesthesiologist
Anesthesia Type
General
Spinal
MAC
Repeat Pain Blocks Checklist
Mark all as...
Block Repeated Post Op
No
Yes
Effective
Yes
No
