Dr. Jesus Ramirez

  
 12/4/2023 02:58 PM 
 TO: 16103548xxx FROM: 8333674xxx 
 Page: 41 
 TAMPA BAY SURGERY CENT 
 PRE-OPERATIVE ASSESSMENT 
 Christopher Parker
 C11920 DOB:93/11/02 
 PRADA, S. MD 
 Admission Date: 
 23/07/31 
 Admission Time: 
 652 
 Mode: Amb Walker Cane Crutches 
 Admitted: Chair Stretcher 
 W/C Carried Carrier Stroller 

 Male PMP BTL Hyst Oophorectomy Other 
 Glucometer Results: 
 Time: 
 N/A 
 Removables: Dentures Partials Removed N/A 
 (Normal Range = 80mg/dl to 110 mg/dl) 
 Glasses Contacts Removed N/A 
 Pre-Procedure Prep: 
 Type: 
 Site: 
 Jewelry: 
 Removed N/A 
 By: 
 N/A 
 Jewelry Waiver in Chart 
 Cold Therapy Immobilizer SCD TED Hose IS 
 Belongings Bag: PACU Family Patient N/A 
 NPO Status: 
 Last Solid 
 MVD 
 Last Liquid ww 
 
 Pre-Op Nurse Signature: for
