Worksheet

Implant reconciliation sheet

A daily reconciliation sheet for the theatre store. Rows list each implant issued with catalogue number, lot, expiry, patient, surgeon and procedure. Columns show issued, opened, returned and billed, with a difference column and a signature box for the store and the scrub nurse. A second block lists loaner trays in and out.

Name: ______________________   Business: ______________________   Date: ______________

Scroll the table sideways to see every column.

Cross out or rewrite any heading that does not fit your business. From the guide “Implant and Consumable Stock Mismatches in an Orthopaedic OR”, www.gullysystem.com/blog/implant-and-consumable-stock-mismatches-in-an-orthopaedic-or