Scribe Common Procedures

Amputation

surgical or traumatic removal of an appendage

Angioplasty

Surgical opening up of a coronary artery

Appendectomy

Surgical removal of the appendix

Auscultation

the process of listening to the body using a stethoscope

Biopsy

sampling of tissue from an abnormal area, such as a lump or tumor

CABG

Coronary Artery Bypass Graft, usage of a mechanical or organic vessel to repair a block coronary artery

Cataract surgery

Surgical removal of a clouded lens of the eye

Cesarean section

delivery of a baby through a surgical incision in the abdomen

Cholecystectomy

surgical removal of the gall bladder

Colostomy

surgical hole in the colon, allowing fecal matter to be removed without passing through the rectum

CPR

Cardiopulmonary resuscitation. A lifesaving procedure of rescue breaths and chest compressions to restore someone’s breathing after the heart stops

Cystectomy

surgical removal of the bladder

Debridement

removal of dead tissue or foreign material from an open wound

Discharge

doctor’s order that a patient is ready to go home from a hospital or surgical facility

Gastric Balloon

weight loss surgery: surgical placement of a band at the top of the stomach restricting maximum food intake

Hemmorrhoidectomy

surgical removal of an inflamed vein in the rectum or anus

Hernia repair

surgical correction of an intestine that has pushed into a muscle or body cavity

Hysterectomy

surgical removal of the uterus

Informed consent

process of giving written permission to have a procedure and indicating that one understands why the procedure is needed, its intended result, and its risks and benefits

Injection

introduction of a medication or other foreign chemical to the body by way of a needle

Internal/external fixation

surgical repair and setting of a bone

Intubation

placement of tube down the trachea to facilitate breathing

Joint replacement

replacement of a knee, hip, shoulder joint with an artificial

Lithotripsy

breaking up the renal calculi (kidney stones) with sound waves so they can be passed in the urine

Lumbar Puncture

The withdrawal of cerebrospinal fluid through a hollow needle inserted into the lumbar region between the L4 and L5 vertebrae. Also referred to as a spinal tap.

Mastectomy

surgical removal of one or both breasts

Nephrectomy

kidney removal

Oophorectomy

surgical removal of the ovaries

Orchiectomy

surgical removal of the testicle

Paracentesis

perforation of a body cavity or cyst to remove extraneous fluid or gas

Pericardiocentisis

a procedure where they insert a syringe into the chest and drain the fluid from the pericardium

Roux en Y Gastric Bypass

weight loss surgery, surgical bypass of the stomach and part of the small intestine

Spinal Fusion

back surgery

Stent Placement

Placement of a hallow tube into a blocked or collapsed blood vessel or ureter

Tonsilectomy

surgical removal of one or both pharyngeal tonsils

Tracheotomy

an incision in the windpipe made to relieve an obstruction to breathing

Tubal Ligation

tying off of the Fallopian tubes

Vertical Sleeve Gastrectomy

weight loss surgery, stapling of the stomach