Vascular Surgery Patient Flow Protocol

1. Pre-Arrival

Registration & Insurance Verification

• Complete pre-registration 48-72 hours before appointment
• Verify insurance coverage and pre-authorizations
• Confirm patient demographics and contact information

Clinical Documentation Review

• Review referral documentation and imaging studies
• Ensure all necessary diagnostic results are available
• Flag urgent cases for expedited processing

2. Patient Arrival

Check-in Process

• Verify patient identity and insurance cards
• Collect copayments and outstanding balances
• Update medical history and medications
• Complete required consent forms

Initial Assessment

• Vital signs and weight measurement
• Brief nursing assessment
• Pain evaluation
• Ankle-brachial index (ABI) if indicated

3. Clinical Evaluation

Physician Examination

• Comprehensive vascular assessment
• Review of imaging and laboratory results
• Discussion of treatment options
• Documentation in EMR

Care Planning

• Schedule necessary procedures
• Coordinate with other specialists
• Provide patient education materials
• Document treatment plan

4. Procedure Scheduling

Pre-operative Planning

• Complete surgical risk assessment
• Schedule pre-operative testing
• Coordinate with anesthesia team
• Verify OR availability

Patient Education

• Provide procedure-specific instructions
• Review pre-operative preparations
• Discuss post-operative care
• Schedule follow-up appointments

5. Post-Visit Processing

Documentation Completion

• Finalize clinical notes
• Complete procedure scheduling forms
• Process referrals and orders
• Update patient care plan

Follow-up Management

• Schedule necessary follow-up appointments
• Coordinate with primary care physician
• Arrange home health services if needed
• Process discharge instructions