Neurosurgical Appointment Scheduling Protocol

Priority Classifications

Level 1 - Emergency (Same Day)

• Acute neurological deterioration
• Cauda equina syndrome
• Acute hydrocephalus
• Severe intracranial hemorrhage
• Spinal cord compression with progressive deficits

Level 2 - Urgent (Within 1 Week)

• New brain tumors with symptoms
• Progressive myelopathy
• Stable subdural hematoma
• Severe radiculopathy with motor deficit

Level 3 - Semi-Urgent (Within 2-3 Weeks)

• Stable brain tumors
• Cervical/lumbar stenosis with moderate symptoms
• Stable hydrocephalus
• Chronic subdural hematoma

Level 4 - Routine (Within 4-6 Weeks)

• Degenerative spine conditions
• Chronic pain conditions
• Follow-up appointments

Required Information for Scheduling

Patient Demographics

• Full name and DOB
• Insurance information
• Contact information
• Primary care physician

Clinical Information

• Recent imaging studies (MRI/CT reports)
• Relevant medical history
• Current medications
• Previous surgical interventions

Scheduling Guidelines

New Patients

• 60-minute slots
• Morning appointments preferred
• Imaging must be available 24 hours before appointment

Follow-up Appointments

• 20-minute slots
• Can be scheduled throughout the day
• Post-op visits at 2 weeks, 6 weeks, and 3 months

Pre-operative Appointments

• 45-minute slots
• Schedule 1-2 weeks before surgery date
• Include time for consent process

Special Considerations

Emergency Add-ons

• Keep 2 emergency slots daily
• Coordinate with OR schedule
• Document referring physician contact

Telehealth Appointments

• 30-minute slots
• Verify technology requirements
• Limited to follow-up and minor consultations