Document Name: PAC ORTHO ADMISSION: Procedure name
PAC – Name, Ortho Intern #Pager
Procedure:
Indication:
Date & Time:
Consented:
Surgeon:
BMI:
Past Medical History:
METS:
LUTS:
Skin breaks/tears/infections:
Cardiovascular:
– No HTN
– No IHD/angina
– No Stroke/TIA
– No CCF
– No Arrhythmias
– No recent CP/SOB/LL swelling
Ix:
– Previous Echo:
– Previous angiogram:
Respiratory:
– No Asthma, COPD
– STOPBANG:
– Respiratory function testing:
– Recent sleep tests:
Renal:
– Renal dysfunction/CKD
Endocrine:
– Diabetes
– Thyroid
– Liver disease
Haematological:
– Previous DVT/PE
– Coagulopathy
Medications:
– Steroid dependence
– Fish oil/OTC
Surgical History:
Previous surgeries:
–
Complications of surgery:
–
Social Hx:
– Smoking
– EtOH
– Drug Use
– Home with:
– Gait aids:
Examination:
Phone PAC – not performed
Plan:
– Consent:
– Ready for surgery:
– Campus suitable for:
– Imaging:
– Pathology: required: Ext G&H, FBE, UEC, CRP, LFT, CMP, coagulation studies, iron studies
– Iron infusion:
– ECG:
– Medications advice:
– Anaesthetic review: