Post Operative Note Template
| Date/Time |
|
POD#____ |
| Subjective: |
how patient is feeling, pain control,
diet, ambulating, any complaints,
Lochia, passing flatus/bm |
| Objective: |
Vitals, temperature, I/Os
General appearance
Chest/CV
Abdomen—incision-clean/dry/intact, assess
bowel sounds, ?tenderness- describe where
Extremities—edema |
| Assessment and Plan: |
|
| |
__year old, POD#__ s/p__________________
pain controlled , consider d/c PCA, change to oral
meds
D/C foley, advance diet with flatus, encourage ambulation,
etc. |
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