| |
|
Points |
| Patient body habit |
|
4 |
| |
Height |
2 |
| |
Weight |
2 |
| Airway evaluation |
|
10 |
| |
current status |
5 |
| |
H/o Airway management |
5 |
| Vent settings |
|
10 |
| |
mode |
2 |
| |
PEEP |
2 |
| |
FiO2 |
2 |
| |
other settings |
2 |
| |
Vent switch - allowed? |
2 |
| Current vitals |
|
6 |
| |
SpO2 |
2 |
| |
BP |
2 |
| |
HR |
2 |
| Special Monitoring |
|
5 |
| Lines/Access |
|
5 |
| Anesthesia history |
|
2 |
| |
history |
1 |
| |
record if history present |
1 |
| Eneteral feeds - cont/on hold/NPO |
|
1 |
| Allergies (inc. Latex allergy) |
|
5 |
| Labs |
|
6 |
| |
HB |
2 |
| |
K |
2 |
| |
Cr |
2 |
| Blood availability |
|
10 |
| |
Preop T&S |
5 |
| |
Preop T&C |
4 |
| |
Blood antibodies? |
1 |
| PMH |
|
5 |
| Past Surgical History |
|
2 |
| Medications |
|
10 |
| |
Anti-coagulations |
2 |
| |
Infusions (Pressors and Others) |
2 |
| |
Antibiotic regimen (last dose, next dose) |
2 |
| |
Antibiotic regiment - last dose |
2 |
| |
Antibiotic regimen - next dose |
2 |
| Last dialysis if applicable |
|
5 |
| Studies - ECHO etc |
|
5 |
| Information of the scheduled procedure |
1 |
| Anesthesia consent |
|
5 |
| Anesthesia Plan |
|
4 |
| Total |
|
100 |