DA Form 5179-1. Intraoperative Document

DA Form 5179-1, Intraoperative Document, serves as a crucial record during surgical procedures to document important information and actions taken during the operation. This form is used to ensure accurate communication between the surgical team and to maintain a comprehensive record for post-operative assessment.

The form consists of sections where the surgical team records patient information, surgical procedure details, anesthesia information, equipment used, medications administered, and any unexpected events or complications encountered during surgery.

Important fields in this form include patient identification, surgical procedure type, anesthesia details, medications administered (including dosages and times), and notes regarding any significant events or complications. Accurate completion of this form is essential for maintaining a complete surgical record and facilitating post-operative care and assessment.

Application Example: During a complex surgical procedure, the surgical team uses DA Form 5179-1 to document each step of the operation, including anesthesia administration, surgical techniques employed, and any unexpected complications. This form ensures that the entire team is informed about the progress of the surgery and enables a thorough review of the procedure for future reference.

No additional documents are typically required to complete this form, as it is designed to capture all necessary information within its sections.

No direct alternatives or analogues to DA Form 5179-1 are mentioned, as its purpose is quite specific to the documentation of intraoperative events.