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Start Time
Start Time
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Created by Qualaris Staff
Critical Access Hospital
Operating Room
Table of Contents
Audit Form
Audit Form
Start Time
Required
Observed Date
Surgeon
Do not enter protected health information (PHI)
Unit
ED
ICU
Med-Surg
PACU
Rehab
Occupation
Facilities
MD-NP-PA
NA
RN
Other
Start Time Checklist
Mark all as...
Case started within 15 minutes of scheduled time?
Yes
No
Reason for Delay (optional)
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