Supplement H&P with patient interviews for preoperative assessments
Ambulatory Safety Monitor, March 16, 2006
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Sometimes a patient's history and physical (H&P) may not be sufficient for a thorough preoperative assessment. Robin Cameron, RN, assistant director of nurses at Northeast Surgical Care in Newington, NH, suggests supplementing the H&P by interviewing the patient over the telephone and asking following questions:
- Have you ever had surgery before? If so, have you had problems with anesthesia in the past, such as malignant hyperthermia or vomiting? Has a family member ever had trouble with anesthesia?
- Do you have airway problems, such as sleep apnea or snoring?
- Do you have temporomandibular joint or major dental work that we need to watch out for?
- Have you ever had a heart condition, high blood pressure, stroke, heart attack, fainting, or dizzy spells?
- What medications and dosages are you currently taking?
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