discuss with your surgeon how the case would be different with a patient having that procedure who has an ASA level of 3 or higher.

Surgical Clearance
Use the Patient information at the bottom and a Operative note for the case to do a “pretend history and physical for your patient”. Then Use that information and the care plan from the module handouts to create a care plan for an ASA level 3 patient with the problems identified in the patient information below.

1.Create a Sample Clearance preop chart history and physical including a nursing care plan:
2.Chose a case from the list below.
3.Next, discuss with your surgeon how the case would be different with a patient having that procedure who has an ASA level of 3 or higher.
4.Using the sample surgical clearance forms in the Module or you can use those from your hospital; complete a sample evaluation and assessment clearance process for the surgical case including the History and Physical/SOAP plan.
5.Next complete the surgical plan using the examples found within the module or the surgical care plans used at your hospital. Complete the nursing care plan using the examples found within the module. Using the chart, fill out the sample forms or you may use your own facility forms if they are more thorough than the ones provided. Use the guides found within each one to determine what special considerations need to be made for your patient. Create your own Nursing care plan using the PNDS and sample care plans.

Use the guides found within each one to determine what special considerations need to be made for your patient.

Upload the forms to the drop box and discuss in the textbox what you learned from this assignment.

List of Case Choices- Choose a case you do not know well, so you can learn the details to prepare you for the certification exam:
•LAVH or other major GYN case
•Laparoscopic Cholecystectomy or Colon Resection or other major general case
•CABG or other Major vascular case
•Orthopedic Procedure – Arthroplasty (Shoulder, Hip, Knee) or ACL/Bankart/SLAPII/Rotator Cuff Procedure
•Major ENT such as Radical Neck
•Abdominoplasty or other major plastic surgery
•Other cases as approved…
PATIENT INFORMATION: Patient’s description for your chart: 58 year old Hispanic/M with V/S 150/90; 98.5 F; 84, reg. bounding; S1S2, NSR; 24 resp. 97% pulse oximetry; Lungs clear; BS all four quadrants; Local professor with Master’s Degree; Scar RLQ/oblique; recent history of stroke treated with Activase. All parents deceased, family history of stroke, hypertension and CA of colon.