Preparing for Surgery
Please shower the morning or the night before of surgery based on your surgeons’ recommendation.
If possible, arrange for someone to stay with you at home or to be available for at least 48 hours to assist you with activities of daily living. Please arrange for your escort and transportation home prior to your surgery. You cannot drive yourself after Ambulatory Surgery.
Prior to your day of Surgery
One of our Registered Nurse members will call you to tell you the time you need to report to the surgery center. If you do not receive a call by 12p.m., please call the surgery center at (313) 789-5579.
The nurse will ask about your health history and medications among other things. The nurse will go over instructions for preparations at home,such as taking baths with special soap, what medicines to take, and when to stop eating and drinking.
Please remove make-up, jewelry, body piercings, polish from toenails and fingernails. See a jeweler or piercing specialist if you cannot removebody piercings or jewelry (including wedding ring) on your own.
Do NOT Shave
Do not shave in or around the area where you will have surgery unless your surgeon told you to. If necessary, staff will remove any hairwith clippers on the day of surgery.
Bring the Following
On the day of surgery, please bring the following belongings in a small bag:
- Comfortable clothing to wear on the day of surgery
- Slippers or soft shoes
- List of medications you are currently taking
- X-rays, MRI’s, and any other test results you were given
- Insurance card, photo ID, and co-pay method (cash, check, or credit card)
- Eye glasses to wear instead of contact lenses. If you do not have eye glasses, you need to bring a contact lens container and solution
- Any items your surgeon gave you to use after surgery, such as crutches, walkers, “boots”, slings or braces
- Leave all valuables at home including rings and all jewelry and large amounts of money. If you bring a credit card for your co-pay or anyitems such as eyeglasses, hearing aids, prostheses, or orthopedic items, your responsible adult must keep them safe for you. We cannot beresponsible for personal items.
Day of Surgery
When you arrive at the main lobby of the surgery center, please check-in with the receptionist. The Admission clerk will verify youridentity, procedure(s) and review your patient rights and responsibilities. An admitting nurse will complete your admission process in the pre-operative area
You will be asked to change to a surgical gown. Your clothes and personal possessions will be labeled and held in your room or by your familymembers. The nurse will take review your medical history and the procedure(s) with you. The nursing staff will take your vital signs includingtemperature, pulse, respiratory rate and blood pressure. They will also review your consent for the procedure with you.
When you are ready for surgery, your surgical team will introduce themselves to you. These include the nurse, surgical assistant, anesthesiologist,and your surgeon. Each member of this group will have already reviewed your medical record in light of their own role in your surgery. They willdiscuss key aspects of your health as they relate to your surgery and explain the procedures.
The anesthesiologist will see you to review your physical condition and to discuss the type of anesthesia you will receive. Most patientsundergoing ambulatory surgical procedures receive regional anesthesia. Today, approximately 98% of all ambulatory surgical procedures arecarried out with the use of regional anesthesia. The alternative of general anesthesia is rarely used. With regional anesthesia you will be morecomfortable following surgery and can expect a smooth transition with your recovery.
You will then by escorted to the operating room where your surgical team, including your surgeon, registered nurses, operating room technicianand CRNA will monitor your progress and well being throughout the surgery.
After your Surgery
A nurse will call you after your surgery to check your progress and answer any questions you may have. If you have questions or difficulties at anytime, do not hesitate to call your surgeon’s office.
You cannot drive home. Please make sure you have a family member or a friend available to drive you home.
Patients are taken to the PACU (Post-Anesthesia Care Unit, also known as the recovery room) immediately after surgery. The PACU orrecovery room is a critical-care area where registered nurses monitor patients’ vital signs (heart rate and rhythm, breathing, blood pressure, etc.),pain, and symptoms after anesthesia, such as nausea.
Time in the PACU varies a lot from patient to patient. You will leave the PACU / recovery room after the effects of anesthesia have worn off andyour comfort needs are met. It is important to let your nurse know if you are having post- operative pain (using the 1-10 scale) so youcan receive medication to control your pain.
If you are discharged from the surgery center to go home, a nurse will meet with you and your responsible adult. The nurse will:
- Review your discharge instructions
- Give you any prescriptions ordered by your physician
- Answer any questions you may have about your care
Post Surgery Care
- Follow all of your surgeon’s instructions for your care after surgery, including:
- What to eat and drink (diet)
- Medicines to take
- Not doing anything strenuous
- Any restrictions on walking or other movements
- When you can return to various activities
- Incision care and dressings
- Checking for signs of bleeding or infection
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