Procedure Note

Date: [Insert date] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Summary statement including patient's age, gender, and the procedure performed] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely. Entire statement must be written in bold and italics.) Indication for Procedure: [Insert detailed clinical indication and rationale for the procedure] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Procedure: [Insert a detailed chronological description of the procedural steps, including anatomical landmarks, instruments used, and intra-procedural outcomes] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Type of suture material used, including gauge and number of sutures: [Insert suture material, gauge, and number of sutures] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Type of cautery used, including settings or method: [Insert cautery type and settings or method] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Description of dressing layers applied, including specific products or techniques: [Insert dressing layers and products used] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Post-Procedure Instructions: Wound Care Instructions: [Insert wound care instructions including cleaning, dressing changes, and signs of infection to monitor] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Referral: [Insert referral details to wound care specialist or wound sister, including reason and instructions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Follow-up Instructions: [Insert follow-up appointment details including timing, purpose, and preparation requirements] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Specimen Collection: [Insert details of specimens sent for histology, cytology, or microbiology, including specimen type and receiving laboratory] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit the section entirely. Never come up with your own patient details, procedure details, assessments, interpretations, plans, instructions, or follow-up. Use only the transcript, contextual notes, or clinical note as the source of truth. If any information related to a placeholder has not been explicitly mentioned, do not state that it is missing—simply omit the placeholder or section entirely. Use as many lines, paragraphs, or bullet points as needed to accurately capture the documented information.)