Anesthesia Preoperative Evaluation Clinic
The Anesthesia Preoperative Evaluation Clinic (APEC) provides a centralized location for completion of outpatient pre-operative evaluations. This area consists of a reception area, seven examination rooms, and a shared nurse-physician work area. APEC has been designed to provide an attractive and efficient facility for the completion of histories and physicals, anesthesia evaluations, laboratory testing, electrocardiograms, nursing assessments, and patient teaching. The APEC is staffed by a faculty Anesthesiologist, a Nurse Anesthetist, Advanced Registered Nurse Practitioners, Anesthesia Residents, Nurse Anesthetist Trainees, and Registered Nurses.
All patients scheduled to receive anesthesia are either seen in APEC or receive a telephone call from one of the providers or RNs. Patients who need to be seen in clinic are determined by a screening process that helps to identify those with conditions most concerning to anesthesia or those with a history of complications related to anesthesia. On average, APEC sees 20 – 40 patients per day, which includes 5 – 10 add-ons. Patients are scheduled by surgery clinics to open slots that best fit the patients’ schedules. Appointment durations are determined by the number of medications the patient is prescribed. By scheduling in this manner, patient satisfaction and efficiency have increased tremendously.
Trainees on this rotation learn to evaluate and educate patients before surgery. Evaluation of patients may include ordering of pre-operative tests, interpretation of procedures and test results, and collaboration with other medical specialties. Interns spend one month in the PEC and combine this with an experience learning to read EKGs. The EKG rotation is organized and taught by faculty from the Department of Cardiology and helps our anesthesia trainees prepare for intraoperative and ICU EKG monitoring.