Pre-operative Assessment Clinic

 

The clinic is run by experienced nurses and healthcare assistants. The aim of the clinic is to determine if you are medically fit for surgery. The whole process usually takes three to four hours and we aim to have everything done on that day but some patients may have to come back another day for further tests.


You will receive a Cardiac Information Booklet. You should read your booklet before your operation to help you prepare for your operation and your recovery.

 

Bring all medication that you are taking in the original packaging to clinic.
At clinic you will be seen by:

 

Nurse - the nurse will examine you and ask you questions about your medical history, they will take blood samples and start the paperwork that will follow you through your journey as a patient.
Tests you might get at clinic include:

 

Blood tests - such as full blood count, blood clotting tests and kidney function tests. This can tell us what is normal for you and identify any conditions such as anaemia that may need corrected before surgery.

 

X-ray – we may need to get an up to date X-ray of your chest when you come to clinic.

 

Urine test – this is to screen for infection. If positive, a course of treatment will be given and you will be re-tested again before surgery. Infections can delay your operation and it is important to get them treated.

 

MRSA swab – this is to screen for infection. If positive, a course of treatment will be given and you will be re-tested again before surgery. Infections can delay your operation and it is important to get them treated.


CPE test - Carbapenemase-producing Enterobacteriaceae (CPE) screening. This is to screen for infection.


ECG - This test is used to detect problems with the heart such as an abnormal heart rhythm. It may be carried out before your operation if you are an older person (over 60) with chest pain or a history of heart disease and you are undergoing major surgery.


Lung or Pulmonary Function Tests – This measures how well your lungs are working. This test may have already been done at your local hospital but we may need to get more up to date results.


Echocardiogram - ultrasound of the heart


Carotid Doppler test – ultrasound of the carotid arteries in the neck

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