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Contact us with questions regarding the pre-anesthesia testing process:
Scheduling & PAT Guidelines
All patients having surgery at WakeMed require either a Pre-Anesthesia and Testing (PAT) telephone call or PAT Clinic visit prior to the day of surgery to allow for thorough preoperative evaluation, diagnostic testing and education.
PAT Clinic Visit should be scheduled within 14 days of the surgery at the time of surgery scheduling. Offices must use the PAT Triage Questionnaire to determine if a patient requires a PAT visit or if a Phone Call is sufficient.
If, during a telephone PAT interview, the patient is found to require a PAT Clinic Visit, then the clinic appointment will be scheduled with the patient at that time and the PAT clinic will notify the clinic.
All patients being scheduled for surgery must be screened in your office using the triage questionnaire and scheduled for a Clinic visit if medically appropriate. In addition, patients with multiple medical problems frequently benefit from a PAT clinic visit, even if they don’t meet specific criteria.
If a patient with known medical problems does not attend a scheduled PAT clinic appointment, your office will be contacted to reschedule the patient for a different surgery date/time.
Ingested Material Minimum Fasting Period
For elective procedures requiring general and regional anesthesia or monitored anesthesia care (MAC)
For Adult Patients:
For Pediatric Patients:
Clear Liquids Include:
The above guidelines have been established by American Anesthesiology of NC at all Wake County hospitals to minimize the risk of life-threatening pulmonary aspiration during elective surgery. Following these guidelines does not guarantee complete gastric emptying.
The following patients must have a preoperative cardiac evaluation by a cardiologist prior to all procedures, including endoscopy procedures:
If a patient with any of these problems does not have the appropriate preoperative evaluation and documentation, the procedure will be cancelled on the day of surgery. Patients with a history of cardiovascular disease will need preoperative cardiac evaluation prior to most procedures. This includes history of the following:
Please facilitate the preoperative evaluation process by having the patient see the cardiologist before the PAT clinic visit and ensuring that the necessary documentation is completed and sent to the PAT clinic prior to the PAT clinic appointment. The process for obtaining preoperative cardiac evaluation is as follows:
1. Surgeon’s office schedules appointment with the cardiologist, completes the top of the Request for Preoperative Cardiac Evaluation Form (form N-372, shown below) and faxes to cardiologist. An electronic copy of this form can be found here
2. Cardiologist performs evaluation, completes pertinent section of the form, and returns the form and consult to surgeon’s office.
3. Surgeon’s office completes remainder of the form and faxes copy of form and cardiology materials to WakeMed pre-op clinic.
Request for Preoperative Cardiac Evaluation (N-372)
WakeMed Perioperative Services has collaborated with physicians from the Departments of Anesthesiology and Cardiology create a process by which patients with implanted pacemakers and defibrillators are managed during the perioperative period. This policy went into effect on December 17, 2012
AICD and or Pacemaker Preop Eval Form (N-765)
Normal CBC results are valid for three months.
Pediatric Patients under the age of 13 should be scheduled for a Phone Call PAT telephone interview with the parent which will be carried out by a WakeMed PAT nurse.
If the nurse identifies any severe medical conditions or anesthesia related problems, the anesthesiologist will benotified and additional information may be requested from either your office or the child’s pediatrician.
Any pediatric patient with active medical problems unrelated to the surgery, such as an active respiratory tract infection, severe asthma, congenital heart disease or neurological disease should be referred to their pediatrician or pediatric subspecialist for preoperative evaluation and optimization. Documentation of the encounter should be faxed to WakeMed.
3000 New Bern Ave.
Raleigh, NC 27610