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UMC OUTPATIENT PEDIATRIC PREOPERATIVE ORDERS Procedure Date: Procedure: Admitting Diagnosis: 1. Attending Physician: 2. Resident/Fellow: 3. Admit: Out Patient (OPS) 4. Consent signed and placed in
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How to fill out umc outpatient pediatric pre-operative
How to fill out umc outpatient pediatric pre-operative:
Fill out the patient's demographic information:
01
Write the patient's full name, date of birth, and gender.
02
Provide the patient's address, phone number, and emergency contact details.
03
Include the primary care physician's name and contact information.
Provide insurance details:
01
Mention the patient's insurance information, including the insurance company's name, policy number, and group number.
02
Add any additional insurance or Medicaid details, if applicable.
Medical history:
01
Document the patient's medical history, including any previous surgeries, allergies, or chronic conditions.
02
Indicate any medications the patient currently takes, including dosage and frequency.
03
Include information about any known adverse reactions or complications to anesthesia.
Complete the pre-operative questionnaire:
01
Answer the questions regarding the patient's general health status, such as current symptoms, exercise tolerance, and recent illnesses.
02
Provide information on the patient's nutritional status, including dietary restrictions or special diets.
03
Mention any recent changes in weight or growth patterns.
Review and sign consent forms:
01
Read through the consent forms carefully, ensuring you understand the risks, benefits, and alternatives to the procedure.
02
Sign the consent forms, indicating that you have received all necessary information and agree to proceed with the surgery.
Discuss anesthesia options:
01
Have a discussion with the anesthesiologist regarding the type of anesthesia planned for the procedure.
02
Address any concerns or questions regarding anesthesia, such as potential side effects or post-operative pain management.
Who needs umc outpatient pediatric pre-operative?
01
Children who are scheduled for outpatient surgical procedures at the UMC pediatric facility.
02
Parents or legal guardians of pediatric patients receiving surgical care at UMC.
03
Patients and families who want to ensure a smooth pre-operative process and adequate medical documentation before the surgery.
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What is umc outpatient pediatric pre-operative?
UMC outpatient pediatric pre-operative is a form that needs to be filled out before a pediatric patient undergoes surgery at University Medical Center.
Who is required to file umc outpatient pediatric pre-operative?
The parents or legal guardians of the pediatric patient are typically required to file the umc outpatient pediatric pre-operative form.
How to fill out umc outpatient pediatric pre-operative?
To fill out the umc outpatient pediatric pre-operative form, parents or legal guardians must provide detailed information about the patient's medical history, current medications, and any allergies.
What is the purpose of umc outpatient pediatric pre-operative?
The purpose of umc outpatient pediatric pre-operative is to ensure the safety of the pediatric patient during the surgical procedure by providing necessary medical information.
What information must be reported on umc outpatient pediatric pre-operative?
Information such as medical history, current medications, and allergies must be reported on the umc outpatient pediatric pre-operative form.
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