Getting A Patient Through Surgery By: Destiny Gomez, PMAC American Society Of Podiatric Medical Assistants The Assistants Role The assistant is the individual who will be there to help the
patient get through surgeries either by assisting the doctor or by being there to support and assist the patient Pre-Op Visit Aidet Vitals Family History Medications Allergies
Smoking status X-ray The High Risk Patient There are certain patients who are identified as high risk patients. They are labeled as such because of medical conditions hat place their limbs in jeopardy. If these patients do not receive proper medical care, they may develop
infections or wound that do not heal. When this occurs, they are in jeopardy of loss of limb. The High Risk Patient Professional and diligent care is warranted for these patients. Patients in this category include:
Patients with peripheral vascular disease Patients with peripheral neuropathy Patients with diabetes Patients that smoke Patients on anti-coagulant therapy
Surgical Checklist Primary Care Provider H&P Dates available Up to date demographics Insurance Verification Up to date insurance cards
Ensure notes are dictated CPT codes & ICD codes for the surgical procedure DPM'S NPI, Hospital or Physicians Tax ID Outpatient Vs. Inpatient Type of anesthgia Post-Operative Appointment There are times when the patients feel more comfortable
talking to the assistant than they do the doctor and will confide in us before they do the doctor. Document everything Inform The Patient What To Expect Post Op Durations
Weight bearing Status Pain Elevating Crutches, wheelchair, knee walker Dressing care Complications Pain Infection
Swelling Sensory Changes Scarring Delayed Healing Blood Clots Complications Patients with complications are worried, fearful, and insecure
about what is happening and why. This is especially true for post surgical complications. The patient needs a step-by-step explanation as to the cause of the complication, the expected time for complete recover, plan of treatment and any permanent damage or need. Signs of Infection
Swelling Pus Extreme pain Fever Chills Nausea Vomiting Shortness of breath
C0mpliance Non-Smoker Non-weight bearing Elevating Icing Taking vitamins Keeping dressing dry and intact Non Compliance
Smoker Walking Injuries Not taking prescribed medications Wet dressings Uncontrolled blood sugars Results From Non Compliant Patients Infection
Wound Vac Amputation Delayed Healing Graft placement Expectations from Surgery Pain-Free Able to ambulate within 8-12 weeks
Get back to a normal life CASE REPORT #1 46 yo female patient presents to your office complaining of a very prominent and painful bunion on her left foot. She states that she has tried the orthotics you prescribed her for 1 year; however, she still has a lot of pain and relates that she would like to move forward with surgical intervention to correct the deformity.
As a podiatry assistant, what would be your first course of action? Patient states she would like for surgery to be scheduled next month and relates that she quit smoking the 1 pack daily exactly 2 months ago, what would be your next course of action? Any Questions?
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