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Gynecological#va#preop#postop#clinicPGY 3/4

VA Pre-op / Post-op Clinic Workflow

GYN H&P template, iMed consents, post-op pain narcotic access, RTC scheduling, hyst 2+6 week visit rule.

Source: VA PGY-3 handoff (Thomason's pre/post-op clinic)

Pre-op to-do list:

  • GYN H&P note: template that pops up; go through item by item with patient. Once filled, populates into a note you can free-text into.
  • Consent: tools → iMed consents. Search procedures you want to consent for. Go through consent form with patient. Sign using the electronic signature pad in all clinic rooms.
  • Post-op pain medications: send if you have access to send narcotics (hard to get this clearance at VA — if you don’t, ask Thomason to send the pain medications).
  • Return to clinic order for post-op visit. Face-to-face appointment, click specific date (Wednesday of whatever week you want them to come back).
  • For hysterectomies: Thomason likes to see them at 2 weeks and 6 weeks.
  • For all other procedures: 4 weeks.

Other things to know:

  • Make sure patient has been contacted by anesthesia for pre-anesthesia appointment. Typically tells the patient not to eat after midnight, then drink a small amount of clears in the morning.
  • They do not have Clear Fast drinks like we do in 1J.
  • Anesthesia typically gives them the sponges to clean off the abdomen before surgery.

Post-ops:

  • Normal post-op things.
  • If it’s a 2-week post-op hyst visit, don’t need to do a cuff check unless they’re having concerns. Save it for the 6-week visit.

Referenced by handoffs