1 2 3 4 5
impressum
©2002 webmaster
     
 

risk profilegeneral patient information check list
Quality assurance
 

Quality treatment demands highest standards of care.

We want to give you an insight of our standards and regulations .
To determine a person`s risk of general anaesthesia, we identify your personal ASA-Score. The American Society of Anaesthesiologists provides this criteria. For further information you may view their website.

www.asahq.org/clinical/physicalstatus.htm
 
ASA I normal, healthy Patient –no systemic disease
ASA II a patient with mild systemic disease – one positive risk-factor:
- Overweight
- Hypertonic blood pressure
- Asthma
- Cardiovascular disease
- Diabetes
- Restrictive lung disease
- Heart stroke in the period of last 6 months
- Age > 65 years
ASA III a patient with severe systemic disease – two or three positive risk-factors
ASA IV a patient with severe systemic disease that is a constant threat to life
Risk profile and history
 
Risk profile and history
It is important to gather information about your history regarding:
o previous hospital stay
o previous medical treatment
o medication list
o allergic disposition (penicillin, diclofenac etc.)
o asthma
o diabetes
o heart disease
o arthritis
o any problems with bleeding (hemophelia, sickle cell trait or disease)
o disease of thyroid gland (TSH )
o infections (hepatitis B/C, HIV etc.)
o gravidity
o x-ray / CT/ MRI
Hygiene
 

Quality for hygiene also means that we use only one-way material for surgery. This is not yet standard, although European standards recommend using only one way material ( EN 13975-1. ). We take care and do everything to prevent possible contamination by bacteria, or hepatitis B or HIV.

It is known that major contamination of MRSA is from the patient himself/herself. For patients with history of long hospital stays we recommend culture (bacteriology) of nose and throat prior two weeks of scheduled surgery.

Lamina-air flow conditions mean nearly clean air is in the operating room. Doors close and open by automatic sensor, so ” dirty air” should not come in. The patient takes care of his/hers personal hygiene by: showering in the morning and removing hair in the surgery fields as instructed, cutting finger-nails. Personal clothing is taken off in the changing room also to prevent contamination. Of course we do disinfect before surgery and have the concept of antibiotic prophylaxis.

For all these procedures we still cannot neglect the risk of infection, which is overall (hospital and outpatient treatment) about 1-3%. But we guarantee that with all measurement possible to us we provide highest standards of hygiene.

 
risk profilegeneral patient information check list
home