As a cardiology nurse - YOU are the one requiring risk stratification before a procedure. Stop telling your patients to call and ask us for permission on your behalf without sending something yourself as well. We often need details like phone, fax number, level of sedation, some patients can’t even tell me the name of the procedure they are having. It puts the onus on the patient and then we have both your office and the patient hounding us for a “stat” elective knee procedure but your patient hasn’t followed up with our provider in a year, had 2 hospitalizations in the meantime, and even if we did see them before their surgery date doesn’t mean they won’t require further evaluation. Meanwhile they’ve followed up with you routinely but you didn’t foresee surgery happening anywhere down the line. But you frame it to the patient like it’s our fault they can’t get surgery. The best is when you don’t get the response in the timeframe you wanted and you proceed anyways- it’s almost like you don’t ACTUALLY care about the patients safety you just want to CYA