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Dİ.FR.052 - DİYALİZ HASTASI FİSTÜL TAKİP FORMU

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Demo Hastanesi (Prokalite.Com) DİYALİZ HASTASI FİSTÜL TAKİP FORMU

Doküman Kodu: Dİ.FR.052

Yayın Tarihi: 14.05.2025

Revizyon Tarihi: -

Revizyon No: -

Sayfa: Otomatik

FiSTOL KAN0LASYONU	EVET	HAYIR	EVET	HAYIR	EVET	HAYIR
Fistül yeri su ve sabunla yıkandı
El hijyeni uygulandı
Temiz eldiven giyildi
Uygun şekilde cilt antiseptiği uygulandı
Antiseptiğin kuruması beklendi
Antisepsi sonrası fistül yerine temas etmedi
Fistül aseptik ş ekilde kanüle edildi
Fistül cihaza aseptik olarak bağlandı
Eldiven çıkarıldı
El hijyeni uygulandı
FiSTÜL DEKANÜLASYONU
El hijyeni uygulandı
Temiz eldiven giyildi
Cihazda aseptik olarak aynldı
İğneler aseptik olarak aynldı
Fistü l yerine baskı uygulamak için temiz eldiven giyildi
Fistül yerine temiz gazlı bez yerleştirildi
Eldiven çıkanldı
El hijyeni uygulandı
FiSTÜL YERi : FİSTÜL YERi GÖZLEMİ (Enfeksiyon belirti ve bulguları):	FORMU DOLDURAN

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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px"><span style="font-size:11pt"><span style="color:#1a1c1c"><span style="font-size:10pt"><strong>FiSTOL</strong></span></span><span style="color:#1a1c1c"><span style="font-size:10pt"><strong> </strong></span></span><span style="color:#1a1c1c"><span style="font-size:10pt"><strong>KAN0LASYONU</strong></span></span></span></td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">EVET</td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px"><span style="color:#1a1c1c"><span style="font-size:10pt"><strong>HAYIR</strong></span></span></td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">EVET</td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px"><span style="color:#1a1c1c"><span style="font-size:10pt"><strong>HAYIR</strong></span></span></td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">EVET</td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px"><span style="color:#1a1c1c"><span style="font-size:10pt"><strong>HAYIR</strong></span></span></td>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Fistül</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>yeri</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>su</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>ve</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>sabunla</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>yıkandı</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>El</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>hijyeni</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>uyguland</strong></span></span><span style="color:#5b5d5d"><span style="font-size:9pt"><strong>ı</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:11px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Temiz</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>eldiven</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>giyildi</strong></span></span></span></p>
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#303030"><span style="font-size:9pt"><strong>Uygun</strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong>ş</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>ekilde</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>cilt</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>antiseptiği</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>uygulandı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:45px">
   <p style="text-align:left"> </p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:53px">
   <p style="text-align:left"> </p>
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  </tr>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#303030"><span style="font-size:9pt"><strong>Antiseptiğin</strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong>kuruması</strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>beklendi</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Antisepsi</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>sonrası</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>fistül</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong>yerine</strong></span></span><span style="color:#303030"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>temas</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>etmedi</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Fi</strong></span></span><span style="color:#5b5d5d"><span style="font-size:9pt"><strong>s</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>tül</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>aseptik</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>ş</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>ekilde</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>kanüle</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>edildi</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Fistül</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>cihaza</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>aseptik</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>olarak</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong>bağlandı</strong></span></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#424444"><span style="font-size:9pt"><strong>Eldiven</strong></span></span><span style="color:#424444"><span style="font-size:9pt"><strong> </strong></span></span><span style="font-size:9pt"><strong>çıkarıldı</strong></span></span></p>
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   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
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   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:2px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:23px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>El</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>hijyeni</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>uygu</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>andı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td colspan="7" style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; vertical-align:top; width:592px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#171c1a"><span style="font-size:9pt"><strong>FiSTÜL</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>DEKANÜLASYONU</strong></span></span></span></p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>El</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>hijyeni</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>uyguland</strong></span></span><span style="font-size:12pt"><strong>ı</strong></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#303433"><span style="font-size:9pt"><strong>Temiz</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>e</strong></span></span><span style="color:#5d5d5d"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>diven</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>giyildi</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:14px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>Cihazda</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>aseptik</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>o</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>arak</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>ayn</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>d</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>ı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:15px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>İğneler</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>aseptik</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>olarak</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>aynldı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:28px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#303433"><span style="font-size:9pt"><strong>Fistü</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>yerine</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>baskı</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>uygulamak</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>için</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>temiz</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>eldiven</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>giyildi</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:15px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>F</strong></span></span><span style="color:#5d5d5d"><span style="font-size:9pt"><strong>i</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>stül</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>yerine</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>temiz</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>gazlı</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>bez</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>yerleştirildi</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:16px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>Eldiven</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>çıkanldı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:2px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; height:16px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#444644"><span style="font-size:9pt"><strong>El</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>hijyeni</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>uyg</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>u</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>landı</strong></span></span></span></p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:36px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:45px">
   <p style="text-align:left"> </p>
   </td>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:2px solid #000000; width:53px">
   <p style="text-align:left"> </p>
   </td>
  </tr>
  <tr>
   <td style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; height:99px; width:309px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#171c1a"><span style="font-size:9pt"><strong>FiSTÜL</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>YERi</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>:</strong></span></span></span></p>

<p style="text-align:left"><span style="font-size:11pt"><span style="color:#171c1a"><span style="font-size:9pt"><strong>FİSTÜL YERi GÖZLEMİ (Enf</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>e</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>k</strong></span></span><span style="color:#444644"><span style="font-size:9pt"><strong>si</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>yon be</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>l</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>i</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>rt</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>i </strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>ve</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>bulgul</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>ar</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>ı):</strong></span></span></span></p>
   </td>
   <td colspan="6" style="border-bottom:3px solid #000000; border-left:3px solid #000000; border-right:3px solid #000000; border-top:3px solid #000000; width:280px">
   <p style="text-align:left"><span style="font-size:11pt"><span style="color:#171c1a"><span style="font-size:9pt"><strong>FOR</strong></span></span><span style="color:#303433"><span style="font-size:9pt"><strong>M</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>U</strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong> </strong></span></span><span style="color:#171c1a"><span style="font-size:9pt"><strong>DOLDURAN</strong></span></span></span></p>
   </td>
  </tr>
 </tbody>
</table>