| Please note that the
following guidelines apply to most patients having surgery at Redding Medical Center, but
not all of the patients. These are general guidelines only. Specific conditions may
require specific needs. Please contact the pre-op nurse or anesthesiologist if you have
any questions.
If you are having your surgery
at Doctors' Surgery Center, please Click Here.
Can I have food before the surgery ?
We ask that all the patients
not have any SOLID FOOD after the midnight before the surgery. If your surgery is planned
for later on in the day, you may be allowed to have CLEAR LIQUIDS in the morning hours.
Clear liquids are basically liquids where you can "see through" . Examples:
Water, clear broth, black coffee. Please note that Orange juice, milk or coffee with cream
are NOT clear liquids. The pre-op nurse or the anesthesiologist will inform you if you may
have clear liquids. The reason we ask you not to have any SOLIDS after the midnight is
because your planned surgery may be moved up and if you had any SOLIDS, we will have to
wait for 6 to 8 hours.
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Can I take my medications before the surgery ?
Generally speaking, you should take most of
your medication as scheduled with a sip of water before the surgery. You need not take
vitamins or similar medications. If you are diabetic, the pre-op nurse or anesthesiologist
will instruct you about your diabetic medications. If you use inhalers for asthma or
emphysema, you should continue them.
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Can I smoke prior to the surgery ?
Please avoid smoking at least 24 hours
prior to the surgery. This will allow more hemoglobin to be available to carry oxygen
during the surgery and may increase the safety.
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Can I chew gum prior to the surgery ?
No. Chewing a gum causes acid secretion in
the stomach to increase and may compromise your safety.
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When should I come to the hospital for the
planned surgery ?
Generally speaking, you should arrive in
the hospital about 2 to 3 hours prior to the planned surgery. If you need additional
testing e.g. Echocardiogram, you may have to be there even earlier. The reason we ask you
to be there 2 to 3 hours prior is for the time it takes to complete the admission, pre-op
nurse's evaluation & medical history taking etc. Sometimes the surgery is moved up
too. You will be informed of the time you need to be in the hospital. A few of the
patients may be admitted to the hospital the night before the surgery as per their
surgeon's request.
If you are having your surgery at Doctors'
Surgery Center, you need to arrive about 1 hour prior to the planned surgery.
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Should I bring my medications from home ?
It is often a good idea for you to bring
your medications with you to the hospital. The nursing staff can then see exactly what
type medications and what dosages you require. If you need to stay a few days in the
hospital, we will probably make a list of the medications you take and then send your own
medications home with a family member. Our pharmacy will dispense the medications you need
according to your physicians orders. It is a very good idea for you to keep a list of your
current medications and dosages in a wallet or purse at all times.
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What
else can I bring from home ?
If you plan to be in the hospital for a few
days, you may wish to bring a robe, slippers and reading materials. The hospital provides
a gown, toothbrush, toothpaste, soap, comb, mouthwash, razor etc. For safety reasons, the
hospital does not permit home blow dryers, electric razors, that do not have 3 prong
electrical plugs. Valuables are best left at home. It is not a good idea to bring money,
credit cards, jewelry or expensive watches. If valuables are brought to the hospital,
please check them in with the admitting clerk. They will be placed in the hospital safe
until you are discharged.
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Can I drive myself home after the same day surgery ?
You MUST have someone else drive you home.
It is not advised to operate vehicles or machinery for 24 hours after surgery.
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Will I have an "I.V." before the surgery ?
All patients receive an IV before surgery.
(Exception: Small children having minor surgery may not always have an IV for surgery.
This will be discussed before surgery with the parent or child's guardian.)
We have a very skilled Nursing staff and Anesthesia team that will make the IV insertion
as pleasant as possible. An IV is necessary for several reasons. It provides hydration for
our preoperative fasting patients. It provides access for medication administration to
help with sedation and initiation of anesthetics. It provides quick access for medication
administration If any unsuspecting emergent conditions should arise. It provides access
for your pain and antibiotic medication administration post-operatively if needed.
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Can I bring my friends and / or relatives with me ?
It is advised to bring only your closest
family members and friends with you to the hospital. It can be a very anxious time for
both you and your family. Many visitors can cause increased anxiety. You may also require
additional tests and preps before surgery and have virtually little time to visit. You
will need some quiet time before and after surgery. Close family and friends are important
for emotional support. They can also act as a liaison for you between your other family
members and friends. In addition, after you are up and about, it is nice to have someone
you know to talk with and walk with. We try to limit family and friend numbers to 3 - 4 at
a time. For Critical Care Unit Patients the number is limited to 1 - 2 at one time.
Visitors are not usually allowed in the Recovery Room.
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Is there a waiting area for them ?
There is a waiting room outside the
Operating Room/Recovery Room area. Due to construction, we have limited space which makes
it necessary to limit the number of relatives and friends per patient. On busy days, more
than 3 visitors per patient is discouraged in this particular waiting room. Any additional
visitors are asked to wait in the lobby on the first floor.
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Will some one inform them of the progress or results ?
We staff the OR waiting room with an
Auxiliary member, Monday through Friday, 7am to 4pm. They will keep your family and
friends posted on your progress. When your surgery is finished, your surgeon will go out
to the waiting area to notify your family and friends. For confidential reasons, your
surgeon will only relate information about your surgery with your approval. Please discuss
this with your surgeon prior to hospital admission. When you leave the Recovery Room, the
nurse will check for family and friends in the waiting room and notify them of your
transport to a room.
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I am very nervous and/or anxious. Will I get
something for that ?
If you are nervous and/or anxious,
medication will be ordered for you to help you relax before surgery. Be sure to
communicate your feelings to your Preop Nurse or the anesthesiologist so we can provide
appropriate services for you.
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Will I meet my Anesthesiologist before the surgery ?
Certainly. Your anesthesiologist will wish
to speak with you prior to your surgery. He/she will review your medical history with you
and discuss the type of anesthesia that is best for you. Your anesthesiologist is most
concerned about your welfare. Feel free to discuss any concerns you may have about your
care.
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Will I meet my surgeon if I have some questions ?
If you wish to speak to your surgeon prior
to surgery, let your nurse know. He/she will make sure you get the opportunity to speak
with your surgeon before surgery.
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What else besides an IV will I have before the surgery?
Your anesthesiologist will discuss any
other procedures that you may require before surgery. For major surgeries and for very
sick or high risk patients, sometimes it is necessary to receive other monitoring devices.
This may include an "Arterial Line" which is similar to an IV procedure only the
catheter is placed into an artery instead of a vein. This arterial line can then be
transduced to a monitor where your blood pressure will display continuously during and
after your surgery. Depending on your surgery additional lines may be placed prior to
surgery, for example, a central line or Swan-Ganz catheter. These IV's are normally placed
in one of your neck veins. During insertion of these extra lines you normally will receive
sedation.
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Can
I wear my contact lenses ?
It is best that you leave your contact
lenses at home where they will be safe. At the time of surgery, you will be asked to
remove them, so if you chose to wear you lenses to the hospital, please bring your lens
case to store them in.
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Can
I wear make-up ? or jewelry ?
A small amount of make-up is acceptable.
Eye make-up can smear and possibly irritate you eyes It is best to leave your jewelry at
home. Please do not bring valuables to the hospital. If you have a piece of jewelry that
has sentimental value, ie., a ring, you may wear it. However, to protect you and your
ring, it will be taped to your finger during surgery. If you are having surgery on the
extremity that has a ring' you will be asked to remove it.
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Should
I bring my hearing-aides ?
Absolutely. If we need to remove them for
your surgery, we will keep them in a safe place and return them to you after surgery. We
prefer that you wear your hearing aides for communication purposes.
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Can
I keep my dentures in ?
You can keep your dentures in right up
until the time of surgery. For your protection, when having a general anesthetic, we will
ask you to remove your dentures for the surgery and return them to you as you wish after
surgery. If you are having a local or regional anesthetic, often times you are allowed to
leave your dentures in place.
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