Pre-Op Instruction

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GETTING READY

  • These instructions are for your safety and should be followed or your surgery may not take place. Please ask questions and take notes to be sure you know what to do.
  • One of our nurses will call you before your surgery. We will confirm your arrival time, provide directions and answer your questions.
  • The nurse will ask you some questions about your health. The nurse will talk to you about your medicines (including over the counter and herbal remedies), diet, activities, pain, and other ways to get ready for surgery.
  • If you take aspirin or medicines that have aspirin, or take blood thinners or have bleeding trouble tell your surgeon so you know when to stop taking them before surgery.
  • If you get sick, sore throat, cold, fever, etc. – tell your surgeon before the day of surgery.
  • Find out everything you want or need to know about your surgery. Ask where you can get information to answer your questions.

PRE-SURGERY INSTRUCTIONS

For your comfort and safety, there are several factors to keep in mind prior to your surgery/procedure. Please remember, these can affect the recovery time and the results of your procedure. Unless otherwise directed, the following instructions are required for anyone having surgery.

ON THE DAY OF SURGERY

DO NOT EAT OR DRINK ANYTHING, NOT EVEN WATER, AFTER MIDNIGHT UNLESS OTHERWISE INSTRUCTED BY YOUR PHYSICIAN OR FACILITY NURSE.

Surgery may be cancelled or delayed if you have consumed any food or fluids.

  • Gum, mints or hard candies are not allowed.
  • Do not smoke.
  • If you take daily medication, check with your doctor about what to do the morning of your surgery regarding your medications.
  • Please have no more than two adults accompanying you. One at a time may be allowed to visit the patient prior to and after surgery.
  • Pediatric patients less than 18 years of age must have a responsible adult remain in the facility until the child is discharged.
  • If there is a possibility that you are pregnant, please be sure to discuss this with your Surgeon and Anesthesiologist.
  • Bathe or shower to reduce the chance of infection.
  • Wear clothing that is easy to take off and put on.
  • If you have a cold, a fever of 100 or higher, a skin rash, or an infection of any kind, please notify your physician before coming in for your surgery.
  • Leave all valuables at home, including jewelry, cell phones, wallets, etc.
  • Remove all body piercings.
  • If you wear contacts, bring your case and solution to store them in during surgery.
  • If you wear dentures or have removable bridgework, they may be removed before surgery.
  • You will be asked to arrive at least one hour before your surgery/procedure time. Please inquire to be sure you know what time to arrive.

Family and friends are urged to remain on facility grounds during the surgery/procedure. If your family/friend leaves, please have them notify the receptionist so they may be contacted if needed.

DIABETIC INSTRUCTIONS

Type 1. Juvenile or Insulin Dependent Diabetics.

Patients on insulin pumps should continue using their pumps up to, during and after surgery using a basal rate only. Their routine use may be resumed after they commence their usual diet.¬†Your insulin dose will be adjusted according to your doctor’s pre-operative instructions. We will review these instructions with you during your pre-op call.

Type 2. Adult Onset Diabetes or Non-Insulin Dependent Diabetics.

Patients should avoid taking their oral diabetic medication the night before surgery. This medication may be resumed the night after their surgery once they have resumed their diet. Patients with type 2 diabetes who take insulin should follow the guidelines for type 1 diabetes. All diabetic patients should continue to monitor their blood sugars before and after their surgery. Blood sugars will be monitored during your stay by the Outpatient Surgery staff. Because anesthesia and surgery is a stressful time, blood sugars may fluctuate and require more frequent monitoring during the first few hours after surgery.

Fasting guidelines are the same for diabetic or non-diabetic patients:

If you take medications regularly for heart and lung conditions (such as angina, chest pain, high blood pressure or asthma) or for seizure (epilepsy) control, we recommend that you continue to take them on your usual schedule including the day of surgery. These may be taken with a sip of water.

PRE-OPERATIVE AREA

After completing registration, patients are escorted to a pre-operative/pre-procedure area where vital signs are taken and an IV started, if necessary. Your surgeon may visit you in the pre-op area prior to the surgery/procedure. If your surgery/procedure requires anesthesia, an anesthesiologist will also visit with you and discuss your choices of anesthesia. Your nurse and physician will verify the surgical procedure and site with you. In most case, your physician will mark the surgical site with an indelible pen for the purpose of proper site verification.