David Daniels M.D.

Physician Name

Contact	Phone Number Pager Number
Glove Size	7.5 Ortho
Micropuncture/US	Micro/US for Arterial Big needle for venous
Radial Setup	Same as PH
Radial Cocktail	200 NTG 2.5 Verapamil 60u/Kg Heparin
Groin Setup	Standard
Interventional Setup	Runthrough
Closure Device	Perclose
Right Heart Setup	Not likely

Procedure Prefrences

TAVR

• ITEMS TO ALWAYS OPEN
• (2) Items in ALL CAPS
• (quantity) ITEM

Standby

• STANDBY ITEMS
• GO HERE

Procedure

• Bullet list of typical procedure steps
• More steps

Inset alternative steps
or notes
Start line with a space
     More spaces inset more

---

Procedures separated by HR lines

---

---

APPROVED: MD initials MM/YY