Pre-op assessment and testing

[nellie_nurse812]

We currently have standing orders that address past medical history risk for anesthesia and the associated lab, xray, or EKG. The problem we are having is that the surgeon's offices are leaving them blank and leaving it up to us to do the orders. THey say they are not qualified to do pre-op assessments ( ha ha, the guideline is "Medical 101" class). Some of the problems associated with this is that we are a small facility and the CRNA covers 24/7 so he cant be here to run a clinic, we are logictically away from registeration, and if we order the testing we have to write it as a verbal order and send the patient back to Outpatient!!!! So.....my question is...who does the pre-op assessment in your facility? Who clears them for surgery? I know there are so many variables this could go on forever.....thanks, nellie

[gabrys22]

Ciao,

so

sono Gabriella,sono italiana.....nn c'è nessuno qui ke parla italiano?

Sono una nursing student in italia e ho bisogno di informazioni su operating room nursing/legislation and jurisprudence,perioperative nursing/methods, postanestesia nursing/standards.thank you.

Aspetto vostre notizie

[sharann, BSN, RN]

It would be nice if this were Italy and we all could understand the above comment. I believe that the physicians office with standing orders needs to have an order made by the doctor and they can check the boxes and fax you the orders. They have access to the physician there and can ask. It is the docs responsibility to order these things. A standing order is fine though as long as you have a copy in the chart.

[P_RN, ADN, RN]

Here is what Babelfish translated:

nobody ke speaks here Italian? They are nursing a Student in Italy and I have need of information on operating room nursing/legislation and jurisprudence, perioperative nursing/methods, postanesthesia nursing/standards.thank you.

Everyone take notice that English is the language approved here per the TOS. Gabrys will also be PMd. Does anybody speak Italian?

[Marie_LPN, RN, LPN, RN]

No, i know just marginal Spanish.

Same answer as above, it's the doc's responsibility.

[carcha]

sorry ,queens english, and yes medical staff.