Pal Surgery

Prescribing station 5Pre-operative assessment8 patients

Pre-operative orders: what does this patient need?

Eight patients before surgery. Classify the wound, then decide the tests, antibiotics, VTE prophylaxis, medicine changes and plan — and check every decision.

How this station works

You are the junior doctor in the pre-assessment clinic. For each patient, first classify the wound, then tick everything this patient needs before and around surgery — tests, antibiotics, VTE prophylaxis, changes to medicines, and the plan. Leave unticked anything they do not need. Then check your orders: every choice is explained.

Based on

NICE NG45 (pre-operative tests), the Caprini score and ACCP guidance on VTE, ASHP and WHO guidance on antibiotic prophylaxis, and UK perioperative medicines guidance. Local policies differ: in your hospital, follow its guidance. Read the background in the pre-operative assessment, VTE and antibiotic prophylaxis guides, and score patients with the risk score calculator.

The patients are written for teaching and are not real.

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