Pre-operative Assessment Unit: University Hospital Limerick

What we do

The National Clinical Programmes under the governance of the Directorate of Quality and Patient Safety have been established to implement best evidence based practice for treatment of surgical patients. The National Clinical Programmes encompasses the National Anaesthetic Programme of which the Pre-operative Assessment of patient awaiting elective surgery is a component. 

UL Hospitals has a Regional Pre-operative Assessment service including Croom, Ennis, Dooradoyle, Nenagh and St. Johns Hospital. 

The goals of the pre-operative assessment unit are to

  • Evaluate the patients readiness for anaesthesia and surgery
  • Optimise patient health before surgery
  • To enhance the quality of the patients peri-operative care
  • Offers an opportunity to provide information and education pertinent to the individual patient and their surgical journey.
  • Facilitate early assessment and patient education by allied healthcare professionals (physiotherapy, stoma care etc.).
  • Reduce the morbidity of surgery and length of stay
  • Reassurance and allaying of patient fears and anxieties

Services Provided

Pre-operative Assessment

To achieve the pre-operative assessment goals outlined above the following are completed during a pre-operative assessment visit:

  • A comprehensive medical, surgical and anasethetic history is completed
  • The appropriate pre-operative investigations (e.g. ECG, Blood Tests, Chest X-ray, Spirometry) and screening (MRSA) are completed
  • When required access to health promotion programmes (e.g. smoking cessation…) are orgainised.
  • The visit enables the sharing of information and patient education in relation to the pre-operative, peri-operative and post-operative care plan.  This can include the patient’s journey from admission to discharge, pre-operative optimisation (health promotion such as weight management, smoking cessation), pre-operative preparation and post operative management (e.g. pain management and wound care).

Certain cohorts of patients following nursing assessment will require review by a consultant anaesthetist, which is organised and facilitate in the pre-operative assessment clinic.  We aim to complete this and all pre-operative investigations on the same day as the pre-operative assessment appointment but unfortunately this is not always achievable and a second visit to the hospital may be required.

Day of Surgery Admission

To facilitate Day of Surgery Admission certain groups of patients will following pre-assessment by nursing and if required the anaesthetist, be reviewed by a Doctor from the surgical team.

What to Expect during Pre-operative Assessment Visit

  • Discussion in relation to the patient’s medical, surgical and anasethetic history.
  • The completion of appropriate pre-operative investigations (e.g. ECG, Blood Tests, Chest X-ray, Spirometry) and screening (MRSA).
  • The sharing of information and patient education in relation to the pre-operative, peri-operative and post-operative care plan.  This can include the patient’s journey from admission to discharge, pre-operative optimisation (health promotion such as weight management, smoking cessation), pre-operative preparation and post operative management (e.g. pain management and wound care).
  • Some pre-assessment units are able to facilitate a visit to the Theatre Department, Surgical Day Ward and the Admissions Department.

Pre-operative Assessment Staff, University Hospital Limerick

  • Clinical Lead / Consultant Anaesthetist Dr. Mahdy
  • Nursing Mary Dalton / Jacqui Marin
  • Clerical Officer Claire Meany

Clinic Timetables

Pre Operative Assessment Unit Monday Tuesday Wednesday Thursday Friday Saturday / Sunday
Dooradoyle 07:30- 16:30 07:45 – 16:30 07:30 – 16:30 07:45 – 16:30 Closed Closed

How to Contact Us

Pre Operative Assessment Unit, University Hospital Limerick: ph (061) 585668

Links to NCPS

  • National Clinical Programmes for Surgery
  • National Anaesthesia Programme