WESTON HOSPITAL 629 Healthcare Way SOMEWHERE, FL 32811 407-555-6541

PATIENT: UPTON, MAXINE ACCOUNT/EHR #: UPTOMA001 DATE: 09/25/18 Diagnosis: Medulloblastoma Procedure: Central Venous Access Device (CVAD) insertion Physician: Vincent Hoyt, MD Anesthesia: Conscious sedation

PROCEDURE: Patient is a 4-year-old female, with a recent diagnosis of malignancy. Due to an upcoming course of chemotherapy, the CVAD is being inserted to ease administration of the drugs. The patient was placed on the table in supine position and 1 mg of Versed was administered IM; moderate sedation was achieved, 13 minutes. Maxine's vital signs were monitored by the nurse. The incision was made to insert a central venous catheter, centrally. During the placement of the catheter, a short tract (nontunneled) was made as the catheter was advanced from the skin entry site to the point of venous cannulation. The catheter tip was set to reside in the subclavian vein. The patient was gently aroused from the sedation and was awake when transported to the recovery room.

VH/mgD: 09/25/18 09:50:16T: 09/25/18 12:55:01