Purpose: To determine if a diabetic patient can safely undergo ambulatory surgery as an outpatient or should be admitted for the proceedure.			Citations with documentation. 31.01.05	Medal Project 2002. See disclaimer.
data	enter
Are you evaluating a diabetic patient for ambulatory surgery? (Y or N)		:-):-):-)
age of the patient in years		years of age
gender of the patient (enter M or F)		:-):-):-)
Is the patient pregnant? (Y or N)		:-):-):-)		1
Has the patient been adequately evaluated prior to surgery? (Y or N)		:-):-):-)		0
Does the patient have end-organ disease that requires intensive monitoring? (Y or N)		:-):-):-)		1
Does the patient require careful hydration prior to surgery? (Y or N)		:-):-):-)		1
Does the patient show evidence of CNS ischemia? (Y or N)		:-):-):-)		1
Does the patient have significant autonomic neuropathy? (Y or N)		:-):-):-)		1
Does the patient have difficulty maintaining glycemic control (either hyper- or hypoglycemia)? (Y or N)		:-):-):-)		1
Does the patient have an suitable social support network at home? (Y or N)		:-):-):-)		1
Is the patient able to return for medical evaluation in the event of a problem? (Y or N)		:-):-):-)		0
Can the patient or a reliable person in the home environment monitor?
• the patient's blood glucose level? (Y or N)		:-):-):-)		0
• the patient's body temperature? (Y or N)		:-):-):-)		0
• the wound status? (Y or N)		:-):-):-)		0
calculate	result
data complete?	Yes
evaluation appropriate?	Yes	:-):-):-)
number of reasons to consider admitting the patient either before or after surgery	7
Can you reliably plan to manage the patient as an outpatient?	No