Your Guide to Having Surgery. 25 Heckel Road, McKees Rocks, PA
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1 Your Guide to Having Surgery 25 Heckel Road, McKees Rocks, PA
2 Welcome to Ohio Valley Hospital You and your doctor have decided that you need surgery. This booklet will help answer your questions and guide you through pre-op (before surgery) and surgery. It will also explain your post-op (after surgery) care. Knowing what to expect will help make your hospital stay more pleasant and it can also help speed your recovery. We care about your questions and concerns. Please feel free to discuss them with your health care team. In this booklet you will find these topics: Before Surgery (Pre-Op Care)...4 The Day of your Surgery...6 Anesthesia Care...8 The Operating Room...9 After Surgery (Post-Op Care)...10 Recovering at Home...11 Managing Pain...12 Managing Nausea...13 Returning to Regular Activity...13 Important Phone Numbers...14 Surgery Checklist...15 Patient Rights and Responsibilities...16 How to find Ohio Valley Hospital...Back Cover 2
3 Your Stay at Ohio Valley Hospital At Ohio Valley Hospital, we provide a full range of services. We use modern equipment to monitor your health. Our staff is both caring and highly skilled. They will support you through your entire stay. You will be admitted either as an inpatient or an outpatient: Inpatients spend at least one night in the hospital. They may arrive the day of surgery or the day before. Outpatients enter the hospital the day of surgery. They leave the same day. Our caring staff will follow your progress before, during and after surgery. 3
4 Before Surgery (Pre-Op) You ll speak with a healthcare provider before your surgery. This may be done on the phone or in person. Be ready to ask questions. Also, have your health insurance card handy. You ll discuss the risks and benefits of surgery. You ll also review your medical history. In some cases, routine tests may need to be done. Medical History A healthcare provider will explain what will happen the day of surgery, and how to prepare at home. You will be asked about your medical history. Complete responses are needed for a safe surgery. Rest assured, your answers will not be shared outside your healthcare team. Questions may include: Do you have a health problem such as diabetes, heart disease, or high blood pressure? Are you taking any medications? (This includes over-the-counter products such as aspirin, ibuprofen, vitamins, herbs, and teas.) Are you allergic to any foods, medications, or other substances? Do you use tobacco, alcohol, or illegal drugs? How is your general health? Do you have a fever, cold, or rash? Have you had other surgeries or illnesses? Could you be pregnant? Have you or any of your family members had problems with anesthesia? The hospital staff will call the day before your scheduled surgery to tell you when and where you should check in. If you do not receive a call, please contact the hospital operator at (412)
5 Preparing for Surgery Following these tips can help assure your surgery goes smoothly and safely. If you smoke or use other tobacco products, quit or cut down a few weeks before surgery. Your healthcare provider may give you specific instructions. Depending on your age and medical history, some tests may need to be done before surgery. Please check with your healthcare provider. Arrange for an adult to drive you home after surgery and stay with you afterward, as needed. This person should be prepared to stay at the facility during your surgery, if possible. Don t eat or drink anything after midnight before your surgery, unless directed otherwise. This includes water, mints, and gum. You can brush your teeth or rinse your mouth, but don t swallow any water. If you eat or drink after midnight, your surgery may be cancelled. If you take regular medications, ask your healthcare team if you should take them before surgery. If instructed to, take the medications with small sips of water. Follow any other instructions you re given. Stop eating, drinking, and smoking as directed. If you can t keep your surgery appointment, let your doctor and Ohio Valley Hospital know right away. Also call if you get a cold, fever, sore throat, diarrhea, or other health problem. Your doctor can decide whether or not to postpone your surgery. 5
6 The Day of Your Surgery It is normal to feel anxious before surgery. Our staff will try to make your stay relaxed. Keep in mind that the surgical team is skilled at performing this procedure. Preparing at Home Follow these steps when getting ready at home: Shower or bathe. You may be given special instructions. Wear comfortable, loose clothing. Do not wear a watch or jewelry-including all piercings. Do not wear makeup or red or dark nail polish. Leave cash, credit cards, and valued items at home. What to Bring Bring the following to the hospital: A parent or legal guardian if you are under the age of 18. A list of your medications (include the name, dose, and how often you take each one). Clothing you will need if you stay overnight. This may include a robe and slippers. A case with your name on it to hold items you may need to remove and store. These include dentures, glasses, and contact lenses. Your completed advance medical directive, if you have one. Family and Friends Ask if you can stay with the patient before surgery. Ask where you should wait during surgery. You will be told how the patient is doing after the surgery. Ask when you can visit or refer to page 14 for visiting hours. 6
7 Checking In When you check in, you will fill out some papers. These may include registration, insurance, and surgery consent forms. Be sure to ask any questions you have about these papers. If you are under age 18, your parent or guardian must complete these forms. Preparing at Ohio Valley Hospital After checking in, you will be taken to a surgery preparation area. Your family or friends may be able to wait with you there. To prepare for surgery: You ll be given a band with your name and 10 number. Wear this on your wrist. Change into a hospital gown. A staff member will show you where to keep your personal items, or you can leave them with a relative or friend. Ask if you should remove contact lenses, hearing aids, or dentures. If you re told to remove them, store these with your other personal items. You may be given an IV (intravenous) line for fluids and medications. Your vital signs will be checked. 7
8 Anesthesia Care Before and during surgery, you will be given medications called anesthetics to keep you free from pain. This is called anesthesia care. It is provided by an anesthesiologist or a nurse anesthetist. Both are trained specialists. Types of Anesthesia The three main types of anesthesia are listed below: General anesthesia puts you into a deep sleep. You will not be aware of the surgery. Regional anesthesia numbs the surgical site. You may be awake but you will not feel pain. You may be given other medications to help you relax. Monitored or conscious sedation is a method in which an anesthetic is given through an intravenous (IV) live. This will help you relax. You will meet with an anesthesia specialist before surgery. He or she will discuss which type of anesthesia is best for you. 8
9 The Operating Room The operating room (OR) provides a safe and sterile place for surgery. You will be taken to the OR on a bed or in a wheelchair. Before this, you may be given medication to help you relax. Your Surgical Team Many skilled members m a ke u p yo u r O R team. Your surgeon leads the team. Other members may include an anesthesiologist or a nurse anesthetist, nurses, and surgical assistants. Your Experience You are in good hands in our state-of-the-art surgical center. An IV line will be started in an arm or hand vein. The IV will provide fluids and medications during surgery. A cuff will be placed on your arm to check your blood pressure during surgery. Pads placed on your chest will record your heart s functions. A clip placed on your finger will measure the oxygen level in your blood. 9
10 If you feel cold, you can ask for a blanket. After Surgery (Post-Op Care) When your surgery is over, you will be taken to the recovery room. This is also called the PACU (post anesthesia care unit). There, you will be observed closely as the anesthesia wears off. In the PACU Our staff will check the dressing over your incision and your blood pressure often. You may have an IV and drainage tubes. You may wake with a small tube (catheter) in your bladder. This tube drains urine. It will be removed later. If you needed a tube in your airway during surgery, you may have a mild sore throat. You may feel some pain or nausea. Medication can help. Don t be afraid to ask. You will be monitered closely until you are stable. After the PACU You will remain in the PACU until you are awake and your heart rate, blood pressure, and breathing are normal. Outpatients may go home at this time. Inpatients will be taken to their hospital rooms. If you need constant care, you may be taken to the ICU (intensive care unit). Family and Friends A health care team member may speak with you when the patient is on the way to the PACU. Feel free to ask questions about the patient s recovery. 10
11 Recovering at Home When it s time to go home, you may still feel drowsy or a little sick to your stomach. Be sure to have an adult ready to drive you. Once home, follow any instructions you were given. For at least 24 hours, don t drive, use machines or power tools, or drink alcohol. Also, don t make any big decisions or sign important papers. Have Support at Home For the first day or two, have someone around who can help you and watch for problems. Make sure this person knows what you can and can t eat, which medications you should take, and any other instructions you were given. Incision and Dressing Care When you go home, you will be shown how to care for your incision and any dressing. If you have a drainage tube, you will be instructed on its use. Your incision may be slightly red or swollen. It may also have some discharge. Here are some home care tips: Ask when the stitches or tape can be removed. Keep the incision clean and dry. You will be told when it is safe to bathe or shower. Wash your hands before and after touching the incision. If you had arm or leg surgery, try to keep your arm/leg elevated. 11
12 This helps reduce pain and swelling. It also improves blood flow. Managing Pain You may have some pain, since even minor surgery causes swelling and breakdown of tissue. Take pain medication at regular times as directed. Don t wait until the pain becomes intense to take it. Tips for Using Pain Medication Use your medication as directed. If your pain is not relieved or if it gets worse, call your healthcare provider. To get the best relief possible, remember these points: Most pain relievers taken by mouth need at least 20 to 30 minutes to take effect. Taking medication on a schedule can help you remember to take it. Try to time your medication so that you take it before beginning an activity, such as dressing, walking, or sitting at the table from dinner. Pain medications can upset your stomach. Taking them with a little food may help. Constipation is a common side effect of pain medications. Drink lots of fluids. Eating fruits and vegetables may also help. Avoid laxatives unless your surgeon has prescribed them. Mixing alcohol and pain medication can cause dizziness and slow your respiratory system. It can even be fatal. Don t drink alcohol while taking pain medication. Pain medication can slow your reflexes. Avoid driving or operating machinery while taking pain medication. Pain medication can make you dizzy or weak. Be sure to ask for 12
13 assistance when ambulatory. Managing Nausea The following tips will help you manage nausea and ensure good nutrition as you recover. If you were on a special diet (such as low-salt) before surgery, ask your doctor if you should follow it during recovery. Start Eating Slowly Don t push yourself to eat. Your body will tell you what to eat and when. These tips may help: Start off with liquid and soup. They are easier to digest.. Progress to semisolids (mashed potatoes, applesauce, and gelatin) as you feel ready. Slowly move to solid foods. Don t eat fatty, rich, or spicy foods at first. Don t force yourself to have three large meals a day. Instead, eat smaller amounts more often. Take pain medication with a small amount of solid food, such as crackers or toast. Returning to Regular Activity Being active helps you heal. Ask your doctor what you can and can t do after surgery. You may have been shown how to do deep breathing and coughing exercises. These help keep the lungs clear and improve blood flow. Do them as often as instructed. Problems to Watch Out For A member of our staff may call the day after your surgery to check on you. Be sure to mention any problems you have. Call your surgeon if you have any of the following: the incision Chest pain Vomiting lasting longer than 4 hours A large amount of bleeding or swelling Discharge with odor from A red, hard, hot, or painful area around the incision Shortness of breath No bowel movement in 3 days A fever of over 101 F (38.3 C) Unable to discharge bladder 13
14 Important Phone Numbers Hospital Numbers: Emergency 911 Billing Department (412) Emergency Center (412) Information Desk (412) Pre-admission Testing (412) Social Services (412) Surgery Waiting Room (412) Radiology (412) Outpatient Surgery (412) Visiting Hours 11:00 a.m. to 8:00 p.m. My Medical Team: My doctor My surgeon My other health care providers My caregiver 14
15 Surgery Checklist Being prepared will help your surgery go more smoothly. Be sure to make a checklist of things you need to know, such as where to check in and arrival time. Write down your questions. Your health care team will answer any questions you may have. Things to Remember: Surgery date Arrival time Check-in location Health insurance number Social Security number Person taking me home Emergency contact number Follow-up visit (date/time) Follow-up visit (location) My Questions: 15
16 Patient Rights & Responsibilities Ohio Valley Hospital has adopted a Patient s Rights and Responsibilities policy to protect the interests and well-being of our patients. The Patient s Rights and Responsibilities are prominently displayed throughout the hospital and copies are distributed to all patients upon admission and made available at outpatient registration and waiting areas. The complete text of the Patient s Rights and Responsibilities is attached. Patient Rights 1. A patient has the right to be informed of his or her rights as a patient in advance of the hospital providing or discontinuing care, whenever possible. 2. A patient has the right to medical, nursing and other health care services available at Ohio Valley Hospital without discrimination based upon race, color, age, religion, sex, sexual orientation, national origin, sources of payment, or marital, veteran or disabled status. 3. A patient has the right to respectful care given by competent personnel. 4. A patient has the right, upon request, to be given the name of his or her attending physician, the names of all other physicians directly involved in his or her care, and the names and functions of all other health care personnel having direct contact with the patient. 5. A patient has the right to every consideration of privacy concerning his or her own medical care. Case discussion, examination, and treatment are considered confidential and should be conducted discreetly. 6. A patient has the right to have all records pertaining to medical care treated as confidential except as otherwise provided by law or third party contractual arrangements. 7. A patient has the right, upon request, to access all information contained in his or her medical records, unless access is specifically restricted by the attending physician for medical reasons. 8. A patient has a right to know what hospital rules and regulations apply to patients. 9. A patient has the right to expect emergency procedures to be implemented without unnecessary delay. 10. A patient has the right to appropriate assessment, quality care and high professional standards that are continually maintained and reviewed. 11. A patient has the right to participate in the development and implementation of his or her own plan of care. 12. A patient has the right to appropriate assessment and management of pain. 13. A patient has the right to full information in layperson s terms concerning his or her diagnosis, treatment and prognosis, including information about alternative treatments and possible complications. When it is not medically advisable to give such information to a patient, the information will be given on the patient s behalf to the patient s next-of-kin or other designated person. 16
17 14. Except in emergencies, a patient s physician must obtain the necessary informed consent prior to the start of any procedure or treatment. 15. A patient or, in the event the patient is unable to give informed consent, a legally responsible party has the right to be advised when a physician is considering the patient as part of a medical care research program or donor program. The patient or legally responsible party must give informed consent to the actual participation in such a program. The patient or legally responsible party may at any time refuse to continue in any such program to which he or she previously consented. 16. A patient has a right to refuse any drugs, treatment or procedure offered by the hospital to the extent permissible by law and a physician shall inform the patient of the medical consequences of the refusal of any drug, treatment or procedure. 17. A patient has a right to be free from restraints and seclusion of any form used as a means of coercion, discipline, convenience or retaliation by staff. 18. A patient has the right to formulate an advance directive and to have hospital staff and practitioners who provide care comply with these directives. 19. A patient has the right to have a family member or a representative and his or her own physician notified as promptly as possible of the patient s admission to the hospital. 20. A patient has the right to personal privacy. 21. A patient has the right to receive care in a safe setting, free from verbal or physical abuse or harassment. 22. A patient has the right to expect consideration of his or her psychosocial, spiritual and cultural needs. 23. Where possible, a patient who does not speak English should have access to an interpreter. Where possible, a patient who suffers hearing loss should have access to communication devices. 24. A patient has the right to assistance in obtaining consultation with another physician at the patient s request and own expense. 25. When medically permissible, a patient may be transferred to another facility only after he/she or his/her next of kin or other legally responsible representative has received complete information concerning the needs for and alternatives to such a transfer. The institution to which the patient is to be transferred must first have accepted the patient for transfer. 26. The patient has a right to expect good management techniques to be implemented within the hospital, considering effective use of the time of the patient, and to avoid personal discomfort to the patient. 27. The patient has a right to examine and receive a detailed explanation of the bill. 28. The patient has the right to full information and counseling on the availability of known financial resources for his health care. 29. A patient has the right to expect that the hospital will provide a mechanism whereby he or she will be informed upon discharge of continuing health care requirements following discharge and the means for meeting them. 17
18 Patient Rights Continued 30. A patient has the right of access to an individual or agency that is authorized to act on the patient s behalf to assert or protect the rights set out in this section. 31. If disabled, a patient has the right to expect reasonable and equal access to the facilities, services and programs of the hospital. 32. A patient or the patient s legal representative has a right, without recrimination, to voice complaints or concerns regarding care received or hospital operations. Patients are encouraged to discuss their complaint with those directly involved in the situation. Information regarding the mechanism established to exercise this right is provided in the How Can We Help Brochure provided to the patient during the admission/ registration process. Filing a Grievance If a patient or a patient s legal representative believes that a complaint or grievance cannot be resolved at an individual or department level, then the patient or legal representative may contact the Hospital s Executive Offices. President c/o Ohio Valley Hospital 25 Heckel Road McKees Rocks, PA (412) If the patient is unable to resolve a grievance through an administrative review process, the patient has the right to contact the Pennsylvania Department of Health. Pennsylvania Department of Health Division of Acute and Ambulatory Care PO Box 90 Health and Welfare Building, Room 532 Harrisburg, PA If the patient is unable to resolve a complaint through an administrative review process or has quality of care concerns, the patient has the right to contact The Joint Commission. The Joint Commission
19 Patients Responsibilities The patient has the responsibility to: 1. Provide, to the best of his/her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to his/her health. 2. Comply with instructions and treatment plan developed in conjunction with the healthcare team. Ask questions if directions and or procedures are not clearly understood. 3. Accept the consequences for outcomes realized if treatment or instructions are refused or not followed. 4. Assume financial responsibility of paying for all services rendered, either through third party payers or by being personally responsible for payment for any services that are not covered by insurance policies. 5. Follow hospital rules and regulations affecting patient care and conduct. 6. Be considerate of the rights of other patients and hospital personnel and for assisting in the control of noise, and the number of visitors. 7. Make arrangements to send home items of value or request that such items be secured in the hospital s safe until discharge. 8. Smoking, including electronic cigarettes, and the use of tobacco products is strictly forbidden within the hospital. Values of Pittsburgh s Ohio Valley Hospital Health and Well-Being To preserve, enhance and restore the health and well-being of our community. Quality and Patients Rights To deliver quality health care while preserving our patients rights. Innovation To encourage and reward innovative and creative approaches to providing health care. Integrity and Ethics To conduct our business with integrity and to adhere to the highest ethical standards. 19
20 60 THORN RUN ROAD BEAVER GRADE ROAD BEAVER GRADE ROAD EXIT 64 CORAOPOLIS/ McKEES ROCKS 79 OHIO RIVER BLVD HERBST ROAD 51 Ohio Valley Hospital The Willows (Willow Lane and Willow Heights) Wound Care Center and Pain Treatment Center THE POINTE MONTOUR RUN TO PITTSBURGH INTERNATIONAL AIRPORT THE MALL AT ROBINSON Driving Directions KENMAWR RD FOREST GROVE RD CLEVER 60 KENMAWR PLAZA ROAD 79 LORISH ROAD EXIT 60A CRAFTON/ MOON RUN McCOY RD PINE HOLLOW ROAD HECKEL ROAD 279 McKEES ROCKS CHARTIERS AVENUE STEUBENVILLE PIKE McKEES ROCKS BRIDGE CARSON STREET WEST 60 PARKWAY WEST TO FORT PITT TUNNELS 65 From 1-79 Take 1-79 to the Crafton/Moon Run exit. If you re traveling North, it is exit 60A (formerly exit 16); if you re traveling South, it is exit 60A (formerly exit 16B). Bear right down the hill to merge onto Route 60 South. Immediately get into the left lane. Turn left onto Lorish-McKees Rocks Road. Drive 2 miles, going straight through the stop light at Kenmawr Plaza, then turn left at the stop sign onto Heckel Road. The first right will bring you to Ohio Valley Hospital s main entrance. From Route 65 (Ohio River Boulevard) Take Ohio River Boulevard to I-79 and follow the above directions. Or, go across the McKees Rocks Bridge and make a right onto Route 51. At the first light, veer left and go up the hill. Stay on McCoy Road approximately 3 miles until reaching the stop light at the T intersection of McCoy and Pine Hollow Roads. Turn left, then take the first right onto Heckel Road. The second left will bring you to Ohio Valley Hospital s main entrance. From Downtown Pittsburgh Go through the Fort Pitt tunnels and take the Parkway West (279) to 1-79 North toward Erie. Then follow I-79 directions above. Or, before entering the Fort Pitt tunnels, take the exit onto 51 North. Follow signs for McKees Rocks and 51N along the river. You will take a sharp left turn before a small metal bridge, then drive through downtown McKees Rocks. After driving under a railroad trestle, go through 2 stop lights. Take a right after the third stop light, then take the first left up the hill. At the top of the hill, make a right turn at the stop sign onto Heckel Road. The first right will bring you to Ohio Valley Hospital s main entrance. From Route 60 & The Greater Pittsburgh International Airport Take the Parkway to the Moon Run exit and go on Route 60 South toward Crafton. Drive about 4 miles along Route 60/Steubenvllle Pike. At the stop light, make a left onto Lorish-McKcees Rocks Road. Drive 2 miles, going straight through the stop light at Kenmawr Plaza. Turn left at the stop sign onto Heckel Road. The first right will bring you to Ohio Valley Hospital s main entrance. From Route 51 (The South Hills) Take 51 North to the West End Circle. Follow signs for McKees Rocks and 51N along the river. You will make a sharp left turn before a small metal bridge and drive through downtown McKees Rocks. After driving under a railroad trestle, go through two stop lights. Take a right after the third stop light. Then take the first left up the hill. At the top of the hill, take a right turn at the stop sign onto Heckel Road. The first right will bring you to Ohio Valley Hospital s main entrance.
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