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?To the clinician performing preoperative examination on patient _______________________________, scheduled for _____________________________________ surgery on __________2020:Thank you for participating in our patient’s care and clearance.Until Covid19 is contained in America, we have adopted policies to be sure that our patients’ surgery goes safely. The pre-operative clinician & patient’s family are partners in our patient’s safety.Elective/non-urgent surgery or sedation for a procedure should be delayed for anyone with a fever or recent respiratory infection, because anesthesia can make such an illness much worse. This is especially true for Covid19. It is unsafe to have anesthesia and surgery until recovered and at least 14 days after symptoms. We will help patients reschedule, if needed. If someone the patient’s household has had a recent infection, the patient may be incubating it, so it is safest to wait until 14 days in that situation, too. Please help our patients understand this.During the period when social distancing is needed for Covid 19 safety, we ask that both patient and household members be especially careful in the 14 days before surgery. They must avoid crowds, public transportation, gatherings, and use recommended masking and hand sanitizing. If they must travel for surgery, we urge private transportation. Public transportation is a known risk factor in countries with sustained community transmission of COVID 19. If they must fly, they should follow CDC recommendations to minimize risk of becoming infected. must also comply with Maryland mandates regarding travel and 14 day quarantine on arrival when in effect, as well as mandates for any state to which the patient may return.For our patient’s safety, we request that he/she is tested for Covid 19 by nasal swab in the week before surgery. This can be arranged locally with help (Labcorp: 2019 Novel Coronavirus (COVID-19), NAA test 139900 PRIORITY, sample order included) prior to travel here, or by drive-through testing arranged in advance at Sinai. Results are usually available in 48 hours, but we recommend 72 hours to be sure results are available for review by the surgical team and scanned into the chart. Results must be received 72 hours before surgery, so testing 5 days before surgery is ideal (no more than 10 days).We request a log of the patient’s temperature and any symptoms in the 14 days leading up to surgery. (sample log included).Please call __________________________ if you have any questions.Preop and labs should be faxed to ________________________________________________________.Thank you,Your surgical team: __________________________________________________________ ................
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