Patient Identification & Communication
- Confirm patient identity (full name, date of birth, ID number).
- Explain the assessment process and obtain informed consent for preoperative workup.
- Use language appropriate to the patient (interpreter if needed).
- Confirm procedure, side, and site of surgery.
???? 2. Medical History (Head-to-Toe Review)
| System | Key Questions |
|---|---|
| Cardiovascular | Hypertension, chest pain, heart failure, palpitations, past MI, pacemaker |
| Respiratory | Asthma, COPD, recent infections, smoking history, dyspnea |
| Neurological | Stroke, seizures, cognitive status, mobility issues |
| Renal | Chronic kidney disease, dialysis, uri |
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