Surgical Preoperative Risk Assessment & Optimization
Assess surgical risk and optimize preoperative patient outcomes
What You Can Do
You can rapidly synthesize complex patient data—comorbidities, functional status, labs, medications—into a comprehensive risk profile and actionable optimization plan. This skill guides you through ASA classification, procedure-specific risk stratification, and patient-centered consent documentation to ensure thorough clinical reasoning and defensible preoperative assessment.
Features
Assign appropriate American Society of Anesthesiologists risk level based on comorbidities and functional status
Identify risk factors tailored to the planned surgery type and complexity
Systematically evaluate impact of diabetes, cardiac disease, renal dysfunction, and other conditions on perioperative risk
Produce prioritized, evidence-based mitigation recommendations with realistic timelines
Generate structured preoperative notes that clearly document risk/benefit discussion and shared decision-making
Identify gaps in diagnostic workup and flag abnormalities requiring intervention before surgery
Review perioperative medication protocols including hold/continue decisions for high-risk drugs
Develop clear explanations of risks and optimization steps for patient counseling
Example Output
Risk Profile Summary:
- ASA Class III (controlled diabetes, hypertension, moderate deconditioning)
- Procedure Risk: Moderate (elective total knee arthroplasty)
- Primary Concerns: Glycemic control (HbA1c 8.2%), deconditioning
Optimization Plan:
- HbA1c Management — Target <8.0 before surgery; increase metformin monitoring; endocrinology consult if needed
- Cardiac Clearance — EKG shows no acute changes; stress test not indicated for ASA III patient undergoing orthopedic surgery
- Functional Optimization — Physical therapy 2–3×/week for 4 weeks; focus on lower-extremity strengthening
Preoperative Documentation Excerpt: Patient is a 68-year-old with well-controlled hypertension and diabetes presenting for elective TKA. Risks including infection, DVT, and anesthesia complications were discussed. Patient understands need for optimization and agrees with plan.
What's Included
- SKILL.md instruction file: Complete preoperative assessment workflow and clinical decision framework
- Preoperative Assessment Template: Structured note format for data collection and risk synthesis
- ASA Classification Checklist: Quick reference for assigning and justifying ASA level
- Comorbidity Risk Matrix: Procedure-specific risk factors organized by common surgical types
- Optimization Priority Worksheet: Tool for prioritizing interventions by impact and timeline
- Patient Counseling Script: Plain-language explanations of risks and optimization rationale
Who It's For
- Physician Assistants in surgery, orthopedics, and procedural specialties preparing patients for elective operations
- Surgical nurses and clinical coordinators building preoperative checklists and patient education materials
- Primary care physicians optimizing patients before referral to surgery
- Anesthesiologists and CRNAs conducting preoperative assessments and risk stratification
- Surgery residents and fellows developing structured assessment and documentation practices
Best For
- Preoperative risk stratification for patients with multiple comorbidities or complex medical histories
- Identifying reversible risk factors and building prioritized optimization plans with realistic timelines
- Generating defensible, thorough preoperative documentation that reflects shared decision-making
- Patient counseling and consent discussions explaining surgical risks and optimization rationale
- Coordinating multidisciplinary optimization (cardiology, endocrinology, physical therapy referrals)
You might also like
You can develop comprehensive differential diagnoses by anchoring on the chief complaint, applying systematic reasoning to competing diagnoses, and identifying red flags that suggest serious pathology. The skill helps you organize complex clinical information, prioritize diagnostic possibilities based on prevalence and risk, and document your reasoning for medicolegal protection and clinical clarity.
by gptomics
You'll systematically evaluate patient risk factors, stratify perioperative risk using evidence-based frameworks, and generate detailed anesthesia plans that address specific comorbidities and procedural requirements. This skill helps you synthesize complex patient data—medical history, physical exam findings, lab work, imaging, and medication profiles—into actionable risk mitigation strategies that optimize patient safety and guide technique selection, drug choices, and monitoring protocols.
by gptomics
You synthesize current clinical evidence into structured protocols tailored to your specialty and institutional context. This skill helps you build physician-nurse collaborative decision frameworks, identify implementation barriers before rollout, and create adoption guides that account for resource constraints and stakeholder buy-in. You'll develop protocols ready for medical staff committees and bedside teams—not generic templates, but specialty-specific standards that bridge research and practice.
by gptomics
You construct methodical differential diagnoses using a validated three-tier framework that separates don't-miss conditions from high-probability and lower-probability diagnoses. Claude integrates patient context, vital data, and epidemiologic patterns specific to primary care settings to generate actionable diagnostic branches with targeted next steps for confirmation or exclusion of each condition.
by gptomics
You can systematically document refraction findings for low vision patients and generate prescriptions optimized for specific functional tasks like reading, mobility, and facial recognition. The skill calculates appropriate magnification ratios, predicts realistic visual outcomes, and creates comprehensive documentation that prioritizes quality of life over distance acuity—transforming conventional refraction into patient-centered, task-driven prescriptions.
by gptomics
Organize and validate patient parameters against clinical thresholds to generate customized contact lens fitting protocols. The skill systematizes complex fitting decisions for diverse refractive errors and corneal conditions, ensures regulatory compliance through built-in safety checks, and creates documented follow-up timelines based on individual risk factors. You get clinically justified lens parameter recommendations with transparent decision-making rationale suitable for patient records and staff training.
by gptomics
You can systematize contact lens fitting using structured clinical decision frameworks that accelerate patient selection, lens recommendations, and troubleshooting. This skill provides real-time access to candidacy assessment tools, lens selection logic for complex cases (keratoconus, post-refractive surgery, presbyopia, dry eye), and complaint resolution protocols—reducing chair time while maintaining clinical rigor and defensible documentation.
by gptomics
You can rapidly synthesize invasive hemodynamic monitoring, echocardiography, and lab data into coherent clinical assessments that guide inotrope and vasopressor selection specific to cardiac pathology. The skill helps you differentiate between pump dysfunction, volume status, and vasomotor tone problems to anticipate hemodynamic challenges at critical surgical transitions—from pre-bypass optimization through post-bypass weaning—and generate evidence-based pharmacologic reasoning suitable for documentation and peer review.
by gptomics