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Please answer only if you have DIABETES Do you use Do you have an pump Do you use oral diabetes medications What are your average fasting blood glucose levels What was your last HgbA1c 11. Print Form Date Time HT in WT lb REQUIRED 1. GENERAL INFORMATION Patient Name Date of Birth Name preferred to be called Form completed by Have you been hospitalized in the last 30 days If yes when and where Emergency contact name Phone Describe reason for visit Who is your primary Doctor name Date of last exa ...

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What are needed for pre anesthetic evaluation?

The history should include a past and current medical history, a surgical history, a family history, a social history (use of tobacco, alcohol and illegal drugs), a history of allergies,current and recent drug therapy, unusual reactions or responses to drugs and any problems or complications associated with previous

What is a pre op checklist?

It is a checklist that is required to be asked and assessed as part of your safe care before going for surgery. What will I expect? Your nurse in the Preoperative Holding or Prep area on the day of surgery will make sure that all your requirements are done before surgery.

What is done at pre anesthesia test?

They also review surgery instructions, answer questions about the day of the surgery and after the operation, and review some discharge instructions. During this appointment, a nurse will conduct an assessment and review medical/surgical history. Then, testing, such as an EKG or lab work, may be performed.

What happens at a pre anaesthetic assessment?

This is an appointment with a nurse, either in person or as a video or telephone call. Youll be asked questions about your health, medical history and home circumstances. If the assessment involves a visit to the hospital, some tests may be carried out.

What questions do they ask at a pre op?

Things we may ask you What is your general health like? How is your emotional wellbeing? What pre-existing health problems do you have? How do you manage your health at home? Is there any family history of major health conditions like heart problems and cancer? Who is your GP? Have you had surgery before?

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