**2. Triage in day care surgery**

Considering the day care surgery as systematic, scheduled and short duration stay in hospital, it is very important to select or sort out the cases which fit in the criteria according to all conventional definitions of triage. It is well organized within stipulated time frame and performed in fixed unit with proper assessment by anesthesia and nursing team in addition to core assessment of surgical team. Surgical option exercised and close follow up with ability to manage complications are integral components in working team. So, considering the all the components of Day Care Surgery (DCS), it is very important to try to sort out the cases according to priority, feasibility, associated risks, outcomes and follow-up. Every factor should be considered in anesthetic and nursing team check selected for day care surgery must be thoroughly and completely examined by anesthesia and nursing team. Once anesthetics checkup and nursing evaluation is complete, surgeries are planned and those cases who are not fit in Day Care surgery must be sent or referred back to the corresponding unit for proper management. After selection of the cases, adequate and complete evaluations are must before putting them for surgery and after surgery this should be evaluated again, advised again with key focus for early identification of postoperative complications and management. Patient is advised to report, call or come back earliest so communication is quite important in cases of Day Care surgery as compared to others. Triage of cases in for day care surgery can be divided into three types of patients:


### **3. Success, surgery and selection**

Success story for day surgery always includes patient selection, operation selection, surgeon qualification, nurse qualification, and team construction and management.

Patient's fitness for day surgery should be judged by functional assessment just before preoperative assessment. There are few medical conditions once fully optimized which would exclude a patient from day surgery.
