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Please only complete this side if you are scheduled to have surgery at Missoula Bone & Joint Surgery Center PreAnesthesia / Procedure Evaluation List the best phone number to reach you prior to.

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Your observations will be taken (blood pressure, heart rate, temperature, respiratory rate, oxygen levels, height, weight and BMI). Your medical and anaesthetic history will be taken by a nurse. This includes any medications you are currently taking. The nurse will identify any medications which require adjustments.

During this appointment, a nurse will conduct an assessment and review medical/surgical history. Then, testing, such as an EKG or lab work, may be performed. Depending on the medical history and the procedure that is scheduled, a nurse practitioner or anesthesiologist may conduct an examination.

What is a pre-anesthesia screening? During some surgical procedures, your doctor may give you medicine called anesthesia, which reduces or prevents pain. A pre-anesthesia screening helps identify any possible risks before you receive the anesthesia and determines which type of anesthesia is best for you.

During your PACC appointment, our team will: A member of the PACC team will review your past medical and surgical history, any tests you may have had done (blood studies, EKG, echocardiogram, stress test, etc.) and your prior experiences with anesthesia.

At the pre-anesthesia testing appointment, you can expect to: Meet with a registered nurse (RN) and nurse practitioner (NP) Discuss any concerns with an anesthesiologist. Provide a list of all medications you use, including prescription, nonprescription, and over-the-counter medications and supplements.

Tests Before Surgery Common tests that your surgeon may ask you to have if you have not had them recently are: Blood tests such as a complete blood count (CBC) and kidney, liver, and blood sugar tests. Chest x-ray to check your lungs. ECG (electrocardiogram) to check your heart.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232