f4be57d2_care_Research___Quality__AHRQ___rocess_Step___Facility_Feature
Discuss when having procedure, reminding to keep appointment, asking if they have a ride, questions about medical history and health and instructions on how to get to the ASC. Ask if diabetic. Health history taken (e.g., previous surgery, medical, prescription history). This identifies testing needed for the procedure (for example people on diuretics need electrolyte test, diabetics get blood sugar). Pre-surgical testing dept here or at private doctors office. Every once and a while this happens day of, but normally testing done in advance. Ask about co-morbidities and special needs, give basic instructions, how much medication take day of surgery, what to bring, what not to eat, when to arrive, what to expect, where to arrive. The surgeon's office provides instructions too. Many offices have surgical coordinator that schedules the surgery and surgeon provides details of surgery then. Also ask history of MRSA (these will need to be isolation patients). [Free-Standing ASC] Basic questions including: allergies, background, contacts, dentures, drug use, medications, dosages. Info on when to get there, food to eat or not eat, medications to take or not take, not to wear jewelry, bring responsible adult, check doctors names and phone numbers. Follow checklist for medical information needed from doctors. Answer patient questions. Check lab work, EKG etc. and other requirements for procedure and age. Give day before and morning of instructions. Surgery history, cardiac issues, breathing, illnesses.
Main/only pre-op call conducted: lifestyle and medical history, previous procedures, medications, conditions, infections
Appendix D. Site Visit Comparison Process | Agency for Healthcare Research & Quality (AHRQ)
Process Step / Facility Feature