check list for surgery and preoperative handlings

	Planned date for surgery: _______________________
	Day of surgery morning time: No food, no beverage (no coffee, no tea, no water, Non-smoking, no chewing-gum)
	Medication list: Medication has to be discussed with anaesthesiologist!
	Person, who is picking you up: Who is it? ____________________________________________________ Phone-number:_______________________________________________ Leaving time is approximately after 5-6 hours stay with us.
	Call at the office the day before surgery to find out exact checking-in-time for surgery Tel. 0049/89-24245901
	Aspirin (Acetylsalicylate medication) has to be turned off 10 days before surgery. Methformin has to be turned off 24 hours before surgery.
	No jewellery, no make-up, no contact lenses, no dentures in surgery
	Allergies: yes/no If yes: _______________________________________________________
	Medications causing problems: ______________________________________________________________
	Lab-report:
	Heart-report:
	Lung-report:
	Preview interview date at least one day before surgery: __________
	Surgeon assignment date: _________________
	Anaesthesiologist assignment date:__________________
	Other important investigations: ________________________________
	Postoperative handling: - taking pain-medication as to the doctors advice - no showering until 3 rd day after surgery - cold-pack treatment 4-6 times a day - laying leg or arm in up-hold position - silence and peace is good for good recovering.