On the Preop Visit template, you can record the health condition and recommend any test for a patient. You can refer to other doctors to make sure that the patient's condition is stable before the surgery.
- In the left Navigation bar, click Pre Op Visit.
The
Preop visit template opens displaying the assessment, orders, medication, and allergies details documented on the
Intake and
SOAP templates.
- To enter the surgery details, click Schedule Procedures.
The Surgery Orders grid displays the details of the scheduled surgery.
- In the Consents section, do the following:
- Select the appropriate option after explaining the procedure details to the patient.
- Click Risk detail, and select the relevant pre-operative risks.
- Select the appropriate option for Agrees to blood/blood products?
If you select no, select the Signed blood/blood product refusal form check box.
- To open the Preop Checklist template, click the Preop Checklist link.
- Select the appropriate option for Risk Factors, Bleeding Risk, Medication Review, and Anesthesia Risk.
- Provide details if the patient is sensitive to anesthesia and has a family history of bleeding risk.
- To enter any additional information, click Comments.
- In the Preop Studies section, do the following:
- To select any lab test required for the diagnosis and place the order, click Labs.
- To place any diagnostic studies order, click Diagnostics.
- To document information on the referral, which includes insurance name, policy number, provider details, and clinical details, click Referrals.
- Indicate if no lab tests are needed.
- To add diagnostic history details, click Add Historical Orders.
- Select the appropriate options for the order that you want to appear in the All Orders grid.
- To generate the preop_visit document in runtime, click Preview Document.
- To save the details, click Update.
