**6. Protocol in day care surgery**

Day care surgery follows standard and set protocols which have been formulated and followed globally [12]. First and foremost, point is pre anesthetic assessment and preparation according to protocol driven nurse-led discharge in each and every patient. This is the key principle in day care surgery patients. Day care surgery patients are mostly from outpatient clinics, sometimes from emergency departments or satellite care or primary care centres. Technical advancements in surgery, anesthesia and investigations have set the momentum for day care surgery globally and many surgical procedures are being performed but protocols must be followed for every procedure. Social, medical and surgical assessment of every patient coming for day care surgery should be included and multidisciplinary approach mast be followed with inclusion and exclusion criteria set before. Planned procedure must the explained to the patient before surgery, post-operative care explained and advice with collaboration with the nursing team in preoperative preparation. Three components must be emphasized which includes education and care explained to the patient regarding surgical intervention, information about planned procedures and post-operative care with informed decisions and documented important information to identify medical risk factors, promote health and optimized patients' conditions. Three components well explained which are essential and must include all three teams of surgery, anesthesia and nursing so day care surgery had in its protocol with three teams and under three headings of time, triage and test with three components well summarized again:

