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In order to schedule/pre-register a patient for surgery or procedure, a case request that indicates the expected patient status is required. This applies to all patients who are not in WakeMed acute care facility at the time of scheduling.
Accurate scheduling is essential in order to institute optimal planning for the preadmission process as well as preventing cancellations/delays on the day of surgery. Schedule chaos prevents optimal planning, “burns out” staff, frustrates patients and saps surgeon confidence.
Right Fax is the preferred method to use because telephone calls often lead to mistakes in procedure, site(s), and length of case time. Please obtain a complete record of demographic information needed to contact the patient and signed physician orders for the pre-admission department nurses.
OPA – Acute Inpatient admission [Outpatient to be admitted]
OPB – Outpatient to a bed
OBS - Observation
OPH – Outpatient Home
In order to schedule/pre-register a patient for surgery or procedure, a physician order that indicates the expected patient status will be required. This applies to all patients who are not in a WakeMed acute care facility at the time of scheduling.
A patient status order indicates one of four categories indicating that after surgery the patient is expected to:
Inpatient status generally indicates that the patient is expected to spend at least one night in the hospital (Status=OPA or Acute Inpatient). To clarify, patients placed in a bed for a short period of time (Status=OPB) or for extended observation services (Status=OBS) may spend the night in the hospital even though they are not classified as an inpatient.
Medicare has established a list of procedures that can only be performed on an inpatient basis. This list is commonly referred to as Addendum E. If a procedure is on Addendum E, and the patient is Medicare, then Medicare will not cover the procedure unless the patient status is inpatient. With the exception of Addendum E procedures, it is okay for the status order to change after scheduling the patient if it is determined that another status would be more appropriate. A change of status always requires a physician order.
If the patient you are scheduling is not currently in a WakeMed acute care facility, then there are three options for providing this order to the surgery scheduler:
OR Case Request Form
A History and Physical (H&P) exam must be completed within 30 days of the scheduled surgery and preferably prior to the Pre-Anesthesia Testing (PAT) visit. All H&P forms must be typed, dictated or entered into WakeMed Epic, signed, dated and timed by the licensed independent provider (LIP). It is important to note that the History and Physical must be current (exam must take place within 30 days of surgery).
Please share any of the Alerts below at the time of scheduling:
3000 New Bern Ave.
Raleigh, NC 27610