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Pre-Operative
Checklist:
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Proper
Patient Selection |
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Proper
referral protocol to include: (For outside referring
doctors) |
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 |
1.
Inclusion of "Notice of referral" in
most recent PR-2 report (W/C). |
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2.
Send copy of records and radiographs to evaluating
doctor |
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(Staff
member may act as office contact to minimize time
requirement of
referring doctor) |
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Patient
Education and Informed Consent (patient signature required).
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Chiropractic
History and Physical. |
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Medical
History and Physical (including anesthesia clearance). |
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Acquisition
of any necessary special tests: |
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| MRI |
| EKG |
| SE-CPT |
| EMG |
| Pulmonary
Function |
| Laboratory
Tests |
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Obtain
Pre-MUA capacity measurements from Gary Lindahl, RPT.
(If possible) |
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Obtain
Pre-MUA capacity measurements from Gary Lindahl, RPT.
(If possible) |
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Obtain
authorization for post-MUA Super/Slow with Gary Lindahl,
RPT
(W/C patients only) |
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Completion
by Doctor of Patient Information and Treatment Goals
form. |
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| Post-Operative
Checklist: |
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Distribute
General Post-Operative Instruction form to patient.
Include home stretching instructions. |
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Schedule patient for initiation of post-MUA treatment
protocol. |
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Weeks
one and two: 3 treatments per week to include spinal
manipulative therapy and MUA stretches. |
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Weeks
three and four: 3 treatments per week as above.
Also, initiate strengthening and stabilization program
such as Super-Slow Program. |
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Weeks
five through eight: 2 treatments per week and
continued strengthening program.
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