Sacred Heart Hospital on the Emerald Coast

Transcription

1 - Perioperative Services - Pre-Admission - Scheduling: OR Patient Care Manager: Naomi Sissy Dalton ( ) Regular Hours: 8:30 AM 5:00 PM (Monday Friday, excluding holidays) Schedule Procedure: Fax: (850) (if problems, phone (850) ) Contact Name: Debby Kelley Pre-Registration: Admitting Manager: Linda Carden ( ) Regular Hours: 8:30 AM 5:00 PM (Monday Friday, excluding holidays) Phone: (850) ext. 228; fax (850) Contact Name: Kris Blain Pre-Admit Nurses: Patient Care Manager: Naomi Dalton ( ) Regular Hours: 7:30 AM 4:00 PM (Monday Friday, excluding holidays) Phone: (850) (850) Contact Names: Dee Nickerson, Dawn Montoya, Carol Riekel Orders/H&P/Results/ Clearances Fax: (850) Location: Hospital 1 st Floor Pre-Op Area Unless requested otherwise, most Pre-Registration and Pre-Admit nurse interviews are done by phone up to 7 days prior to the date of surgery. From 8:00am to 4:00pm. When coming to the hospital, patients must bring a valid form of picture identification as well as a current insurance card or cards. Registration is in the main entrance behind the flag pole, just inside to the right. Parking is available in the front of the hospital. Preps are per the doctor s order. SHHEC Section J /13

2 Regular Hours: Contact Name: Sacred Heart Hospital on the Emerald Coast - Perioperative Services - - Pre-Op - 5:30 AM 6:30 PM (Monday Friday, excluding holidays) (or as per patient need) Team Leader Dede Reid Phone: (850) Fax: (850) Location: Hospital 1 st Floor Pre-Op Department Patients are to arrive at the pre-op department the day of their surgery, 1-2 hours prior to the scheduled surgery time. Please allow the show time to be given to the patient during their pre-admit interview by the nurse. The show times are depending on the complexity of the case and the age of the patient while trying to minimize their wait time. Patients must be NPO according to the doctor s order prior to arriving at the pre-op department. Most must be NPO after midnight excluding some medications with a sip of water. These instructions will be clearly discussed during the interview with the nurse. Women of childbearing age (10-55) will be required to have a pregnancy test within 72 hours of their procedure unless they have not started menses yet, or past hysterectomy, or greater than 50 years old and no menses for greater than 6 months. Parents of children having surgery should bring diapers, bottles and sippy cups for use after surgery. Patients should enter through the main entrance at the front of the hospital and go to registration. Parking is available in the front of the hospital. ** Please see following this section: Surgical Scheduling form, Surgical Scheduling process, Medical Clearance Request form, patient letter and instructions. ** SHHEC Section J /13

3 SURGICAL SCHEDULING FORM Surgeon(s) s Name(s): Date of Surgery: Start Time: Case #: Expected Duration with turnover included (*please note turnover = 30 minutes) Latex Allergy Patient s Legal First and Last Name: Diagnosis: ICD 9 ICD 9 CPT CPT CPT - Implant/Vendor Requested: Baseline Registration Information: Patient s Current Address: Parent s name if patient is a minor: Home #: Work #: Cell #: Insurance Info: Primary Company: Policy #: Secondary Company: Policy #: Auth. # Number of Days if Inpatient Please fax completed form to For any problems, please call (9 AM 5 PM) Pre-Admit Nurse: , Fax **To schedule a call case AFTER 5:00 pm, please call the House ** SHHEC Section J /13

4 Surgical Scheduling Process 1. Schedule the patient s procedure with the surgery scheduler by faxing the completed Surgical Scheduling Form (copy attached) to (850) If you have another form your office uses, just please make sure it includes all the pertinent info requested on our form. In order to potentially eliminate or decrease phone calls or interruptions to your office, the provider, and the patient, please include ALL APPLICABLE INFORMATION FOR THE PROCEDURE, and ALL AVAILABLE INFORMATION INCLUDING ALL PHONE NUMBERS FOR THE PATIENT. If you could fax a COPY OF YOUR OFFICE FACE SHEET WITH PATIENT DEMOGRAPHICS AND INSURANCE INFORMATION at the same time, it will save time filling out part of this sheet and save time for the patient in the next step. 2. Admissions will call the patient to obtain and/or verify the patient s demographics, emergency contacts, and financial/insurance information, etc. If you were able to send a copy of your office face sheet with patient demographics and insurance information in the previous step, it could decrease the data-gathering phone call from about 15 minutes down to about 5 minutes. 3. The surgery scheduler will set up pre-admit nurse phone appointment (unless requested to complete in person). This appointment, depending on the age of the patient, his/her health, and if they ve been a patient with us before may take minutes. The purpose of the interview is to obtain/verify medical information about the patient, including all medications and dosages taking, and to inform the patient of their pre-operative instructions including their requested arrival time for the day of surgery. Please allow us to tell the patient their show time for the day of surgery as we have made adjustments based on their procedure to try and decrease their wait time. 4. Please inform the patient of any preoperative diagnostic tests or medical clearances needed utilizing your surgeon s orders and/or SHHEC Pre-op Anesthesia Standing orders (form attached). If these will not be completed at SHHEC, please forward the results to us when you receive them to avoid an interruption to your office asking for them, nor have to re-stick the patient again the day of surgery. A few tests require completion within 72 hours prior to the procedure, most other are requested within 30 days. Please ask patient to obtain these as soon as allowed, so their case is SHHEC Section J /13

5 not cancelled due to abnormal lab work not able to be addressed, or have their case delayed waiting for results day of surgery. 5. If the patient has any significant co-morbitities (e.g. diabetes, coronary artery disease, cardiac dysrythmias, congestive heart failure, pulmonary issues, etc. ) a medical and/or cardiac clearance is required prior to anesthesia. Please utilize the Medical Clearance Request form (attached) for the appropriate physician. 6. Give the patient the SHHEC Welcome Letter, and Pre-op Instructions. The pre-admit nurse will give the patient information to fill in the blanks on the pre-op instruction letter during their interview. 7. As the surgeon s office assembles any/all information needed for the patient including: a. Test results not done with our facility b. Medical/Cardiology clearances c. Pre-op orders (including ordered tests, and/or per Anesthesia guidelines) d. H & P (within 30 days of procedure) unless dictated into our system, please fax the information to Pre-admit department at (PREFERABLY NO LATER THAN 2 BUSINESS DAYS PRIOR TO THE SCHEDULED DATE OF SURGERY). If you have any questions, please feel free to call the Pre-admit nurse at or SHHEC Section J /13

6 (Surgeon Office Name) (Address) (Phone/Contact Name) MEDICAL CLEARANCE REQUEST (Date) Dear Dr., I am requesting preoperative evaluation and clearance on (Patient Name). Surgery for (Date of Birth) (Type of Procedure) is scheduled on. (Date) Please forward your pre-operative evaluation stating patient risk level and/or clearance and all test results as promptly as possible to: and (850) _ (Office fax #) (SHHEC Preadmit fax #) I appreciate your help with our mutual patient. Sincerely, (Surgeon Signature) (Printed/Stamped Name) SHHEC Section J /13

7 Dear Patient, Parent/Guardian, Welcome! You are scheduled for surgery on at Sacred Heart Hospital on the Emerald Coast, 7800 US Hwy 98 West, Miramar Beach, Florida Within one week of your surgery, you will be contacted by a staff member from the admitting department to obtain required pre-registration information (verification of name, date of birth, address, insurance, employer, etc. as applicable You will also be contacted by a Preadmission nurse to obtain/verify your detailed medical history and current medications and dosages. Depending on your (your child s) age, health, and if you have (he/she has) been a patient with us before, these interviews may take minutes by phone, and will include discussing your pre-operative instructions, and informing you of your requested show time for the day of surgery. If you prefer a walk-in appointment, please contact the preadmission nurse at (850) to schedule. If you have not been contacted by the nurse within 24 hours of your surgery date, please call the preadmission department at (850) Your surgeon or anesthesiologist may be ordering preoperative labs, x-rays, etc., or medical clearances. If you are able to get them done at our facility, it would greatly streamline our access to the results. A few of these tests are required within 72 hours prior to your procedure, most others are requested within 30 days. If special blood typing tests are ordered, these MUST be done at our facility, and must be within 72 hours of your procedure. Please understand that your surgery start time may be earlier or later depending on last minute cancellations or unexpected delays related to other patient s care. We will do our very best to keep you informed. Our goal is to provide you with very good care. Thank you for choosing Sacred Heart Hospital on the Emerald Coast! Joint Replacement Patients: If your Orthopedic Doctor s office has not already scheduled you for one of our Joint Replacement Classes, please call our Joint Coordinator, Linda Ledford, at (850) to schedule. We want to make sure all of our patients (and family member(s) highly recommended) receive important education for best preparation prior to your procedure and enhanced outcomes following your surgery. Please call Linda for further information or any questions. SHHEC Section J /13

8 Pre-op Instructions 1. On the day of your procedure, report to the Admitting/Registration Office in the main entrance of the hospital. Please fill in the specific times which will be given to you during your interview with the preadmission nurse: *Time to arrive: *Approximate Surgery Time: 2. The patient may have no food or liquids of any kind (including gum, candy, mints, etc.) after Midnight on the night prior to the procedure, unless otherwise informed by your surgeon or the pre-admission nurse. This is to prevent stomach contents in the lungs, a potentially serious complication. 3. For children: a. Remove all baby bottles from the crib at night; if appropriate, remove all drinking glasses from the bathroom and tape faucets shut. Do not let the child brush his/her teeth the morning of surgery. b. You may bring young children in pajamas; we may need to change them into a hospital gown, depending on the surgery. They may keep their cotton underpants on. You may want to bring extra underwear/diapers along, as their bladder control may be altered under anesthesia. c. For small children, you may bring an empty bottle or special drinking cup for fluids to be poured into after the procedure. d. Children may bring a favorite blanket, toy, or game. We do have TVs for them to watch. e. If possible, do not bring other children with you the day of surgery. Your child having the procedure will want/need your full attention. f. You may wish to have a second adult to assist with small children, especially on the drive home. 4. For adults: no patient will be allowed to drive themselves home after a surgical procedure, or take public transportation. A responsible adult (18 years or older) must provide transportation home after your discharge. This adult should be available to assist you during your full recovery at home for 24 hours or according to your physician s instructions. Your length of stay with us will be determined by your physician and your recovery response to anesthesia and surgical procedure. 5. Specific instructions prior to your surgical procedure: a. Please stop taking any herbals, vitamin E, fish oils, Asprin, non-steroidal anti-inflamatory drugs (i.e. Aleve, Naprosyn, Motrin) 1 week prior to your procedure, unless otherwise informed by your surgeon. These increase the risk of bleeding. b. Limit your smoking, especially the night prior to surgery. c. Leave all jewelry and other valuables at home. Do not wear makeup or fingernail polish. d. Please bring picture ID and insurance card the day of surgery. If you wear contact lenses or glasses, bring the case. Wear comfortable, loose-fitting clothes, appropriate for your procedure. e. You may wish to bring a pillow and blanket for the ride home; keep these in your car. f. The start time you have been given for surgery is an approximate time; the actual time may be earlier or later. If the time changes by more than 30 minutes prior to the day of surgery, you will be notified by phone. 6. Take the following medications with a sip of water the morning of your procedure*: *The Sacred Heart Pre-admission Nurse will be giving you these specific instructions. SHHEC Section J /13

9 - Perioperative Services - Surgery - OR Regular Hours: 7:00 am 3:30 pm Monday Friday (see *1 ) Contact Name: OR Patient Care Manager: Naomi Sissy Dalton ( ) Scheduling: Regular Hours: 8:30 AM 5:00 PM (Monday Friday, excluding holidays) (see *2 ) Schedule Procedure: Fax: (850) (if problems, phone (850) ) Contact Name: Location: Debbie Kelly Hospital 1 st Floor Just past Administration in the OR To schedule cases, physician office staff should use the contact name and scheduling numbers listed above. ** See specific steps, details, and sample forms for completing the scheduling process on the following pages ** If your office uses another similar form, just please make sure it includes all the pertinent info requested on our form. *1 There is a surgical on-call team available Monday - Friday 3:00 pm -7:00 am and Saturday - Sunday 24 hours each day. *2 For after-hours emergencies, call the Nursing Supervisor to activate the call team (850) Women of childbearing age (11-55) will be required to have a pregnancy test unless negative pregnancy can be validated. Preps: NPO after midnight the night before the procedure. Required labs must be done prior to the scheduled day. (refer to Pre-Admission) Patient must have a designated driver to be present after their procedure. (Refer to PACU) Ample parking is available in the front of the hospital. SHHEC Section J /13

10 - Perioperative Services - Post Anesthesia Care Unit (PACU) - Regular Hours: 7:00 am Last Case Monday Friday (see *1 ) Naomi Sissy Dalton, Patient Care Manager ( ) Contact Name: Team Leader Amy Tovrea Phone: (850) (see *2 ) Fax: (850) Location: Hospital 1 st Floor Behind the Pre-Op Department *1 A recovery on-call nurse is available Monday - Friday 3:00p-7:00a and on Saturday and Sunday 24 hours each day. *2 For after-hours emergencies call the Nursing Supervisor to activate the on-call nurse All patients having outpatient surgery must have a responsible adult to take them home after their procedure and be available for 24 hours. Family may be permitted to go into PACU as directed by the PACU nurse. This is for patient privacy as well as infection control and safety. After surgery the surgeon will go to the surgery waiting area to speak with the family and direct the family as needed. During patient discharge, the PACU nurse will let the responsible party know when they may bring the car to the front door to take the patient home. SHHEC Section J /13

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