Preoperative Assessment Clinic (PAC) & Visit
Dr. Dan Forest, Director, PAC
Welcome to Wake Forest Baptist Medical Center. Thank you for choosing us for your care.
The Preoperative Assessment Clinic,
an outpatient clinic of Wake Forest Baptist
Health, provides evaluation, preparation, and education for
over 16,000 surgery patients each year.
We have two locations to serve our patients’ needs.
Once your surgery is scheduled, our nurse navigator will call you to
discuss your individual plan of care. That plan may include a PAC visit at the
Medical Center before surgery.
Who and what
do I need to bring to my PAC visit?
- Getting Ready
for Surgery Folder
- Support person, if
Current medication list
(doses and instructions) or medicines in original containers
Be prepared to
review information about your medical history, including past surgeries
How long will
this appointment take?
Please arrive 15 minutes early to complete paperwork.
Expect to be at your PAC visit for two hours.
During your PAC visit, you may anticipate the following:
- PAC Check-in (at appointment time) with receptionist to complete hospital consent forms and verify information. Present completed PAC intake form at this time.
- Medication verification with Pharmacy Technician.
- Meeting with NCBH financial counseling advisor.
- Vital Sign station (blood pressure, heart rate, height, and weight).
- PAC nursing intake process (private room). Preoperative information will be confirmed and entered into the electronic medical record.
- Evaluation by Anesthesia physician and/or representative. This may include residents, P.A.’s, or Nurse Practitioners who are trained to perform preoperative assessments and evaluations. A brief physical examination will occur, such as listening to your heart and lungs. A brief description of the types of anesthesia that might be used for your surgery will be reviewed.
- Instructions: If the upcoming surgery is fairly simple, anesthesia may only involve sedations and local anesthetics. For more complex surgeries, a general anesthetic may be required whereby the patient is “asleep” or a regional technique may be more appropriate (just your arm, leg, or lower body is “numbed/asleep”). If this is the case, the details of the anesthetic will be more thoroughly discussed the day of surgery. The final decisions regarding the type of anesthetic is often made the evening before surgery.
- PAC nursing discharge process: After the anesthesia evaluation the nurse will discuss preoperative instructions, where to go, and what time to arrive to surgical services on the day of surgery. Maps will be provided. The actual time of surgery will be confirmed by phone call on the day before the anticipated procedure (after 3 pm).
- Testing, if necessary or required by surgeon. Blood testing, electrocardiograms (heart tracings), chest X-rays and other tests may be performed after the anesthesia evaluation. These tests are ordered based on health issues, medications taken, and the nature of the surgery. Occasionally, these tests will have been ordered and/or completed by the surgeon or medical doctor. If tests have been completed by another physician, please bring the results of these tests to your appointment. These can be scanned into your medical record and need not be duplicated.
- After-visit summary: This
summary is an important document that you should refer back to for preoperative
and medication instructions outlined during your PAC visit. Please give us a
call if any instructions aren’t clear to you once you leave, using the phone
number listed on the summary.
- Last but not least, we encourage you to ask questions about your anesthetic care during your visit. The visit is an important time to learn about what to expect, as well as for you to express your preferences.