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6a) Postoperative TIME-OUT
Everything removed from and around the mouth/work area
Everything removed from and around the mouth/work area
Yes
N/A
No — patient will be referred
Additional checklist
N/A
Available and completed
Post‑operative instructions
Post‑operative instructions
N/A
Risks reiterated
Instructions provided verbally
Instructions provided in writing
Patient warned about possible post‑op sensitivity
Patient asked to inform us and return if discomfort appears or persists
Medication prescribed
Medication prescribed
N/A
Verbally recommended acetaminophen or ibuprofen
Discontinue medication before procedure
To be started/obtained before the procedure
Medications prescribed — see file
Finish previously prescribed medication — see file
Medication prescribed type
NSAID
Antibiotic
Steroid
Narcotic
Other
External referral
N/A
Yes
Comments
Comments
N/A
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6a) Postoperative TIME-OUT Everything removed from and around the mouth/work area: Yes Post‑operative instructions: Risks reiterated Medication prescribed: N/A External referral: N/A Comments: N/A
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