![Page 1: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/1.jpg)
OneOne--stop stop PreanaestheticPreanaestheticAssessment ClinicAssessment Clinic
A Kwan, WG Fok, KL Tong, HK MaDepartment of Anaesthesiology and Pain Medicine,
Operating Room Department and Day Surgery Centre
United Christian Hospital
![Page 2: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/2.jpg)
2
![Page 3: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/3.jpg)
3
Preoperative preparationPreoperative preparation
Thorough, comprehensiveEfficient‘Hassle-free’
![Page 4: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/4.jpg)
4
Objectives of PACObjectives of PACEase of referral by surgeonMinimal visits to hospital or different areas of hospital by patientMinimal cancellations on day of operation due to unstable medical condition
![Page 5: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/5.jpg)
5
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
![Page 6: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/6.jpg)
6
Multidisciplinary teamMultidisciplinary teamDSC Nurse/ArtisanDSC ClerkAnaesthesiologistSurgeonOther ConsultantsGP/GOPD Doctor
![Page 7: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/7.jpg)
7
SOPDSurgical specialties
PAC
SOPDMedical:
GeneralGeriatricsCardiologyRespiratory
MedicineDental
PathologyBlood investigationsT&S
X-ray Department
DS/SDA/Post-holiday list
![Page 8: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/8.jpg)
8
DSC Clerk
Patient Carer/Family
DSC Nurse Artisan Anaesthesiologist
Surgeon
Other Consultants• Physicians• Haematologist• Dental Surgeon• Radiologists
GP GOPD Doctor
![Page 9: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/9.jpg)
9
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
SOPD>70% of all
elective operation
![Page 10: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/10.jpg)
10
SurgeonSurgeon
Provides information on surgeryObtains written informed consent for surgery and blood transfusion if necessaryRescheduling of lists as necessary
![Page 11: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/11.jpg)
11
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
•Screening•Vital signs•Investigations•Education
![Page 12: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/12.jpg)
12
DSC NurseDSC Nurse
Nurse assessment for all patientsPreoperative education and instructions Co-ordinates preoperative planningCollates investigations resultsCollects data for KPIs
![Page 13: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/13.jpg)
13
ArtisanArtisan
Assists with preanaesthetic questionnaireTakes pulse, BP, SpO2, weight, height, urinePerforms ECG and blood tests
![Page 14: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/14.jpg)
14
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
•Assessments•Optimization•Consent•DS/SDA/IP
![Page 15: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/15.jpg)
15
AnaesthesiologistAnaesthesiologistAssesses patients requiring anaesthesiology careProvides information on anaesthetic choiceObtains written informed anaesthetic consentOrders/performs (T&S) relevant investigationsOrganises consultation referrals and follow-upsFollow-up abnormal resultsLiases with subspecialty or procedural anaesthesiologistLiases with surgeonsRefers to postoperative HDU/ICU as appropriate
![Page 16: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/16.jpg)
16
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
•Bed booking - DS/SDA/IP•Consultation Clinic booking•Reminder•Confirmation
![Page 17: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/17.jpg)
17
DSC ClerkDSC Clerk
Checks patient detailsRequests patient medical recordsArranges and coordinates patient appointmentsTelephones patient to confirm surgical appointmentAssists in data collection
![Page 18: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/18.jpg)
18
Other ConsultantsOther Consultants
Provide specialist consultation services Provide advice and treatment to optimise patient for surgery
![Page 19: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/19.jpg)
19
GP/GOPD DoctorGP/GOPD Doctor
Provides information to perioperative team as the patient’s primary physicianProvides treatment to optimise patient for surgery
![Page 20: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/20.jpg)
20
20072007
No. of cases seen at PAC 3,307 (+2,845)
No. of patients referred to other specialties 124 (3.8%)
Total no. of preadmission T&S 649
Cancellation rate due to medical problems DS SDA
0.3% 0.2%
Average waiting time to see Anaesthesiologist 35 mins
Patient satisfaction rate 99% very satisfied
![Page 21: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/21.jpg)
21
ConclusionsConclusions
The one-stop Pre-anaesthetic Assessment Clinic is an efficient preoperative assessment/planning service that meets the expectations of patients/carers and surgeons
It requires collaboration and good communication with the various operating specialties, and other specialties to which we may be referring patients
![Page 22: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/22.jpg)
22
PAC
OneOne--stop stop PreanaestheticPreanaesthetic Assessment ClinicAssessment Clinic
![Page 23: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/23.jpg)
23
Opening hours of PAC
Nurse assessment: 09:00 - 18:00
Anaesthesiology assessment : 13:30 - 18:00
Closed Saturdays, Sundays and public holidays
![Page 24: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/24.jpg)
24
AimsAims
1. Optimising the patient’smedical conditionnursing preparationsub-specialty and allied health preparationdischarge planning
Department of Health, New South Wales. 2007.. [WWW}
http://www.health.nsw.gov.au/policies/gl/2007/pdf/GL2007_018.pdf
![Page 25: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/25.jpg)
25
AimsAims
2. Meeting expectations of the patientthe carerthe referring surgeonthe anaesthesiologist
![Page 26: One-stop Preanaesthetic Assessment Clinic · Cardiology Respiratory Medicine Dental Pathology Blood investigations T&S X-ray Department DS/SDA/ Post-holiday list. 8 DSC Clerk](https://reader035.vdocument.in/reader035/viewer/2022071013/5fcc08e94ba09238814e6b6e/html5/thumbnails/26.jpg)
26
3. Efficient co-ordination and integration of resources
AimsAims