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In-Patient Admissions Procedure |
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In-patient surgery may be required for medically compromised patients, obese patients raised BMI and if surgery is likely to take longer than 1 hour. If in doubt, check with the consultant. A much as 70% of oral surgery may be carried out as an out-patient.
Firstly review the patient’s notes and results of any investigations already performed. Confirm the patient’s presenting complaint and check any changes to the treatment plan. The Past Medical History (PMH) should include information on previous operations, serious illnesses, drug history and any allergies.
A Review of Systems (ROS) should include: 1. Cardiovascular– degree of exercise tolerance is how far or how many flights of stairs the patient can manage before he becomes short of breath or experiences chest pain/angina. Enquire as to palpitations, ankle swelling, orthopnoea or paroxysmal nocturnal dyspnoea and intermittent claudication. 2. Respiratory—presence of cough, sputum (volume and colour), wheeze and haemoptysis. 3. Gastrointestinal—appetite, weight loss, nausea, vomiting, dysphagia, abdominal pain, bowel habit, rectal bleeding or melaena. 4. Genitourinary—frequency, stream, pain on voiding urine. Menstrual cycle and its present phase and contraception. 5. Neurological—fits, faints, blackouts, headaches. Note any obvious abnormality of the cranial nerves. 6. Risk factors—medication, alcohol, tobacco habits, drug abuse, allergies, foreign travel, sexual habits.
Family History—record any deaths and medical problems in first degree relatives. Record the information as a family tree. Social History— home situation, occupation and degree of family support if available.
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This procedure is necessary to check the surgical treatment plan and assess the patient’s fitness for general anaesthesia. |
