T&A Triage with or without Preoperative Polysomnography Clinical Pathway – Inpatient and Outpatient Specialty Care

Assessment by Anesthesia Resource Center (ARC)

Patients with complex medical conditions requiring anesthesia must have a pre-procedure history & physical (PPHP) within 30 days of the scheduled procedure by the ARC This can be completed through a face-to-face visit or No Pre-visit phone encounter. The No Pre-visit phone encounter is for complex patients who have multiple general anesthesia encounters within a one-year time frame.

ASC Patient Selection Policy
ASC Patient Selection Guidelines Job Aid

Face-to-Face Visit	Completed by a trained MD, APP, or PA trained to complete a PPHP Includes clinicians in: Otolaryngology General Surgery Gastroenterology Anesthesia Resource Center clinicians More complex visits have a face-to-face visit
No Pre-Visit (NPV)	A phone call is completed by trained RN, APP, MD For complex patients who have multiple general anesthesia encounters within a 1-year timeframe On the day of the procedure APP/MD assumes full ownership of the H&P

©2024 by Children's Hospital of Philadelphia, all rights reserved.
Use of this site is subject to the Terms of Use.

The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.