One Medical Pre-Operative Passport Information

What is One Medical Pre-Operative Passport?

One Medical provides comprehensive pre-operative medical evaluation and clearance for patients scheduled for surgery at Advanced Urology. This service ensures:

You're medically optimized before your procedure
All chronic conditions are well-controlled
Potential anesthesia risks are identified and minimized
Necessary testing is completed
You're cleared for safe surgery

Think of it as a comprehensive health check-up focused on making your surgery as safe as possible.

Why Pre-Operative Clearance Matters

Patient Safety

Identifies medical conditions that need attention before surgery
Reduces anesthesia risks
Prevents surgical complications
Optimizes chronic disease management

Better Outcomes

Well-controlled diabetes = faster healing
Optimized blood pressure = less bleeding
Managed medications = fewer interactions
Clear plan = smoother recovery

What One Medical Evaluates

Complete Medical Assessment

Cardiovascular Health

Heart disease history
Hypertension control
Recent cardiac events
Pacemaker or defibrillator
Stents or bypass surgery
EKG if indicated
Cardiology clearance if needed

Pulmonary Health

Asthma or COPD
Sleep apnea
Smoking history
Recent respiratory infections
Chest X-ray if indicated
Pulmonology clearance if needed

Endocrine & Metabolic

Diabetes management and control
Thyroid function
A1c levels
Blood sugar monitoring plan

Hematologic

Bleeding disorders
Blood thinner management
Anemia
Blood counts (CBC)
Coagulation studies if indicated

Other Medical Conditions

Kidney or liver disease
Neurological conditions
Previous anesthesia complications
Allergies (medications, latex, anesthesia)
Recent infections
Immunosuppression

Required Forms and Information

Complete Medical History Form

Provide detailed information about:

All past surgeries and procedures (with dates)
All medical diagnoses and chronic conditions
Hospitalizations in past year
Family medical history (heart disease, clotting disorders, anesthesia reactions)
Social history (smoking, alcohol, drug use)
Functional status and exercise tolerance

Complete Medication List (CRITICAL)

This is one of the most important parts of your clearance.

For EACH Medication, Provide:

Generic name (and brand name if you know it)
Exact dose (e.g., 10 mg, not "one pill")
Frequency (e.g., "twice daily", "every morning")
Route (by mouth, injection, patch, etc.)
Prescribing doctor (which doctor prescribed it)
What it treats (e.g., "for high blood pressure")

Include ALL of the following:

✅ Prescription medications
✅ Over-the-counter medications (Tylenol, antacids, etc.)
✅ Vitamins and supplements
✅ Herbal products
✅ Eye drops (prescription)
✅ Inhalers
✅ Patches (nicotine, pain, hormone)
✅ Injections (insulin, biologics)

⚠️ Important: Incomplete medication lists can delay your surgery. Include everything, even if you think it's not important.

Allergy Information

List all allergies including:

Medication allergies (what reaction occurred)
Latex allergy
Anesthesia reactions in past
Food allergies (if severe)
Environmental allergies if severe

Timeline for Clearance Process

As Soon as Surgery is Scheduled

When	What to Do
Day 1	Surgery scheduled at Advanced Urology → We send referral to One Medical
Days 2-3	One Medical contacts you to schedule pre-op appointment
Before appointment	Complete all forms, gather medication list, collect records
1-2 weeks before surgery	Attend One Medical appointment for evaluation
After appointment	Complete any ordered testing (blood work, EKG, X-rays, specialist clearances)
3-5 days before surgery	One Medical sends clearance to Advanced Urology Surgery Center
Surgery day	Proceed with optimized surgical care

⚠️ Don't Delay: Schedule your One Medical appointment immediately after surgery is booked.

Late clearance can result in surgery postponement. Plan for 2-3 weeks lead time.

Common Tests Ordered by One Medical

Depending on your age, health history, and type of surgery, One Medical may order:

Blood Work

Complete Blood Count (CBC)
Comprehensive Metabolic Panel (CMP)
Coagulation studies (PT/INR, PTT)
Hemoglobin A1c (diabetes)
Type & Screen (if transfusion possible)

Cardiac Testing

EKG (electrocardiogram)
Echocardiogram (if heart disease)
Stress test (if indicated)
Cardiology clearance letter

Pulmonary Testing

Chest X-ray
Pulmonary function tests (PFTs)
Arterial blood gas (if severe lung disease)
Pulmonology clearance letter

Other Tests

Urinalysis (check for infection)
Pregnancy test (women of childbearing age)
COVID-19 test (if required by facility)
Other specialist clearances as needed

What to Bring to One Medical Appointment

✅ Required Items

✅ Completed patient forms (provided by One Medical)
✅ Complete medication list with doses and frequencies
✅ Insurance cards (primary and secondary if applicable)
✅ Photo ID (driver's license)
✅ List of all physicians (names, specialties, phone numbers)
✅ Recent medical records (if available):
- Prior EKGs, echocardiograms
- Recent lab results
- Specialist letters or notes
- Hospital discharge summaries
✅ Questions list for the provider

Common Medical Conditions Requiring Optimization

Diabetes

Goal: A1c < 8% (ideally < 7%)
Optimization: Medication adjustments, insulin management
Surgery day plan: Special instructions for diabetes medications

Hypertension

Goal: Blood pressure < 160/100
Optimization: Medication adjustment if poorly controlled
Surgery day: Most BP meds continued

Anticoagulation (Blood Thinners)

Assessment: Why you're on blood thinners (heart, stroke, DVT/PE prevention)
Coordination: With cardiologist or prescribing doctor
Plan: When to stop before surgery, when to restart after
Bridge therapy: May be needed for high-risk patients

Sleep Apnea

Important for anesthesia: Higher risk with sedation
Bring CPAP: May need it in recovery
Special monitoring: Anesthesia team will be notified

If Additional Testing or Clearances are Needed

One Medical may refer you to specialists for clearance if you have complex medical conditions:

Cardiology Clearance

Required for:

Recent heart attack (within 6 months)
Unstable angina
Recent cardiac stent
Heart failure
Significant valve disease
Pacemaker or defibrillator

Pulmonology Clearance

Required for:

Severe COPD or asthma
Home oxygen use
Recent pneumonia or respiratory infection
Poor pulmonary function

Hematology Clearance

Required for:

Bleeding disorders (hemophilia, von Willebrand disease)
Clotting disorders
Severe anemia
Complex anticoagulation management

Timeline: Specialist appointments can take 1-2 weeks to arrange. Start the clearance process early to avoid surgery delays.

Medication Management for Surgery

Which Medications to Continue

Usually CONTINUE on surgery day:

Blood pressure medications (most)
Heart medications (beta blockers, etc.)
Thyroid medications
Anti-seizure medications
Psychiatric medications
Glaucoma eye drops

Which Medications to Hold

Usually STOP before surgery:

Blood thinners (timing varies - One Medical will specify)
Diabetes medications (special instructions given)
Diuretics (water pills) - usually hold morning of surgery
NSAIDs (ibuprofen, naproxen)
Supplements that affect bleeding

🚨 Never stop or change medications on your own. Follow One Medical's specific instructions for YOUR medications.

What Happens at Your One Medical Appointment

Comprehensive Evaluation (30-45 minutes)

Vital signs: Blood pressure, heart rate, oxygen saturation, weight
Physical exam: Heart, lungs, general assessment
Medical history review: Go through all health conditions
Medication review: Verify all medications and give surgery day instructions
Allergy review: Document all allergies
Anesthesia assessment: Review anesthesia risks and plan
Test ordering: Order any necessary pre-op tests
Specialist referrals: Arrange additional clearances if needed
Patient education: Explain what to expect
Questions: Answer all your concerns

After One Medical Clearance

Next Steps

Complete all ordered tests promptly
- Blood work, imaging, specialist appointments
- Send results back to One Medical
One Medical reviews all results
- May request additional testing if abnormalities found
- May recommend optimization before clearing
Clearance letter sent to Advanced Urology
- Confirms you're optimized for surgery
- Includes medication instructions
- Notes any special anesthesia considerations
Surgery Center receives clearance
- You're confirmed for surgery
- Pre-op call scheduled

Frequently Asked Questions

Do I need clearance for all surgeries?

Most surgeries requiring general anesthesia need clearance, especially if you have medical conditions or are over 65. Your Advanced Urology team will tell you if clearance is required.

How long does clearance take?

The One Medical appointment is 30-45 minutes. If testing is needed, allow 1-2 weeks for completion. Start the process at least 2-3 weeks before surgery.

What if I'm not cleared?

If medical issues are found, One Medical will work with you and your doctors to optimize your health. Surgery may be postponed until you're safe to proceed.

Is there a cost for One Medical?

Pre-operative evaluation is typically covered by insurance as part of surgical preparation. Bring your insurance cards.

Can my primary care doctor do this instead?

We use One Medical for their expertise in pre-operative optimization and standardized protocols. They coordinate directly with our Surgery Center.

What if I have questions after the appointment?

Call One Medical directly for clearance questions, or call Advanced Urology (678-344-8900) for surgery-related questions.

Contact Information

For Surgical Questions:

Advanced Urology
📞 678-344-8900
⏰ Monday-Friday, 8 AM - 5 PM

For Clearance Questions:

One Medical
(Contact info provided with your referral)