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SURGICAL PROGRAM TIMELINE: Pre-op Surgery Post-op Discipline Approximate Timeline Activities 1. Internist 1st Visit 2. 3. 4. Behaviorist Surgeon Pre-op Coordinators 2nd Visit 3rd Visit 5. PA 2 Weeks Prior to surgery 6. Dietitian 2 Weeks Prior to surgery 7. Exercise Medical Consult with H & P Nursing Prep Initial Panel, Order Urine Nicotine Test, sleep study, heart stress test, echo, or EGD as needed Evaluation & Assessment Surgical Consult Insurance Authorization Surgical Date Set Schedule Pre-op Labs and Tests Pre-op Discussion Sign Consent Forms Update History and Physical Dietitian Consult Pre op Teaching ( Group or Individual) Start Patient on Product Pre-op Teaching (Group or Individual) Post op Check Post op Check 3 month lab slip given Dietary Consult Exercise Plan Six Week Letter to PCP Post op Check 6 month lab slip given Transition to Solid Food Post op Check 1 year lab slip given Final Dietary Consult Post op Check 1 year lab slip given Dietary Consult Group Behavioral Visit Post op Check Yearly Exam Lab Slip Given Dietary Consult 2 weeks Prior to surgery 8. PA 1 Week Post Product Check Product/ 1 week Prep and Pre-op Labs prior to surgery Update H & P * Visits Must Occur in the order written ( if patient is a no-show see No Show Protocol) Occurs at Spectrum Health- Blodgett Campus or Saint Mary’s Health Care Surgeon/PA PA Dietitian Exercise Physiologist 2 Weeks 6 Weeks PA Dietitian 3 Months PA Dietitian 6 Months PA Dietitian Behaviorist 12 Months PA 18 Months PA Dietitian Yearly Located: A:ClinicalSurgicalProtocols/preop/activities Page 1 of 1 Created: 11/15/2003 Revised: 2/17/09mkg Section 2 2.1