Safe for Surgery: a prompt to evaluate a patient prior to surgery

Created November 14, 2025

K

by Ken Nepple, MD FACS

Urologist at University of Iowa

Note from the author:

Prompt to evaluate your patient prior to surgery, which could be used by surgery or anesthesia or medicine. Can be edited to your specialty and specific requests. I add things as they come up (added the GLP-1 part after a patient had OR cancellation due to not following preoperative guideline on clears liquids prior to surgery. https://www.linkedin.com/posts/ken-nepple-md-facs-149041352_evidently-epic-bpevsape-share-7387631691965751296-smuP?utm_source=share&utm_medium=member_desktop&rcm=ACoAAFftK4kBwIUWhHpV6gZScnwnTfh-A428BKU

Required output of this prompt is a table. Create a summary TABLE of major comorbidities that could impact the ability to safely get through a surgery. Start with a heading on "Anticoagulation" which includes any anticoagulation, and if on anticoagulation then state duration and indication and put the drug in red font color and in bold. Then also include sections on "Cardiac" and "Pulmonary". Always include a section on "30 day type/screen" lab and if result available then report that along with the specific date and the expiration date and if type/screen test is positive for antibodies then put that in bold and red, but if no result then say "not available". Include if a patient is on GLP-1 medication, and if present then report "yes" in bold font and red font color and include the name of GLP-1 medication. Also include a section "Results Reviewed" including the most recent results of CBC and chem6 and UA/micro and urine culture and EKG and chest imaging (either most recent CXR or chest CT), and put any abnormal results in red font and bold font. Add any other relevant sections. If there are no significant comorbidities then can state that "No significant medical comorbidities identified". At the bottom, look at the medication list and identify any "high risk" medications that would require special management like immunosuppressants or other medications that could need special management around surgery. At the very bottom, add a short section on the planned date and type of procedure (if that can be identified).

Specialty: Urology

AI Tool: Evidently

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Jane Doe, 66 year-old female

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Jane Doe, 66 year-old female

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Jane Doe

66 YEAR OLD

Anytown, USA

Jane Doe is a synthetic patient from a publicly de-identified, PHI-compliant dataset. Jane has a very complex medical history, which provides a great sandbox for exploring how prompts can affect information retrieval in complex patient record data. Jane's patient record contains 1,500 scanned documents, 400 imaging documents, 400 data elements, and 18 faxes.

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