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Free template

Operative note template

The procedure note in the order a colleague reads it the next morning, from indication to post-procedure plan.

Download the PDFFree, no sign-up. Fill it in on screen or print it.
Operative note template: page one of the PDF

What it asks for

What is on the formThe secretary completes

  • Practice letterhead, date and reference
  • Patient: name, date of birth, MRN and address
  • Date, time, consultant, location and anaesthesia
  • Diagnosis and indication
  • Procedure performed and technique
  • Findings, specimens and devices
  • Complications, blood loss and condition
  • Post-procedure plan and instructions
  • Follow-up
  • Sign-off: name, qualifications and Irish Medical Council number

Using it well

  • Record implants and devices with the detail your hospital's traceability process asks for.
  • Write the post-procedure plan so the ward team can act on it without phoning.

Open it in the sample practice

The sample practice is the real Ask Brigid on invented patients, open without a sign-up. This document joins its Library with the next sample-practice update; the Library already holds the practice’s templates.

Sources

Checked against the sources above on 23 September 2026. Issuers change their forms; check the official page before you rely on a detail here.

In Ask Brigid this paperwork sits beside the diary and the record: Theatre lists and procedures for private urologists.

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