Cardiovascular-Thoracic Surgery (Vascular)
Name:
Date: Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2008 2009 2010 2011 2012
Level 1
Time spent on Procedure:
Scrub Circulate
Procedure: ____________________ Vein Stripping
Level 2
Procedure: ____________________ Femoral Embolectomy Carotid Endarterectomy Fem-Pop Bypass Declot AV Fistula AV Fistula-Arm AV Fistula-Leg Venogram Axillary Bi-Fem Ileo Popliteal
Level 3
Procedure: ____________________ Aortic Bi Femoral Aneurysm Abdominal Aortic
Other:
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