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Surgical Coordinator Checklist

Download: Surgical Coordinator Checklist

A sample of content in this file:

Cornea Surgery Check List

Avoiding Cornea Surgery Patient Cancellations

Cornea Surgeons, Surgical Coordinators and Surgery Team:

Please review the following suggested patient check list and contact our team with additional suggestions that we can share with other offices to help minimize cornea returns. We appreciate your help!

  • Insurance verified /obtained pre-authorization
  • Received medical clearance from PCP
  • Consents signed and received
  • Latex or other allergies noted
  • Patient payment received
  • Patient information sent to surgery center
  • Proper tissue type ordered and confirmed by MD
  • Confirm required patient information; diagnosis, patient ID, DOB all correctly entered for order
    Click here to log into your surgeon’s OWSA account for easy ordering access: https://tissue.oneworldsightalliance.org/member/login.aspx
  • If you do not have direct access to OWSA please use the attached updated form.
Suggested confirmations 1 week prior and day prior to surgery:
  • Confirmed surgery date is booked, date, time, and location
  • Patient has confirmed transportation to and from procedure
  • Reminder not to eat/drink prior after midnight
  • Rx’s sent to pharmacy and received / patient aware when to start drops and/or medication
  • Patient has received the Path to Sight brochure and Lions World Vision Institute wristband which will serve as a reminder of honoring the Gift of Sight.

LWVI looks forward to assisting your patients and team with the highest quality and processing available for your cornea surgery patients. Your kindness and consideration in honoring the Gift of Sight is greatly appreciated.

Thank you,

Please contact us with any questions Lions World Vision Institute

Distribution Team Cornea@LWVI.org

Karen DeMarco, Karen.DeMarco@LWVI.org, Director of Domestic Distribution

Michele Malandro, Michele.Malandro@LWVI, Ocular Marketing Manager

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