Rutledge Tower Anesthesia Pre-Operative Clinic

Hours of Operation
8 a.m. to 5 p.m., Monday through Friday. Patients must be signed in by 4 p.m. to be seen in the Pre-Operative Clinic that day.

Location
The RT Pre-Operative Clinic is located on the 4th floor of Rutledge Tower (use Elevator A, which opens directly into the waiting area for the clinic).

Contact Information
The main number is 843-876-0116

Purpose
MUSC’s RT Pre-Operative Clinic is part of a collaborative effort between the MUSC Department of Anesthesiology and the hospital administration to:

  • Improve operating room (OR) efficiency.
  • Identify potential complications related to anesthesia or surgery.
  • Inform patients about what to expect on the day of their procedure.

Information for Patients
The MUSC Department of Anesthesiology and Perioperative Medicine administers approximately 3,000 anesthetics per month. Anesthesia services are provided in multiple locations throughout the hospital including traditional operating rooms, interventional radiology sites, cardiology procedure suites, and the Digestive Disease Center. The Pre-Operative Clinic provides multiple services for patients scheduled to undergo surgery including hospital pre-registration, nursing assessment, anesthesia evaluation, blood and urine testing, and patient education.

For Surgery Clinics
Once a patient’s surgical history and physical exam, signed consent, and lab orders have been completed in the surgical clinic, the patient may be sent to the Anesthesia Pre-Operative Clinic for further evaluation and testing. It greatly facilitates the flow of information through our electronic systems when cases are posted in Epic prior to patient arrival in clinic. If a timely electronic entry is not possible, please provide a completed paper posting slip.

The Anesthesia Pre-Operative Screening Questionnaire (PDF)was created to identify those patients who must be seen in the Pre-Operative Clinic prior to surgery. Please instruct patients to complete this form during their surgical clinic visit. If any item in bold is checked, the patient should be sent to the Pre-Operative Clinic for evaluation. In addition, any patient with past medical conditions treated at an outside hospital or clinic should have a Medical Records Release Form (PDF) signed at the time of his or her surgery clinic visit and scanned into Epic.

At this time when patients bring physical records from outside hospitals, please be sure to include a copy of relevant information in the OR chart (i.e. heart cath reports, ECHOs, PFTs, etc.) or identify if your office has scanned them into Epic. Anesthesiologists are particularly interested in studies related to the airway, cardiac, and pulmonary systems.

The Pre-Operative Clinic uses a combination of surgical risk classification as well as patient-specific comorbidities to determine appropriate laboratory testing needed prior to patient arrival in the OR. Please refer to the Surgical Risk Classification System (PDF) to determine if a given surgical case falls into the low, moderate, or high risk category. Once the appropriate category has been determined, one may refer to the following algorithms to determine what testing should be ordered:

Should further testing or treatment be required prior to surgery, the patient’s primary care provider or surgery office will be contacted to arrange that care. If post-operative co-management of disease is anticipated, a preoperative consult with that specific service is recommended.

Phone Screens

When medically appropriate, phone screens are available for select patients having surgery or outpatient procedures as an alternative to visiting the clinic. These patients are generally healthy, require no further lab testing, and have no questions or concerns regarding their anesthesia care. Phone screens may also be provided for patients that find it impossible to come to the Pre-Operative Clinic due to extenuating circumstances. The surgical history and physical exam, consent, and posting slips should be completed in the usual manner. Please have any patient with outside records sign a Medical Records Release Form (PDF) at the time of his or her surgery clinic visit, and then scan the signed form into Epic. This will enable our clinic to get outside records without the patient returning to the hospital. A registered nurse or physician from the Pre-Operative Clinic will then contact the patient prior to his or her surgery date.

Inpatients
Inpatients or patients who will be admitted prior to their procedure are not evaluated in the Pre-Operative Clinic. Once the patient has been admitted, you may contact the Department of Anesthesiology and Perioperative Medicine at 843-792-2322 to arrange to have the patient evaluated by an anesthesia provider in the hospital.

Kathryn Bridges, M.D.
Medical Director

George Inabinet, M.D.
Consultative Physician