department of anesthesia and Perioperative medicine

RT Pre Op Clinic and ART Preoperative Assessment Testing (PAT) Unit


Rutledge Tower Pre Op Clinic


RT Pre Op Team
Front Row: Tabitha Nolen, Charge Nurse;
Melody Fiddler, RN
Second Row: Joyce Hatley, RN; Sharon Turner, Nurse Manager; Annie Williams, CA; Kelly Simpson, RN;
Annie Frasier, CA
Back Row: Soundra Lewis, Secretary; Valerie Bailey, Secretary; Carla Harvey, RN; Audrey Wilder, RN
Hours of Operation:
9 a.m.–5:30 p.m., Monday – Friday.  Patients must be signed in by 4:30p.m. to be seen in the Pre-op Clinic that day.

Location:
The RT Pre-op Clinic and Registration for the Pre-op/Lab is located on the 2nd  floor of Rutledge Tower, room 266.  If you pass the cafe on the 1st floor you will make a left and take Elevator B.  If you are coming from the Rutledge garage, enter the hospital by the information desk and make a left and the clinic will be straight down the hall. 

Contact Information:
The main number is 843-876-0116. 


Ashley River Tower Preoperative Assessment Testing (PAT) Unit


ART Pre Op Team
Left to Right:  Pamela Diamond, NP; Diane Miller, RN; Soundra Lewis, Secretary; Sharon Tuner, Nurse Manager; Catherine West, RN; Tabitha Nolen, Charge Nurse

Not Pictured:  Beverly Johnson, Secretary

Hours of Operation:
8:00a.m.-5:30p.m., Monday - Friday. Patients must be signed in by 4:30p.m. to be seen in the PAT Unit that day. 

Location:
The Ashley River Tower (ART) Preoperative Assessment Testing (PAT) Unit is located on the first floor of the Ashley River Tower, roo 1250. Registration for all ART areas is location in the central atrium on the first floor.

Contact Information:
The main number is 843-876-5224. Questions regarding the PAT Unit may be directed to Dr. Tod Brown or Dr. Buddy Inabinet at 843-876-5244.

Purpose

MUSC’s RT Preop Clinic and PAT Unit are collaborative efforts between the MUSC Department of Anesthesiology and the hospital administration to:

  1. Improve operating room (OR) efficiency
  2. Identify potential complications related to anesthesia or surgery
  3. Inform patients about what to expect on the day of their procedure

Goals
In an effort to decrease costs, minimize cancellation or delays, and to increase convenience for our patients our goal is to establish expectations for Pre-op preparation and testing while also gaining uniformity throughout the hospital.  Please see the documents below for anesthesia Pre-op testing guidelines.
Surgical Risk Classification System
Pre-op Matrix
     -Low Risk
     -Moderate Risk
     -High Risk

The MUSC Department of Anesthesiology and Perioperative Medicine administers approximately 2800 anesthetics per month in the RT ambulatory OR, Main OR, Ashley River Tower OR, and non-OR sites including areas such as interventional radiology, cardiology, and the Digestive Disease Center.  The Preop Clinic and PAT Unit provide two screening locations for hospital pre-registration, nursing assessment, anesthesia assessment, patient education and lab work including bloodwork, urine, EKG, or x-ray to be performed prior to the day of surgery.  This process takes approximately one hour. 

You do not see your anesthesiologist until the day of surgery.  In one of our screening units, you will speak with a member of the anesthesia team who may be a nurse, nurse anesthetist, nurse practioner, or medical doctor.  Our OR records are a combination of electronic and printed information.  Thank you in advance for your time and patience as we make sure the appropriate data has been entered and documents have been signed.  Completed charts are then kept in these preoperative areas until the day before surgery when they are taken to the OR holding rooms.

For Surgery Clinics
Once a patient’s surgical history and physical, signed consent, and lab orders have been completed, they are sent to one of the preoperative areas.  It greatly facilitates the flow of information through our electronic systems when cases can be posted in OR Manager prior to patient arrival in clinic.  If a timely electronic entry is not possible, please provide a completed paper posting slip.   

At this time when patients bring records from outside hospitals, please be sure to include a copy of relevant information in the OR chart (i.e. heart caths, ECHOs, PFTs, etc.) or identify if your office has scanned them into the MUSC system.  Anesthesia is particularly interested in studies related to the airway, heart, and lungs.

For other Pre-op guidelines uniformly accepted by the anesthesia department please see below:
Surgical Risk Classification System
Pre-op Matrix
     -Low Risk
     -Moderate Risk
     -High Risk
NPO Guidelines for Patients

Should further treatment be required prior to surgery, the patient’s primary care provider or surgery office will be contacted to arrange that care.  If post-operative co-management of disease is anticipated, a preoperative consult with that specific service is recommended.  

Phone Screens
When medically appropriate, phone screens are available for patients having surgery in the RT ambulatory OR or Ashley Avenue Main OR.  These patients are generally healthy, require no further lab testing, and have no questions or concerns regarding anesthesia or those patients that find it impossible to come to the Pre-op clinc.  The surgical history and physical exam, consent, and posting slips are completed as usual.  In addition, any patient with a past medical history treated at an outside hospital should have a request for medical records form signed at the the time of their surgery clinic visit and forwarded to the Pre Operative clinic.  This will enable the Preoperative Clinic to get old records without the patient returning to the hospital.  A registered nurse from the Preop Clinic will then contact the patient prior to their surgery date. 

No Inpatients
Inpatients or patients who will be admitted prior to their procedure are not evaluated in the Preop Clinic or PAT Unit.  Once the patient has been admitted, you may contact the Main Desk in the Department of Anesthesiology and Perioperative Medicine at 792-2322 to arrange to have the patient evaluated by anesthesia personnel in the hospital.