At any time after leaving the facility, Possible signs of infection include did you have pain as a result of fever, swelling, heat, drainage or your procedure? redness. Before you left the facility, did your doctor or anyone from the Yes facility give you information about No what to do if you had possible signs of infection? Before you left the facility, did your Yes, definitely doctor or anyone from the facility give you information about what to Yes, somewhat do if you had nausea or vomiting? No Yes, definitely At any time leaving the facility, Yes, somewhat did you have any signs of No infection? Yes At any time leaving the facility, did you have nausea or vomiting as No a result of either your procedure or the anesthesia? V. Yes No any number from 0 to 10, where 0 is the worst facility possible and 10 is the best facility Before you left the facility, did your possible, what number would you doctor or anyone from the facility use to rate this facility? give you information about what to do if you had bleeding as a result 0 Worst facility possible of your procedure? 1 Yes, definitely 2 Yes, somewhat 3 No 4 5 At any time after leaving the facility, 6 did you have bleeding as a result of 7 your procedure? 8 Yes 9 No 10 Best facility possible
At any time after leaving the facility, did you have pain as a result of your procedure? Yes No Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had nausea or vomiting? Yes, definitely Yes, somewhat No At any time leaving the facility, did you have nausea or vomiting as a result of either your procedure or the anesthesia? Yes No Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had bleeding as a result of your procedure? Yes, definitely Yes, somewhat No At any time after leaving the facility, did you have bleeding as a result of your procedure? Yes No Possible signs of infection include fever, swelling, heat, drainage or redness. Before you left the facility, did your doctor or anyone from the facility give you information about what to do if you had possible signs of infection? Yes, definitely Yes, somewhat No At any time leaving the facility, did you have any signs of infection? Yes No V. any number from 0 to 10, where 0 is the worst facility possible and 10 is the best facility possible, what number would you use to rate this facility? 0 Worst facility possible 1 2 3 4 5 6 7 8 9 10 Best facility possible
OASCAHPS_ProtocolsGuidelinesManual_v1.1.docx