Pre-Admission Counselling and Evaluation (PACE) Clinic

Pre-Admission Counselling and Evaluation (PACE) Clinic

Your Care Journey at PACE Clinic

What to Bring for Your Appointment?

Instructions for Elective Surgery Admissions

A Pre-admission Counselling and Evaluation (PACE) Clinic consultation provides financial counselling and pre-operative evaluation to assess your body's condition to cope with the stress of surgery.

Your Specialist Outpatient Clinic (SOC) will book the PACE appointment for you. The PACE visit may take 3 hours or more to complete all required investigations and counselling.

For patients who are scheduled for surgery that requires local anaesthesia (LA), a PACE appointment is not required. Financial counselling will be provided via a phone call.

If you require haemodialysis, please ensure the PACE appointment is scheduled on a non-dialysis day.

Learn more about Anaesthesiology, Your Surgical Journey with TTSH, click here for mandarin content.

Important: Please adhere to your allocated PACE appointment or surgery date and refrain from changing as we may not be able to cater another slot promptly.

However, if there is a need to reschedule your PACE appointment or surgery date, please contact PACE at:

Telephone: 6357 2244 / 6357 2218

Operating Hours: Monday - Friday: 8.30am to 5.30pm

Email: ttsh.paceclinic@nhghealth.com.sg

Location: Level B2, TTSH Medical Centre

Financial Counselling

If you are scheduled for a surgery, you may want to find out about the cost and the payment options of the hospitalisation bill. Our financial counsellors will provide you with an estimated hospitalisation bill before your admission*.

The estimated bill is calculated based on the bed or facility charges of your preferred ward type, daily treatment fees, standard investigations, standard medications, surgery or procedure charges, as well as the estimated length of stay.

During the financial counselling session, we will also inform you on your payment options, such as:

Estimated amount of Medisave you can utilise
Estimated MediShield Life/ Integrated Shield Plan coverage
Estimated cash payment or initial deposit of your hospitalisation bill

* Your actual bill may differ depending on your medical condition, additional treatment needed and actual length of stay.

Useful Information

Assessment and Evaluation

Depending on the type of surgery and your medical condition, you may be assessed by a doctor or a specially trained nurse at PACE. This is to determine whether you are medically fit for the surgery.

The assessment may include:

Medical history taking
Medication list review
Physical examination

You will be briefed on pre-operative instructions to prepare you for the surgery, e.g. medications that you need to stop.

Your doctor or nurse will also discuss with you the different types of anaesthesia, their benefits and risks, as well as post-surgery pain management.

Pre-admission Tests

You may have to undergo some investigations such as blood test, electrocardiogram (ECG), chest X-ray, etc.

There is no need to wait for the test results. We will contact you if abnormal results are detected and further tests are required.

Home

You have completed your PACE journey.

However, if your medical condition require further review before the surgery, you may be referred to other medical specialists before proceeding with the surgery. This is to ensure you have the safest possible surgery.

INSTRUCTIONS FOR DAY SURGERY / SAME DAY ADMISSION / AS23
(admission on day of surgery)

REPORTING FOR ADMISSION

Report to: Day Surgery Centre, Level 3, Medical Centre

ONE WORKING DAY BEFORE SURGERY: Operating Theatre staff will call you in the afternoon between 2pm – 5pm to confirm the time of arrival and fasting instructions.

If you do not receive our phone call by 5pm, please call 6357 1524 (between 5pm - 6.30pm).

Punctuality is very important to avoid delays in surgery.

REGISTRATION FOR ADMISSION

It is advisable that an adult accompanies you when you report to the centre for admission. All important documents and valuables will be returned to the accompanying person after registration and admission.

SAME DAY ADMISSION
You will be admitted to an Inpatient ward after surgery. Your ward/bed number may not be available at the time of registration. Our staff will contact your family once this information is available.
AMBULATORY SURGERY 23 HOURS
You will be admitted to a Day Surgery ward. An adult must accompany you home on the following day morning, before 9 am. Should you be unfit for discharge or need further treatment, you may be transferred to an inpatient ward. The class status of the ward for your admission will be based on your AS23 class status.
DAY SURGERY PROCEDURE
You will be discharged on the same day after surgery. An adult must accompany you home if you have undergone sedation, regional or general anaesthesia.
Should your doctor decide that you are unfit for discharge or need further treatment, you may be admitted to the AS23 ward or transferred to an inpatient ward.

INSTRUCTIONS FOR PRE-ADMISSION ELECTIVE
(admission 1 day before surgery)

REPORTING FOR ADMISSION

Report to: Admission Office, Level 1, Ward Block

You will be admitted to the inpatient ward through Admission Office before surgery.

ONE WORKING DAY BEFORE SURGERY: TTSH will SMS you to remind you on the date and time of admission.

If you do not receive any reminder by 2pm on the day of admission, please contact 6357 8899.

DOCUMENTS TO BRING FOR REGISTRATION

TTSH Outpatient Appointment Card.
Identity Card / Passport / Work Permit / Birth Certificate.
Civil Service Card / Public Service Card (CSC / PS Card).
Medical Benefit Identity Memo (MBIM) for SAF Personnel.
Singapore Blood Transfusion Service Medical Benefit Card.
Letter of Guarantee (LOG). The LOG must have at least 30 days’ validity, with hardcopy brought on the day of surgery. Without the LOG, a cash deposit will be required.
Hospital Identity or Admission Card (HIC / HAC).
Public Assistance Card / Medical Exemption Card / Rent and Utilities Assistance Scheme Card
To bring along any personal X-ray films/ medical reports as required by the surgeon (Whichever is applicable).

COSMETIC ENHANCEMENTS WHEN ARRIVING FOR SURGERY

Certain cosmetic enhancements can interfere with the monitoring and care required during anaesthesia.

These includes:

Manicure / Nail treatments e.g. Nail Polish, Gelish, Acrylic nails.
Contact lenses and cosmetic corneal lenses.
False eyelashes.
Make up.

Please ensure that the above be completely removed prior to arriving for surgery, in order to provide you with the safe and necessary care required for your surgery.

OTHER IMPORTANT INSTRUCTIONS

DO NOT wear any jewellery.
DO NOT bring excessive cash.
It is NOT advisable to drive on the day of surgery.

PRE-SURGERY FASTING
for patients undergoing elective surgery/ procedure, requiring general anaesthesia

Fasting is necessary and important for the safe delivery of anaesthesia.
Fasting is required to prevent food/ liquid in your stomach from entering your lungs.
Surgery / Procedure may be delayed or postponed if fasting instructions are not properly followed.

Surgery/ Procedure BEFORE 1pm

From 12 midnight, DO NOT eat any food.
You may drink only plain water up to 2 hours before your operation time.

Surgery/ Procedure AFTER 1pm

Before 7am, you may take 2 slices of plain white bread OR 2 plain biscuits.
There should not be any spread (e.g. butter or jam) on the bread or biscuit.
You may take 1 cup of plain coffee or tea.
No dairy containing drinks are allowed.
DO NOT take any other type of food.
From 7am, DO NOT consume any food.
You may only drink plain water up to 2 hours before your operation time.

MEDICATIONS

Before 7am, take your medications as advised by PACE Clinic during your anaesthesia assessment.

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