Pre-Op
Patients should report to SPAR (Surgical Prep & Recovery) at least ______ hours prior to their scheduled procedure.
2
History and Physicals are valid for ____ days prior to surgery?
30
**H&P's greater than 30 days old require a surgeon update before going to the OR.
Anesthesia reviews patient charts _____ days prior to surgery.
11:00am.
Any changes to OR schedule after 11am must be approved by SNGH OR leadership and Anesthesia.
Most recent EKG should be completed within ________ from day of surgery.
1 year
Orders that are placed in chart by office staff require this prior to surgery?
Second signature by Surgeon
**Surgeons will be paged directly 24-28hrs prior to surgery if their orders have not been co-signed appropriately.
GLP1 inhibitors (Ozempic, Wegovy, Semaglutide) are recommended to be held prior to surgery due to causing what in the peri-operative period?
Delayed Gastric Emptying.
What patient documents are required at the time of posting?
History & Physical (H&P), Consents, and Pre-op Orders.
True or False: Pre-op testing (labs & EKG) can be completed in the SPAR pre-op area prior to surgery.
FALSE!
**Testing on day of surgery leads to OR delays, OR cancellations, and customer service issues for patients!
**All pre-op testing should be completed AT least 3 days prior to date of surgery to allow
Consents that have been pre-signed by patients and surgeons are valid for ________ days.
60 days
Patients with pacemakers/AICD's are required by anesthesia guidelines to have an interrogation _____ of surgery.
within 6 months
Surgical cases can be posted ____ days prior to surgery date.
90 days
Test results must be completed within ________ months prior to date of surgery provided there has been no change in patients medical status.
6 months
In the event that consents are not faxed to the chart room and a procedure order is not placed in the chart for the patients surgery, the SNGH chart room staff will __________________.
Place a blank procedure consent on the chart and the patient will not sign consent for surgery in pre-op until the surgeon has seen the patient and filled out the procedure information.
**This can lead to pre-op and OR delays
Medications that require special instructions from the surgeons, cardiologist, or prescribing provider before surgery due to increased risk for bleeding include...
blood thinners (Coumadin, Heparin, Lovenox, Pradaxa, Xarelto, or Eliquis)
True or False: Once a surgical block is manually or auto released offices can continue to book cases in the block if needed.
FALSE!
**Once a block is released, any pending case in depot is given the opportunity to post.