Plastic surgery - PDF

							CASEMIX GUIDELINES: PLASTIC SURGERY
ALWAYS DOCUMENT ON THE DISCHARGE SUMMARY: All treated/investigated conditions & procedures performed Complications arising during the admission Comorbidities affecting the admission BE SPECIFIC WITH THE FOLLOWING: Debridement of soft tissue vs skin Specify if cleft involves hard and/or soft palate and is bilateral or unilateral. Specify if the condition is congenital Avoid using acronyms and abbreviations Be specific with grafts. Eg. Split thickness vs full thickness Be specific with flaps and free flaps. Eg innervated vs non-innervated flap Specify if injury involves tendon, nerve or arterial damage

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COMMON COMPLICATIONS & COMORBIDITIES (CC’s): This is a list of common CC’s for Plastic Surgery. It is not complete. All CC’s should be documented on the discharge summary. Anaemia Atelectasis Cerebral Palsy (type) Cyanosis Diabetes Failure to thrive Feeding difficulties Hypokalaemia Infectious agents Pleural effusion Pneumonia Pneumothorax Post operative infection Pulmonary collapse Renal failure Wound dehiscence

For further assistance, please contact your Divisional HIMs: Jane Stevenson, ext 6134 & Jaime Kakoniktis, ext 6384.