Documenting the assessment and the pain round

aurii drafts the pre-anaesthetic assessment, the acute pain round note and the letters to the surgeon and the GP from one spoken review.

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Spoken in the assessment clinic

A pre-anaesthetic assessment three weeks before an elective list, on a synthetic patient.

Spoken in rooms Ambient capture

"Pre-anaesthetic assessment for the elective knee replacement in three weeks."

"He has hypertension and treated obstructive sleep apnoea, uses the device nightly, and has no ischaemic symptoms."

"Airway is Mallampati two, good mouth opening, full neck movement, and he had an uneventful general anaesthetic for a hernia in twenty twenty-two."

"Exercise tolerance is two flights of stairs without stopping, and the last echocardiogram was normal."

"Plan a spinal with sedation, continue the antihypertensive on the morning of surgery, and bring the device in with him."

"Letters to the surgeon and to his GP with the plan and the fasting instructions."

Assessment note Pre-anaesthetic clinic · Demo patient · 69 · Rooms
Ready to sign
Assessment

Pre-anaesthetic assessment for elective total knee replacement in three weeks. Hypertension and treated obstructive sleep apnoea, nightly positive airway pressure. No ischaemic symptoms.

Airway and anaesthetic history

Mallampati 2, good mouth opening, full neck movement. Uneventful general anaesthetic for hernia repair in 2022.

Functional capacity

Two flights of stairs without stopping. Most recent echocardiogram normal.

Plan
  • Spinal anaesthesia with sedation
  • Continue the antihypertensive on the morning of surgery
  • Bring the positive airway pressure device to hospital
  • Letters to the surgeon and the GP with the plan and fasting instructions
Synthetic demo patient.
GP letterDrafted Discharge summaryQueued Billing3 items

Illustration of the drafting view.

Either side of the operation

aurii drafts the pre-anaesthetic assessment as it is spoken and the acute pain round note at the bedside. The assessment reaches the surgeon and the ward as a signed letter before the list; the pain round carries the block or infusion status and today's change. The anaesthetist signs before anything leaves.

Documents from one assessment

Draft The assessment noteComorbidities and current medication, the airway assessment, functional capacity, anaesthetic history and the plan for the day of surgery.
Draft The acute pain round noteWhat the patient is receiving, the pain scores and side effects, the block or infusion status, and what changes today.
Draft The lettersTo the referring surgeon: the anaesthetic plan, anything that has to change before the list and any further investigation requested. To the GP: the medication instructions for the days before surgery.

Billing items are captured at the bedside against the episode, for your practice to claim. Billing.

Starter templates an anaesthetic service draws on

Your letterhead and section order, set once, on every draft. The template set.

Correspondence before the list

aurii drafts both letters from the assessment: the anaesthetic plan to the surgeon, the medication instructions for the days before surgery to the GP. The anaesthetist signs both.

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