For Providers

careerPre-Operative History and Physical Form

Click the icon to download the Pre-Operative History and Physical Form for Minnesota Valley Surgery Center.

careerPre-Operative EKG Guidelines for Non-Cardiac Surgery

Click the icon to download the Pre-Operative EKG Guidelines for Non-Cardiac Surgery for Minnesota Valley Surgery Center.

MINNESOTA VALLEY SURGERY CENTER
ADMISSION GUIDELINES

Note:  H & P should be completed 30 days or less prior to scheduled surgery.
If any of the following conditions exist, the patient should be evaluated and treated prior to proceeding with elective surgery:
1. Unstable ischemic symptoms
2.  Decompensated heart failure
3.  Significant valvular disease
4.  Significant arrhythmias
5.  Recent change in pulmonary status warranting further evaluation

MEDICATIONS
*These guidelines may not apply to cataract pts*


NSAIDS

Patient to continue use of NSAIDS unless otherwise directed by physician               

Plavix
Coumadin

Patient off for 7 days
Patient's off for 5 days/INR <1.5
cataract patient check with ophthalmologist

Other anticoagulants

Patient should see primary physician to coordinate discontinuance and testing. 

Antihypertensives

Take all except ACE inhibitors/ARB's

Type 2 Diabetics

Hold oral and injectable meds

Type 1 Diabetics

Take ½ normal dose of long acting insulin.
Hold intermediate and combo insulin.
Maintain insulin pumps at basal rate.
If ERCU pt, bring insulin for post-op.
Resume normal insulin dosing at home. Keep all transdermal insulin patches on.

 

ANESTHESIA ADMISSION CRITERIA

  • ASA CLASSIFIED PATIENTS- I, II, and stable III are allowed. 
  • Patients with Sleep Apnea– BRING CPAP
  • Patients with Body Mass Index over 39, scheduled in consultation with MDA.
  • Pacemaker patients may only be scheduled for cataracts, Yag laser, chronic pain injections, locals using bipolar cautery, and minor (MAC/Bier Block) foot/hand surgery using bipolar cautery.
  • AICD patients may only be scheduled for cataracts, Yag laser, chronic pain injections, and locals using bipolar cautery.
  • Family or personal history of Malignant Hyperthermia may not be scheduled
  • Light meal allowed until 8 hours p/t surgery, clear liquids allowed until 4 hours-water, coffee, tea, apple juice, sodas-no cream/milk.
  • EKG-See Pre-Op EKG Guidelines on www.minnesotavalleysurgerycenter.com
  • K+ level if on loop diuretics, Digoxin, hx of renal disease, Crohn's or colitis