Preparing for surgery

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1 Preparing for surgery Important information to guide you. Surgeon name: Surgery date: Time of arrival:

2 Required reading. Please read this booklet carefully. We want your surgery to go safely and smoothly. Please highlight any section that you want to discuss further with your surgeon or the hospital staff. Please call your surgeon or the surgeon s staff with any questions or concerns about your surgery. Pre-operative tests For your upcoming surgery you will need testing which may include: + History and physical + Labs + EKG + X-ray + Clearance from your physicians for surgery An appointment is required with your primary care physician as soon as possible, but not greater than 30 days prior to your procedure for the history and physical. If you do not have a primary care physician, contact the Center for Pre-Operative Care (CPOC) to schedule an appointment for a History and Physical and any necessary testing at It is preferred that any testing beyond the history and physical be performed at the Center for Pre- Operative Care, but you may choose to receive your testing at your doctor s office or an outside lab. If you choose to receive your testing at an outside facility this testing information MUST be faxed to the Center for Pre-Operative Care at least 72 hours prior to the day of surgery (fax ) to eliminate any risk of surgery cancellation. Center for Pre-Operative Care hours Monday Friday 7:30 a.m. to 5:30 p.m. Closed on Saturday and Sunday

3 Are you taking medications? Check with your primary care physician and your surgeon to find out what medications you should stop taking prior to surgery, as well as what medication you should take on the day of surgery with a sip of water. Certain medications may need to be stopped seven days before surgery. Examples of these medications include but are not limited to the following: + Plavix/Clopidogrel + Naproxen/Aleve + Coumadin/Warfarin + Ibuprofen/Motrin/Advil + Pradaxa + Xarelto + Herbal Supplements Pre-procedure screening and nursing assessment Now that you have been scheduled for surgery, you will receive a phone call from a nurse one week prior to your surgery. In preparation for this phone call, please have a list of your medications readily available including how often you take them; include any over-the-counter drugs you routinely take. The nurse will obtain important information from you about your medical history and will also give you additional information. You will receive a call the day before your scheduled procedure to confirm your arrival time and answer any questions you may have. If you do not receive this call by 2 p.m. please call the Center for Pre-Operative Care by 6 p.m. at Note: Some patients may be given a different arrival time by their surgeon. Please arrive at the time your surgeon specified if it differs from the time you receive during the call the day prior.

4 Viewing your Emmi programs will help you prepare for your upcoming procedure at Presence Saint Joseph Hospital and answer any questions you may have. Emmi programs are online tools that take complex medical information and make it simple and easy to understand. You may get your Emmi login through an , or the nurse who does your pre-procedure screening may issue it to you over the phone. Watch the Emmi program as many times as you like, with your family, friends or anyone else who may be involved in your care. We recommend that you finish watching the program at least 48 hours before your scheduled procedure. Registration The Patient Access department will contact you to pre-register you prior to surgery. If you do not receive a phone call by noon on the day before your surgery, please call the Patient Access department at The hours of operation are 9 a.m. 8 p.m., Monday - Friday. Financial Information + Health Insurance + No Health Insurance + Self-Pay Payment arrangements are required at the time of registration. If you have health insurance, your insurance company will be billed for your surgery and any preoperative tests. Note that some insurance companies require you to pay a deductible. If you have any questions regarding what will be covered, the deductible, or if your managed care plan is affiliated with Presence Saint Joseph Hospital, please contact your insurance company. If you do not have insurance, you will need to make arrangements with the hospital s financial counselor as soon as your surgery is scheduled. The financial counselor can also provide information on the self-pay packages offered by the hospital. Please call our financial counselors in the Admitting and Registration department at

5 Preparation for surgery You will need to make transportation arrangements for the day of your surgery. For your safety and well-being, you will not be discharged unless you have an adult companion with you, due to possible side effects of the anesthesia. Instructions for the day before surgery + Do not drink any liquids, including water, or eat anything, including candy or gum, after midnight the night before your surgery. + If you develop a fever, cold/flu symptoms, or if there is a personal issue that will require you to cancel the day before your surgery, call your surgeon and the Center for Pre-Operative Care. + Do not shave the surgical area prior to surgery. + The skin around your surgical site must be free of any rash, blemishes, cuts or insect bites. Please notify your surgeon if you develop any of these conditions prior to your surgery. Instructions for the morning of surgery + Take a shower or bath before you arrive at the hospital. + Remove all makeup, fingernail and toenail polish, as well as jewelry, including all body piercings. + You can brush your teeth, but do not swallow any water. + Do not use any lotion, cream, powder or deodorant on your body. + Do not eat or drink anything, including water, unless you have been instructed by your physician to take certain medications with a sip of water. + Do not smoke. + Do not chew gum or suck on hard candy or mints. + Please wear comfortable and loose-fitting clothing. + Keep in mind you will need to remove tampons, hairpieces, dentures, hearing aids, contact lenses, undergarments and any artificial limbs prior to being taken to the operating room.

6 Important items to bring the day of your surgery 1. Your driver s license or state identification card. 2. Your insurance card(s), including supplemental insurance. 3. Referral and precertification forms. 4. Deductible and/or co-payment, if applicable. 5. Recent test results, X-ray films or other relevant forms your primary care physician or surgeon has asked you to bring. 6. Cases for eyeglasses, contact lenses, dentures and hearing aids. 7. A list of all of your medications, including vitamins and herbal supplements, how often it is taken and the dose--or you may bring the medications in their original containers. 8. Completed forms for Power of Attorney, Living Will and Advance Directives, if you have them. (See section on Illinois Law on Advance Directives.) What NOT to bring to the hospital Jewelry, expensive watches, large sums of money, your laptop computer and other valuables should be left at home. Personal items that you need to bring can be locked in the hospital safe. Note that we are unable to store or accept responsibility for your laptop computer, tablet or cell phone. Arriving on the day of surgery Outpatient surgery patients and their visitors coming to the hospital should enter the hospital through the front entrance or Entrance B (by the Emergency Room) and proceed to the Patient Access/Admitting Department on the first floor to register. + The time you were told to arrive is typically 1 1/2 to 2 hours prior to the time your surgery will begin so that you will have enough time to complete the registration process and get ready for your surgery.

7 + Any changes to your actual surgical time may be due to longer than expected surgeries prior to yours. Occasionally, emergency surgeries can also delay your actual surgery time. If you have arrived at the hospital and your surgery time is running late, we will keep you informed with frequent updates of your new surgery time and provide you with options to keep you as comfortable as possible as you wait. Anesthesia Anesthesia is an extremely important part of your surgical procedure. You will meet with your anesthesiologist on the day of your surgery and he or she will discuss the anesthetic that will be used. Be prepared to discuss your health, medications and other issues with your anesthesia provider. Special safety measures and precautions Throughout your surgical procedure or hospital stay a number of clinical staff will ask to verify who you are, what procedure or test is being done, allergies that you have and other important information. Please understand that this is done as an important safety measure for your protection. Other actions that you must take include: + Speak up Let us know if something does not seem right, if you have a question, a concern, or if something is being done or said that is different than what you have been previously told or understand. + Tell the physician and staff about any allergies and unusual reactions you have had to any medicines in the past. + Make sure all of the doctors know about everything you are currently taking, including prescription medicine and over-thecounter medications, vitamins, herbs and health food supplements. + Make sure you obtain and understand your home care instructions, including after-effects from the surgery or side effects from your medication.

8 Family and friends Where to wait during surgery Family and friends are welcome to wait during your surgery in the Outpatient Surgery waiting room on the third floor. Take the main elevators to the third floor and follow signs to the Outpatient Waiting Room. They are also free to visit the hospital s chapel on the 11th floor of the hospital. A daily Mass is held at noon. In addition, the hospital café is on the first floor, and available for breakfast, lunch or dinner. Family and friends will be able to see you once you have returned to the Post Surgery Step Down Area or once you have been taken to your hospital room if you are going to be admitted. Returning home Your discharge instructions + You and your family will be given written information regarding your discharge instructions. You or your family member should read your discharge instructions carefully before you leave the hospital to ensure that you understand what is expected. Be sure to ask your physician or any staff member regarding any instruction that is unclear. + Do not drive a car, operate machinery or do anything that requires your full concentration for at least 24 hours, unless otherwise instructed by your surgeon. Patient satisfaction Throughout your stay we will make every effort to ensure that you are receiving excellent care. We encourage you and your family to let us know if there is anything that we can do to improve your stay.

9 Illinois law on Advance Directives Presence Health honors and complies with the requirements of Illinois law regarding Advance Directives, Living Will and/or Durable Power of Attorney for Health Care. These forms provide direction for the health care staff regarding your decisions about your health care now and in the future. Federal law requires that you be told of your right to make an Advance Directive when you are admitted to a health care facility. Forms and consultation regarding them is available through the Spiritual Services Department located on the second floor of the hospital. Questions? As you prepare for surgery, you or your family may have questions. We would be happy to answer them. Write your questions down and bring them with you if you are scheduled for preoperative tests, or contact your surgeon or nursing staff on the morning of your surgery prior to receiving any anesthesia, or at any time during or after your stay. Call the center for Pre-Operative Care should you have questions at Thank you for choosing Presence Saint Joseph Hospital.

10 Don t forget. As a reminder, please tear this sheet out and put it on your refrigerator or somewhere visible that you will see the day of your surgery. Do not eat or drink including: + gum + hard candy + mints or smoke after midnight on the day before your surgery.

11 Inside back cover

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