For Providers
Pre-Operative History and Physical Form
Click the icon to download the Pre-Operative History and Physical Form for Minnesota Valley Surgery Center.
Pre-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 |
Patient off for 7 days |
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. |
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