{"id":33145,"date":"2023-10-27T07:15:30","date_gmt":"2023-10-27T07:15:30","guid":{"rendered":"https:\/\/www.process.st\/templates\/dacryocystorhinostomy-procedure\/"},"modified":"2024-03-05T14:53:29","modified_gmt":"2024-03-05T14:53:29","slug":"dacryocystorhinostomy-procedure","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/dacryocystorhinostomy-procedure\/","title":{"rendered":"Dacryocystorhinostomy Procedure"},"content":{"rendered":"\n<section id=\"obtain-patient-consent\"> \n <h2>Obtain Patient Consent<\/h2>\n <div class=\"text-content\">\n   Ensure that the patient gives their informed consent to undergo the dacryocystorhinostomy procedure. Clearly explain the risks, benefits, and alternatives to the procedure. Emphasize the potential relief from chronic tearing and the improved tear drainage that the procedure aims to achieve. Address any questions or concerns the patient may have and provide them with the necessary consent forms. Make sure the patient understands the procedure and what to expect before proceeding. \n <\/div> \n <div class=\"text-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Patient Name <\/label> \n   <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\"> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"arrange-for-anaesthesia\"> \n <h2>Arrange for Anaesthesia<\/h2>\n <div class=\"text-content\">\n   Coordinate with the anesthesiologist to administer the appropriate anesthesia for the dacryocystorhinostomy procedure. Consider the patient's medical history, allergies, and any potential risks. Ensure that the patient is prepared for anesthesia by following the pre-anesthesia guidelines. Communicate any specific instructions or considerations to the anesthesiologist. \n <\/div> \n <div class=\"members-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Anesthesiologist <\/label> <select disabled class=\"form-control\"> <option value=\"A member or group will be selected here\">A member or group will be selected here<\/option> <\/select> \n  <\/div> \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Anesthesia Type <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      General Anesthesia \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Local Anesthesia \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Regional Anesthesia \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Monitored Anesthesia Care \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"apply-sterile-drapes-and-prep-operative-site\"> \n <h2>Apply Sterile Drapes and Prep Operative Site<\/h2>\n <div class=\"text-content\">\n   Prepare the patient's surgical site for the dacryocystorhinostomy procedure. Use sterile drapes to ensure a clean and controlled environment. Follow standard protocols for prepping the surgical area, which may include scrubbing, shaving, and applying antiseptic solutions. Take special care to maintain a sterile field throughout the process. \n <\/div> \n <div class=\"multi-select-content form-field-content\"> \n  <div class=\"form-group\"> <label> Prep Steps <\/label> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Clean the surgical site with antiseptic solution \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Place sterile drapes around the site \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Ensure proper lighting and exposure \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Verify surgical instruments and supplies \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       5 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Confirm patient identification \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"perform-lacrimal-sac-puncture-with-trocar\"> \n <h2>Perform Lacrimal Sac Puncture with Trocar<\/h2>\n <div class=\"text-content\">\n   Using a trocar, puncture the lacrimal sac to access the nasal cavity. This step allows for drainage and clearance of the blocked tear duct. \n <\/div> \n<\/section> \n<section id=\"confirm-access-to-nasal-cavity\"> \n <h2>Confirm Access to Nasal Cavity<\/h2>\n <div class=\"text-content\">\n   Ensure that access to the nasal cavity has been successfully achieved after puncturing the lacrimal sac. This step is crucial for the subsequent steps of the dacryocystorhinostomy procedure. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Confirmation Result <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Access confirmed \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Access not achieved \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"approval-access-verification\"> \n <h2>Approval: Access Verification<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Confirm Access to Nasal Cavity<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"insert-stent-through-lacrimal-duct\"> \n <h2>Insert Stent through Lacrimal Duct<\/h2>\n <div class=\"text-content\">\n   Insert a stent through the lacrimal duct into the nasal cavity. The stent helps in maintaining the integrity of the newly created connection between the lacrimal sac and the nasal cavity. \n <\/div> \n<\/section> \n<section id=\"secure-stent-in-place\"> \n <h2>Secure Stent in Place<\/h2>\n <div class=\"text-content\">\n   Ensure that the stent inserted into the lacrimal duct is securely in place to prevent displacement or accidental removal. This step promotes proper healing and function of the newly created passage. \n <\/div> \n<\/section> \n<section id=\"create-surgical-flap-on-lacrimal-sac\"> \n <h2>Create Surgical Flap on Lacrimal Sac<\/h2>\n <div class=\"text-content\">\n   Create a surgical flap on the lacrimal sac to facilitate its attachment to the nasal mucosa. This step aims to ensure a secure and stable connection for proper tear drainage. \n <\/div> \n<\/section> \n<section id=\"suture-the-lacrimal-sac-to-the-nasal-mucosa\"> \n <h2>Suture the Lacrimal Sac to the Nasal Mucosa<\/h2>\n <div class=\"text-content\">\n   Suture the lacrimal sac to the nasal mucosa, firmly anchoring it in place. This step promotes proper alignment and prevents complications such as leakage or displacement. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Suture Material <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Absorbable sutures \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Non-absorbable sutures \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"remove-excess-bone-in-nasal-cavity\"> \n <h2>Remove Excess Bone in Nasal Cavity<\/h2>\n <div class=\"text-content\">\n   Carefully remove any excess bone that may obstruct the newly created pathway in the nasal cavity. This step ensures clear passage for tear drainage. \n <\/div> \n <div class=\"multi-choice-content form-field-content\"> \n  <div class=\"form-group\"> <label> Tools for Bone Removal <\/label> <select disabled class=\"form-control\"> <option value=\"\">Multiple options can be selected from this list<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Burr \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Rongeur \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Chisel \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Osteotome \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       5 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      None \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"position-patient-for-postop-imaging\"> \n <h2>Position Patient for Post-Op Imaging<\/h2>\n <div class=\"text-content\">\n   Position the patient appropriately for post-operative imaging, such as X-rays or CT scans. These imaging studies help in assessing the success of the dacryocystorhinostomy procedure. \n <\/div> \n <div class=\"select-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Imaging Type <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      X-ray \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      CT scan \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Both \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      None \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"approval-postop-imaging-check\"> \n <h2>Approval: Post-Op Imaging Check<\/h2>\n <div class=\"approval-content\"> \n  <div class=\"header\"> \n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div> \n  <\/div> \n  <div class=\"approval-rule-subject-tasks-list\"> \n   <ul class=\"list\"> \n    <li> \n     <div class=\"approval-rule-subject-tasks-list-item\"> \n      <div class=\"item\"> \n       <div class=\"container\"> <span class=\"title\">Position Patient for Post-Op Imaging<\/span> \n        <div class=\"body\">\n         Will be submitted\n        <\/div> \n       <\/div> \n      <\/div> \n     <\/div> <\/li> \n   <\/ul> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"monitor-patient-for-immediate-postop-complications\"> \n <h2>Monitor Patient for Immediate Post-Op Complications<\/h2>\n <div class=\"text-content\">\n   After the completion of the dacryocystorhinostomy procedure, closely monitor the patient for any immediate post-operative complications. Promptly address any issues to ensure proper healing and patient well-being. \n <\/div> \n <div class=\"multi-select-content form-field-content\"> \n  <div class=\"form-group\"> <label> Monitoring Checklist <\/label> \n  <\/div> \n  <ul class=\"items\"> \n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       1 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Pain assessment \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       2 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Bleeding \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       3 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Infection signs \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       4 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Swelling evaluation \n    <\/div> <\/li>\n   <li class=\"item\"> \n    <div class=\"step-number-container\"> \n     <div class=\"step-number\">\n       5 \n     <\/div> \n    <\/div> \n    <div class=\"step-checkbox-container\"> \n     <div class=\"step-checkbox\"><\/div> \n    <\/div> \n    <div class=\"item-name-static\">\n      Eye movement evaluation \n    <\/div> <\/li> \n  <\/ul> \n <\/div> \n<\/section> \n<section id=\"instruct-patient-on-postop-care\"> \n <h2>Instruct patient on Post-Op Care<\/h2>\n <div class=\"text-content\">\n   Provide the patient with detailed instructions on post-operative care following the dacryocystorhinostomy procedure. Thoroughly explain how to care for the surgical site, manage pain, and recognize signs of complications. \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Post-Op Care Instructions <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"schedule-followup-appointment\"> \n <h2>Schedule Follow-Up Appointment<\/h2>\n <div class=\"text-content\">\n   Arrange a follow-up appointment with the patient to assess the progress of the dacryocystorhinostomy procedure and address any concerns. This step ensures proper post-operative management and optimal outcomes. \n <\/div> \n <div class=\"date-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Appointment Date <\/label> \n   <div class=\"date-container\"> <button type=\"button\" disabled class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button> \n   <\/div> \n  <\/div> \n <\/div> \n <div class=\"members-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Clinic Staff <\/label> <select disabled class=\"form-control\"> <option value=\"A member or group will be selected here\">A member or group will be selected here<\/option> <\/select> \n  <\/div> \n <\/div> \n<\/section> \n<section id=\"document-procedure-in-patients-medical-record\"> \n <h2>Document Procedure in Patient's Medical Record<\/h2>\n <div class=\"text-content\">\n   Accurately document the details of the dacryocystorhinostomy procedure in the patient's medical record. Include information such as the date, surgical techniques used, complications encountered, and post-operative instructions. \n <\/div> \n <div class=\"date-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Date of Procedure <\/label> \n   <div class=\"date-container\"> <button type=\"button\" disabled class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button> \n   <\/div> \n  <\/div> \n <\/div> \n <div class=\"textarea-field-content form-field-content\"> \n  <div class=\"form-group\"> <label> Procedure Details <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea> \n  <\/div> \n <\/div> \n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Obtain Patient Consent Ensure that the patient gives their informed consent to undergo the dacryocystorhinostomy procedure. Clearly explain the risks, benefits, and alternatives to the procedure. Emphasize the potential relief from chronic tearing and the improved tear drainage that the procedure aims to achieve. Address any questions or concerns the patient may have and provide [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"\ud83d\udc43","cover_icon_url":"","tasks_count":"17","template_description":"","template_id":"gsYGLnIYzfsdfGvM3rxL8w","task_0":"Obtain Patient Consent","task_slug_0":"obtain-patient-consent","task_1":"Arrange for Anaesthesia","task_slug_1":"arrange-for-anaesthesia","task_2":"Apply Sterile Drapes and Prep Operative Site","task_slug_2":"apply-sterile-drapes-and-prep-operative-site","task_3":"Perform Lacrimal Sac Puncture with Trocar","task_slug_3":"perform-lacrimal-sac-puncture-with-trocar","task_4":"Confirm Access to Nasal Cavity","task_slug_4":"confirm-access-to-nasal-cavity","task_5":"Approval: Access Verification","task_slug_5":"approval-access-verification","task_6":"Insert 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