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)(A copy should be provided to the patient ANESTHESIANature of the medical issue anesthesia before surgery/procedure*: ___ ___ (*Name of the surgery / procedure appears as a general definition only.

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How to fill out preoperative evaluation and preparation

01

Gather patient's medical history including any previous surgeries, medical conditions, allergies, and medications.

02

Perform a physical examination to assess the patient's current health status.

03

Order any necessary lab work such as blood tests, urine tests, and imaging studies.

04

Consult with specialists if needed based on the patient's medical history.

05

Review the results of all tests and evaluations to determine the patient's risk level for surgery.

06

Develop a plan for any necessary preoperative interventions or modifications.

07

Communicate the findings and recommendations with the patient and their caregivers.

08

Ensure all preoperative preparations are completed before the scheduled surgery date.

Who needs preoperative evaluation and preparation?

01

Patients who are scheduled to undergo surgery.

02

Patients with complex medical histories or multiple medical conditions.

03

Patients who are older or have a higher risk for surgical complications.

04

Patients who are undergoing anesthesia for the first time.

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What is preoperative evaluation and preparation?

Preoperative evaluation and preparation involves assessing a patient's health before a surgical procedure and taking steps to optimize their condition.

Who is required to file preoperative evaluation and preparation?

Surgeons, anesthesiologists, and other healthcare professionals involved in the patient's care are required to file preoperative evaluation and preparation.

How to fill out preoperative evaluation and preparation?

Preoperative evaluation and preparation forms are typically filled out by healthcare professionals and include patient medical history, current medications, and any allergies.

What is the purpose of preoperative evaluation and preparation?

The purpose of preoperative evaluation and preparation is to ensure the safety and success of the surgical procedure by identifying and addressing any potential risks or complications.

What information must be reported on preoperative evaluation and preparation?

Information such as patient medical history, current medications, allergies, previous surgeries, and relevant physical exam findings must be reported on preoperative evaluation and preparation forms.

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