Preoperative Evaluation Center
Patients having surgery at Floyd will find a Preoperative Evaluation Center (PEC) dedicated to creating the best possible outcomes. The PEC team, which includes an anesthesiologist and nurse practitioners, works with surgeons to create quality care procedures before, during and after surgery for each patient.
PEC's relationship with the patient begins well before surgery with hospital preregistration, a complete preoperative evaluation with a physical exam and diagnostic testing when needed. PEC will also coordinate with specialists for referrals, medication management and financial counseling, when needed.
Patients will also receive thorough preoperative instructions from the PEC staff.
Frequently Asked Questions
- What does the PEC do?
The PEC evaluates medical issues in detail. The risks of the anesthetic and surgery are carefully considered and discussed. The PEC applies best practices in surgery care for specific diseases and offers help to quit tobacco use, manage Type 2 diabetes and establish healthy nutrition before surgery.
- Are all patients seen in person?
While every patient scheduled for surgery is called to answer a health questionnaire, those in good health can complete the hospital preregistration and presurgical nursing evaluation by phone. Patients with special medical issues may need to be seen by our health care providers. Others may only need a short visit for testing.
- Who makes the appointment?
The PEC staff member completing the phone screening will schedule an appointment if the patient's answers to the health questionnaire indicate a need for an office visit.
- When should a patient be seen by the PEC?
Ideally, patients are seen as early as a month before a scheduled procedure to allow time for diagnostic testing, medication management and consultations with a specialist. When the need for surgery is urgent, all necessary tests, medical records and medication management are completed with patient safety, quality and best possible outcomes in mind.
- Do you review outside medical records?
Yes. PEC staff will gather and review medical records from the patient's primary care physician, specialists, any recent hospital admission or prior surgeries. Patients will be asked to fill out and sign a PEC intake form to release these medical records. The phone number listed on that form will be used to contact the patient by our PEC staff.
- What happens at a PEC appointment?
The services received at a PEC appointment depend on the complexity of surgery and a patient's medical history. The average length of a comprehensive appointment is 1-1/2 hours and may include hospital preregistration, a complete preoperative evaluation with physical exam, blood draw and EKG, scheduling of diagnostic tests, coordination with specialists including referrals, medication management and counseling, surgery education and financial counseling, if needed.
- Who is evaluating patients?
The PEC is directed by an on-site anesthesiologist and is staffed with three nurse practitioners trained in perioperative medicine. These providers review all medical records and test results, complete a physical exam and coordinate with other involved physicians. The PEC staff completes presurgical medical evaluations, and provides counseling and education.
- Does the PEC provide “preoperative clearance"?
Yes. Most patients seen in the PEC do not require additional physician appointments, as our evaluation is the same thing as a “preoperative clearance." If primary care or specialist consultation is needed, the PEC staff will arrange it.
For more information, call the Preoperative Evaluation Center at 706.509.6439.