Elective Surgery Programme Implementation Support Guide
Elective Surgery Programme Implementation Support Guide
Elective Surgery Programme Implementation Support Guide
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emedies or recreational drugs)<br />
Is there any history of drug abuse,<br />
especially intravenous/<br />
Does the patient have any allergies or<br />
reactions to drugs, plasters, latex, food<br />
(eggs, avocados, bananas, peanuts, etc?)<br />
Do you have any history of hospital<br />
infections or contacts? (eg MRSA or other<br />
multidrug resistant organisms such as<br />
VRE / ESBL)<br />
Do you have:<br />
False, capped or crowned teeth?<br />
Contact lens or hearing aid?<br />
A pacemaker or implant?<br />
For Day Cases:<br />
Does the patient have a responsible escort<br />
to take him/her home following the<br />
procedure?<br />
Does the patient have any physical<br />
assistance at home, if needed?<br />
Does the patient have supervision<br />
overnight following the procedure?<br />
How long will it take you to travel home?<br />
Name:<br />
Contact No:<br />
Does the patient have a contact number? Contact No:<br />
55 Model of Care for <strong>Elective</strong> <strong>Surgery</strong>
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