The surgical module documents and coordinates the whole operating theatre cycle: from the preoperative sheet and anaesthetic assessment, through planning and the intervention itself, to recovery, safety records, and post-discharge follow-up.
A surgical process begins when the surgeon creates a preoperative sheet, or designated staff create an operating room reservation sheet on the surgeon's instructions. Either document assigns an intervention code that identifies the patient throughout the cycle and places the case on the surgical waiting list. Where anaesthesia is required, the anaesthetist completes a pre-anaesthesia sheet and gives, or withholds, the green light for surgery. Nursing staff carry out a pre-surgical interview between arrival and the operation.
The operating room planner shows each theatre's occupancy by day, week, or month. Schedulers assign confirmed cases to a theatre, date, and time, with the system reserving the required duration, checking surgical equipment availability, and managing cleaning reserve times. A companion anaesthesia planner assigns anaesthetists in shift blocks, and theatres can be blocked for maintenance or other reasons. Planned cases flow automatically to the surgical worklist for the day, and unplanned cases wait in a pending interventions list. Urgent cases go straight to the worklist; local procedures outside the theatre need no planning.
| Document | Purpose |
|---|---|
| Surgical safety record | Structured safety checks around the intervention. |
| Anaesthetic report | Anaesthetic technique, fluids, estimated losses, agents, and other medication, signed by the anaesthetist. |
| Surgical report | The operation detail, signed by the surgeon, with a controlled corrective action process for amendments; new tests can be requested from it. |
| Theatre nursing record | Care given during the surgical process, recorded by nursing staff. |
| Operating room record | The mandatory registration data for each intervention, feeding the theatre record book. |
| PACU sheet | Recovery and post-anaesthesia observation after the intervention. |
| Analgesia sheets | Post-operative and obstetric analgesia records. |
Progress in the day care surgical unit is recorded until discharge, and a post-discharge interview with the patient or relatives closes the loop. Throughout the cycle, staff can log the information given to relatives about the patient's condition.
Surgical documents live inside the shared medical history, so diagnoses, allergies, and test results are at hand in theatre. Planning links to admissions for reservations and equipment, to blood bank for blood product requests, and completed interventions flow through to billing.