Nurse Pat - Airway and Anesthesia History

Call Transcript

Assistant

Charlotte, I am going to ask

User

Can you hear that? Yep. Alright. Yeah. Sorry. I was busy. Go ahead.

Assistant

Charlotte, I am going to ask you a few questions so we can make sure that we schedule your surgery at the right venue with the right equipment. Have you ever had a problem with anesthesia, like being hard to wake up or hard to breathe for?

User

Yeah. Yeah. I I remember. I I was very sore. I don't remember exactly why.

Assistant

I understand you were very sore but don't remember exactly why. Let me ask you specifically - have you ever had a problem with anesthesia, like being hard to wake up or hard to breathe for?

User

Yeah. I think so. Yeah.

Assistant

Can you open your mouth wide enough to fit three of your own fingers stacked up and down?

User

What again? I I didn't understand. What do you mean stacked up and down?

Assistant

I mean can you open your mouth wide enough to fit three of your fingers placed vertically, one on top of the other, between your teeth?

User

Yeah. I'm able to do that.

Assistant

Do you have any loose teeth, chipped teeth, or caps or crowns?

User

My front right tooth has a small chip in it.

Assistant

Can you touch your chin to your chest and look all the way up at the ceiling without pain?

User

That is silly. I just did it. Yeah. Sure. Yes.

Assistant

Thank you. I just want to quickly confirm what I've noted down. You've had some issues with anesthesia in the past, you can open your mouth wide enough for three fingers, you have a small chip in your front right tooth, and you have good neck mobility. Is that all correct?

User

Assistant

Delivered Information:
{
  "history": "Patient reports past issues with anesthesia - was very sore after procedure but doesn't remember exactly why",
  "mouthOpening": "",
  "dentalHealth": "Small chip in front right tooth",
  "neckMobility": "No mobility issues"
}
Assistant

Perfect, thank you Charlotte. I've

User

You see what happened on the right hand side there? It generated what is a structured note.

Assistant

Yes, I can