Pre Operative Clearance

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What is Pre op Clearance?

One of the most essential health care services Wilmington urgent care offers is known as preoperative health screening. Before any professional surgeon performs a surgical procedure, the first requirement is that the patient takes a pre-op physical examination. This type of examination is usually performed within thirty days before the surgery. One of the many health care services that Wilmington urgent care provides to its patients is extensive pre-op care for those just about to be operated on. We do both preoperative testing and medical clearance for surgery.

Preoperative History and Physical Examination

Typically, any patient about to undergo a major surgery should first take a medical and physical evaluation weeks before the surgical procedure. The information that should be included in the history examination is the condition that the surgery is supposed to treat, past surgeries that the patient underwent (if applicable), and their reaction to anesthesia. Children's history and physical examination should also include information about the child's birth, and the provider needs to focus on the risk factor.
They include perinatal complications, prematurity at birth, anatomic malformations, congenital chromosomal, and if the child has any previous infection, especially in the upper respiratory system, such as pneumonia. The doctor performing the examination should also ask the patient about any chronic medical conditions, especially the lungs and the heart. Information about the patient's medications – prescription or OTC – should also be inquired. During the pre op clearance period, medication dosage will have to be adjusted.

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To prevent excessive bleeding during the surgical procedure, the patient should stop using aspirin or any non-steroidal anti-inflammatory drug. If it is necessary, immunization history and vaccine updates should be mentioned, including dates. The doctor should also inquire about the patient's alcohol intake or if they smoke. If the patient is using any other illicit drugs, they should also provide this information. If the patient smokes, they will have to stop eight or more weeks before the surgery, which helps prevent the various surgical risks that are smoking-related.

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What is involved in pre op testing?

Typically, a pre op clearance is necessary once the surgeon who is supposed to perform demands it. This type of examination ensures that the patient is in good health-wise to undergo the planned surgery safely. The patient also needs to be healthy enough to be put under anesthesia. The tests that will be done during a pre op examination are a cardiac evaluation, a physical examination, appropriate laboratory tests, and lung function assessment.

The provider who performs the examination will start by collecting the information about the patient's basic health. This information includes the medical history, current medication, and if the patient is suffering from any preexisting medical conditions. To ensure that the good decision is made about the planned surgery, the patient's current health and physical condition should be evaluated by asking as many health-related questions as possible.Medical clearance for surgery near me may include:

Basic Tests

Blood Tests: A full blood panel may be necessary to allow the doctor to detect conditions such as anemia by checking the patient's red and white blood cells. If the patient has anemia, the risk may increase during the surgery. To understand whether your recovery time will be affected, the doctor will check if you have a strong immune system.
X-rays: If you have high cholesterol, have a family history of heart disease, or have suffered a heart attack in the past, you are considered an at-risk patient. Therefore, your physician will have to order an X-ray and an EKG. An extensive checkup needs to be done by a cardiologist for patients who are over 55 years before undergoing surgery.

  • If you are obese or have breathing issues, you will have to undergo respiratory/lung function testing because these conditions may interfere with intubation.
  • A gastrointestinal test may be necessary if you have chronic constipation, inflammation, or other digestive issues.
  • If you are not sure what blood type is, you will have to take a cross-match blood test in case you need a blood transfusion during the procedure.
  • A pregnancy test to determine if you are pregnant.
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Specialized Tests

If the physician feels that it is necessary, he will ask for extra, specialized pre-op tests. Additional tests may cause inconvenience to you or even lead to the surgery postponement. However, they are important to guarantee your safety and ensure nothing wrong goes on during the procedure. A urine test, for example, may be performed to check whether your kidneys have any health issues or whether you have any infection. A glucose test may also be done if you are an at-risk patient for diabetes. A hematologist will have to be consulted if you have any blood disorder, such as a blood clot. Such a specialist will advise the surgeon on what needs to be done to ensure that the surgery goes smoothly since the surgery will be done while under general anesthesia; patients with obstructive sleep apnea may require extra tests. This is to ensure that they won't encounter any breathing difficulties while under anesthesia.

There are special kinds of surgeries that may require particular tests. One of them is colon or stomach surgery. In this case, a colonoscopy will be necessary before the surgery. Other special tests may include an MRI scan or a CT scan. What will determine whether you will take these special tests is the type of surgery you need to undergo; therefore, they are not necessary for everyone. Regardless of the kind of tests and examinations, you are supposed to undertake, search for medical clearance near me, and the physician will list them down. You will take them during the preoperative physical exam to ensure that you are ready to undergo surgery.

What is Expected During a Pre op clearance Medical Evaluation?

Wilmington urgent care also provides preoperative evaluations to patients who are scheduled to undergo surgeries. We will ensure that your surgical procedure goes through as expected by working closely with your surgeon by providing essential health information before the surgery date. We have a team of professional health care providers who offer pre op clearance care in a compassionate way. When you search for a 'preoperative clearance near me,' you will get all the information you need about us. Among the health concerns that our medical experts will evaluate during a pre op examination include:

  • The patient's vitals, including blood pressure, pulse, weight, and height
  • The patient's lungs, heart, abdomen, nose, and ears
  • X-rays may be taken on-site
  • Urine test analysis, including urine culture and hCG testing
  • If the surgeon suggests, bloodwork may be done
  • We will also conduct an electrocardiogram (EKG) test on-site if required by the surgeon.

We at Wilmington urgent care have state-of-the-art medical facilities and equipment, which means that all the needed tests and physical examinations will be done on-site. This ensures that your results are accurate and will be available immediately.

What are the benefits of preoperative assessment?

Typically, preoperative assessment is done before any major surgical procedure to identify the factors that may put the patient's life at risk during or after the procedure. Within the 30 days of the preoperative assessment, the risk factors have to be reduced. However, the preoperative complication rate has reduced in the past 30 years due to enhanced anesthetic and surgical methods. Complications during and after surgery are common, but they can be avoided. Due to inaccuracies in the classification and events reporting, it has led to challenges when analyzing surgical complication data. A study that was done recently showed that there was a 1.5% decline in risk of perioperative death from noncardiac surgery. After a surgical safety checklist was introduced, it declined further to 0.8%.

Wilmington Urgent Clinic Difference

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Why visit a Wilmington Urgent
Clinic for Pre Operative Clearance?

An urgent care clinic is most of the time preferred over a local hospital's emergency room because it offers several benefits. One of them is that an urgent care clinic provides a quick healthcare response to patients who need time-sensitive care. The only time emergency rooms are useful is when a patient's life is at risk, meaning that they are only occupied when there is an emergency. Suppose, for one reason or another, a patient has an urgent health problem that requires a quick response and the health provider is not available. In that case, the best alternative will be to visit the local urgent family clinic.

Frequently Asked Questions

During a pre op clearance, the doctor will check your vitals. These will include your blood pressure, pulse, height, and weight. Other examinations will be done to check your lungs, ears, nose, heart, and abdomen. If necessary, an X-ray may also be taken, and urine analysis may also be conducted.

In pre op clearance, a physical examination will be done, urine and blood tests, chest x-ray, and electrocardiogram (EKG). Other tests and examinations may be necessary based on the patient's preexisting or discovered health conditions.

It all depends on the tests and the examinations that the surgeon requires. On average, it will take about 1 to 3 hours.

In both 1999 and 2011, the American Society of Anesthesiologists issued NPO guidelines for all healthy patients who are about to undergo elective surgery, clear liquids are allowed up to two hours before surgery. This is according to both 1999 and 2011 NPO guidelines issued by the American Society of Anesthesiologists, and this applies to procedures that require regional anesthesia, general anesthesia, and sedation/analgesia.

Typically, patients are not allowed to drink or eat anything the night before their procedure after midnight. If you decide to eat or eat something, the OPA will have no option but to cancel the surgery. The reason is that food intake affects anesthesia.

It is advisable to avoid alcohol for at least 48 hours before the surgery for your good. Alcohol intake just before the surgery may cause severe complications during and after the surgery, and it may affect your hospital stay and overall recovery time.

The work of a preoperative assessment nurse is to help the doctor identify and assess the risk factors and the patient's vulnerabilities before surgery and help determine what may be the outcome of the surgery based on the patient's health condition.

About Wilmington Urgent Clinic

Wilmington Urgent Family Clinic is the most advanced clinic that treats all patients despite their conditions with compassion and humility. The clinic is based in Wilmington, South California. Doctors and practitioners at Wilmington Urgent Family Clinic don't rush to treat patients without first clearly understanding their health concerns. All patients who seek medical care at our urgent care clinic experience comfort, care, and relaxation as they get treatment.

Wilmington Urgent Family Clinic services are offered on a walk-in basis, meaning that patients get medical attention as quickly as possible when they arrive at the clinic. Forget about the long hours of waiting that are associated with your local hospital or emergency rooms. Our professional medical health care providers are on standby to cater to your every health need, no matter your condition. You will receive immediate urgent care without lining up in long queues. X-ray services are also available and are done conveniently on-site.

If you seek convenience when seeking medical care, walk-in urgent care clinic like Wilmington urgent care clinic never disappoint. All physicals are done properly while observing best practices. If you are about to undergo a major surgical procedure, go online and search for a 'preoperative clearance near me.' You will get all the information you need about the various health care services offered at Wilmington Urgent Family Clinic. If you are always on the go and time is a luxury you can't afford, our professional, experienced staff are always ready to provide quick school physicals, sports physicals, and camp physicals. And the greatest part is that you don't need to schedule an appointment with us to receive health care services.


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