Pre-Admission Procedure items

What things are mandatory to be charted during pre-admin? - Correct Answer-H&P and H&H For H&P where does the H come from? - Correct Answer-History should include patient & family history, as these could be very important to surgeon & anesthesia For H&P where does the P come from? - Correct Answer-Physical should be done by attending physician or PA in such that all body systems & overall assessment of patient is completed, dictated, and placed in chart prior to procedure What does H&H stand for? - Correct Answer-Hemoglobin & Hematocrit What does H&P stand for? - Correct Answer-History & Physical What does a CBC/Complete Blood Count include - Correct Answer-RBC & WBC values What are some factors that would determine if certain test were to be done? - Correct Answer-Age, health, smoker, pre-existing conditions What does the Hemoglobin test measure? - Correct Answer-measures amount of protein-iron compound in blood, the hemoglobin in RBCs What does the Hematocrit test measure? - Correct Answer-packed cell volume of RBC in total blood volume Why are WBCs important? - Correct Answer-These are our 5 types of leukocytes, their function is the phagocytosis of fungi, bacteria, & viruses and assist in the development of our immune system What can elevated WBCs indicate? - Correct Answer-An infection Why is Potassium important? - Correct Answer-It is necessary for cardiac function and is an important electrolyte in the body, surgery could be canceled if this value is found out of range during the pre-admin process What is creatinine a byproduct of? - Correct Answer-Creatine What could an out of range BUN value indicate? - Correct Answer-high: high protein diet, kidney failure, shock, gI bleed, DM, & some tumors low: liver destruction, malnutrition, & normal pregnancy Where is creatine found? - Correct Answer-blood, urine, & muscle tissue What is specific gravity on a urinalysis? - Correct Answer-the concentration, amount of solutes, of the urine Why are blood, proteins, & sugars looked for in a Urinalysis? - Correct Answer-These could indicate certain diseases and possible tumors What test might be performed during the pre-admin process? - Correct Answer-Blood could be typed & cross matched if it is thought a transfusion will be needed after procedure chest x-ray (if over 40 or indicated for patients w/ cardiac or pulmonary disease, are heavy smokers, cancer patients, etc) EKG (over 40, known heart disease, or as ordered) Diagnostic procedures ordered What are written instructions? - Correct Answer-A sheet of directions for the patient to refer back to prior to going to the hospital for procedure. These directions may include: NPO and times indicated, cleanse op site & how, if fake nails and/or nail polish should be removed, what pt should do w/ jewelry and other valuables, douching, enema, etc as desired by surgeon for procedure