Procedure Page Template

Procedure Name

Short Procedure Name
Anesthesia	Imaging	Access	Pre-Procedure
General	Fluoro and TEE	Femoral Vein x2 Femoral Artery x1	Aspirin

Main Header e.g. wires,sheaths:

Open

• ITEMS TO ALWAYS OPEN
• (2) Items in ALL CAPS
• (quantity) ITEM

Standby

• STANDBY ITEMS
• GO HERE

Procedure

• Bullet list of typical procedure steps
• More steps

Inset alternative steps
or notes
Start line with a space
     More spaces inset more

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APPROVED: MD initials MM/YY