Get the free PREOPERATIVE ASSESSMENT AND CALL SHEET

PREOPERATIVE ASSESSMENT AND CALL SHEET Home Phone # Name: Scheduled Date & Time: Procedure: Anesthesia Type: General Sex: Male Female Local/General Age: Height: Work Phone # Surgeon: Regional Local

How to fill out preoperative assessment and call

How to fill out a preoperative assessment and call:

1. Obtain the patient's complete medical history, including any allergies, previous surgeries, and current medications, and document it accurately.
2. Conduct a comprehensive physical examination, paying close attention to any relevant findings, such as signs of infection or existing medical conditions.
3. Discuss the anesthetic plan with the patient, addressing any concerns or questions they may have, and obtain their informed consent.
4. Complete the necessary paperwork, ensuring that all relevant details are included, such as the patient's name, date of birth, and contact information.
5. Document the patient's vital signs, including their blood pressure, heart rate, and oxygen saturation levels, both before and after the preoperative assessment.
6. Coordinate with the surgical team to discuss any special considerations or precautions that need to be taken for the patient during the surgery.
7. Provide the patient with clear instructions regarding preoperative fasting, medication management, and any necessary preoperative tests or evaluations.
8. Ensure that all necessary preoperative lab work, imaging studies, and consultations with other medical specialists are scheduled and completed.
9. Communicate effectively with the patient, providing them with accurate and easy-to-understand information regarding the preoperative assessment and call process.

Who needs preoperative assessment and call?

1. Any patient scheduled to undergo a surgical procedure, regardless of its complexity or invasiveness.
2. Patients with certain medical conditions, such as heart disease, diabetes, or respiratory issues, that may require additional evaluations or precautions before surgery.
3. Individuals with a history of adverse reactions to anesthesia or significant anesthesia-related complications in previous surgeries.
4. Patients who are taking medications that may interfere with the anesthetic management or pose potential risks during surgery.
5. Elderly patients or those with multiple comorbidities, as they may require more thorough preoperative assessments to ensure their overall fitness for surgery.
6. Patients undergoing high-risk surgeries, such as major organ transplants or complex cancer surgeries, as they may require extensive preoperative evaluations and consultations with multiple specialists.

For pdfFiller’s FAQs

What is preoperative assessment and call?

Preoperative assessment and call is a process where medical professionals evaluate a patient's health status before a surgical procedure and communicate with the patient about the upcoming surgery.

Who is required to file preoperative assessment and call?

Surgeons, anesthesiologists, and other healthcare providers involved in the surgical procedure are required to conduct and document preoperative assessment and call.

How to fill out preoperative assessment and call?

Preoperative assessment and call forms are typically filled out by healthcare providers using electronic medical record systems or paper forms. Providers document the patient's medical history, current medications, allergies, and other relevant information.

What is the purpose of preoperative assessment and call?

The purpose of preoperative assessment and call is to ensure that the patient is in optimal health for surgery, identify and address any potential risks or complications, and provide the patient with information and instructions to prepare for the procedure.

What information must be reported on preoperative assessment and call?

The preoperative assessment and call form typically includes the patient's medical history, current medications, allergies, physical examination findings, lab test results, and any recommendations or instructions for the patient.

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