Podcast
Questions and Answers
What is the primary role of the nurse in the pre-assessment clinic?
What is the primary role of the nurse in the pre-assessment clinic?
- Perform surgical procedures under anaesthesia
- Instigate appropriate investigations and refer to anaesthetist for review (correct)
- Review high risk patients and instigate investigations
- Provide post-operative care and patient education
What is the significance of nutritional status in surgical outcomes?
What is the significance of nutritional status in surgical outcomes?
- It has a weak correlation with morbidity and mortality
- It has no correlation with morbidity and mortality
- It only affects hospital stay
- It has a strong correlation with morbidity, mortality, and recovery from surgery (correct)
What is the purpose of a pre-assessment clinic?
What is the purpose of a pre-assessment clinic?
- To provide post-operative care and patient education
- To perform surgical procedures under anaesthesia
- To refer patients to specialist doctors
- To assess patients' suitability for surgery and optimise their health (correct)
What is the role of the anaesthetist in the pre-assessment clinic?
What is the role of the anaesthetist in the pre-assessment clinic?
Why is medication management important in pre-operative assessment?
Why is medication management important in pre-operative assessment?
Which patients do not always require a full pre-operative workup?
Which patients do not always require a full pre-operative workup?
What is the primary goal of the pre-operative assessment?
What is the primary goal of the pre-operative assessment?
What is essential for informed consent to be valid?
What is essential for informed consent to be valid?
What is the purpose of pre-operative fasting?
What is the purpose of pre-operative fasting?
What is the role of the anaesthetist in the pre-operative process?
What is the role of the anaesthetist in the pre-operative process?
What is the primary focus of ERAS and prehabilitation?
What is the primary focus of ERAS and prehabilitation?
What is the primary goal of the pre-assessment clinic?
What is the primary goal of the pre-assessment clinic?
What is the role of skilled nurse practitioners in preparing patients for anaesthesia?
What is the role of skilled nurse practitioners in preparing patients for anaesthesia?
What is the purpose of pre-operative tests?
What is the purpose of pre-operative tests?
What should anaesthetic departments establish for unplanned admissions?
What should anaesthetic departments establish for unplanned admissions?
Why should special considerations be given to children and young people?
Why should special considerations be given to children and young people?
What is the goal of pre-operative assessment and preparation?
What is the goal of pre-operative assessment and preparation?
Study Notes
Pre-Operative Optimisation
- Primary care plays a crucial role in optimising patients before surgery to reduce morbidity, mortality, and hospital stay
- Conditions to optimise include diabetes, respiratory conditions, anaemia, smoking, and weight
- Pre-assessment involves history, examination, drug history, and medication review
Pre-Assessment Clinic
- Nurse-led clinics work with anaesthetists to identify high-risk patients and instigate investigations
- Nurses refer high-risk patients to anaesthetists for further review
- Patient information includes pre- and post-operative instructions
Anaesthetist Role
- Review high-risk patients and instigate/review investigations (e.g., ECGs, lung function tests)
- Further specialist review may be necessary (e.g., cardiologist, respiratory specialist)
- Anaesthetists identify patients requiring special care (e.g., day stay, inpatient, ward, HDU, critical care)
Pre-Operative Preparation
- Informed consent is essential for procedures
- Immediate pre-operative procedures include fasting, antibiotics, thromboembolism prevention, and checklists
- Patient optimisation is crucial, including ERAS (Enhanced Recovery After Surgery) and prehabilitation
AABGI Guidelines
- Anaesthetists ensure patients are adequately prepared before surgery can proceed
- Tests performed before surgery should follow national and local guidelines and protocols
- Special considerations are necessary for children and young people undergoing anaesthesia and surgery
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Description
Test your knowledge on the role of primary care in pre-operative optimisation, including managing chronic conditions, medication, and nutrition to improve surgical outcomes. Learn about the importance of smoking cessation, weight loss, and reducing alcohol intake. Assess your understanding of pre-assessment, history taking, and examination techniques.
