At the Surgery Center

When you arrive you will check-in at the front desk  and they will let the nursing staff know that you have arrived.  Someone from the pre-op staff will escort you to the pre-op area where you will be asked to change into a patient gown.  An RN will review your chart, perform a nursing assessment and ask you about your health history.  Depending on the procedure you are having, your health history, and physician orders your nurse may start an IV, perform an EKG, draw blood for testing, etc. Please feel free to ask questions at any time throughout the process.

 

You will be asked to verify your name, date of birth, what procedure you are having, and etc. by numerous people during your visit to the surgery center.  This is part of our patient safety program whereby we always want to make sure we have the right patient and that we are performing the right procedure in the right place.  Your safety is our top priority.


It is at the discretion of the pre-op RN as to how many visitors you may have at any given time while you wait in the pre-op area.  Visitors may be asked to come back one at a time as space allows and to protect the privacy of all patients in the area.  Please let your nurse know if you would like for your pastor or spiritual advisor to pray with you prior to going back into the operating room.  We will do our best to provide you with privacy and to accommodate your needs during this time.


When it is time for you to go back to the operating room, (OR), your anesthesiologist and/or your OR nurse will come to the pre-op area and if they have not already done so they will perform their assessment of you at this time.  Once all of your questions have been answered and assessments are complete you will be transported into the OR.   


Pediatric patients:


When a pediatric patient, (under the age of 18), is brought into the pre-op area they will need at least 1 parent or guardian with them at all times until they are taken into the OR.
Friends, family members, and visitors are not allowed into the OR to view the surgery.  The one exception to this rule is that one parent or guardian may accompany their child to the OR with permission from the anesthesiologist until the child is asleep.  Once the child is asleep the parent or guardian will be directed to the waiting room and may not remain in the OR to observe the surgery.


Please be aware that if the patient is a under the age of 18  a parent or guardian must stay at the surgery center until the patient is discharged from the facility, incuding overnight stays.

 

Day of Surgery


The day of your surgery  can be more comfortable and less stressful if you follow these guidelines:

.Do not wear any makeup, cologne, jewelry (including wedding rings and jewelry in pierced sites), lotion or nail polish.
Wear comfortable, loose-fitting clothing.
 
Leave all valuables at home.  SCFC is not responsible for any lost items. You will be assigned a locker for your personal belongings and the key will be monitored with limited access to your locker until the time of discharge.  You may want to give any valuables to a family member rather than place it in your locker if you prefer.


If you wear contacts, eyeglasses, or dentures, please bring a storage case.


If you use inhalers, please bring them.


If possible please leave children who are not patients at home with a responsible adult as this allows the child who is having surgery to have your full attention.


Come accompanied by a responsible adult who can take you home and stay with you afterward.  If you do not have a ride home your surgery may be canceled if arrangements cannot be made for a responsible adult to provide transportation home following your surgery or procedure.
 Please arrive promptly at the scheduled time so your surgery is not delayed.


Bring a government issued ID (Driver’s license, passport, or Military ID), your insurance card and co-pay.

 

If you are scheduled to spend the night you may want to bring any medications you take on a regular basis with you.  This may include blood pressure meds, insulin, cardiac meds, etc.  All meds brought from home must be in their original containers with a single medication inside, (you cannot mix more than one medication in the same container).  The nurse will safely store your medications in a locked cupboard and will administer them to you according to written orders from your physician.  Patients are not allowed to keep any medications at the bedside or to self-medicate.  Additionally, you will not be allowed to bring any narcotic pain relievers from home due to liability issues here at the surgery center.  Narcotic pain relief will be provided as needed to you from SCFC inventory per your physicians order.  Any medications you brought from home will be returned to you at the time of your discharge.   

 

After Surgery:  Your recovery


Facility recovery


Once your surgery or procedure is completed you will be taken to the recovery room accompanied by a registered nurse and an anesthesiologist, (depending upon the type of anesthesia you received there may not be an anesthesiologist).  The OR nurse and anesthesiologist will give the Recovery Room, (RR), nurse a report and will hand off care to that person.  The course of treatment you receive in the RR is based upon the surgery you had, the type of anesthesia you had, and your immediate post-op needs.  Your RR nurse provides for your safety and comfort during the time you are awakening following anesthesia.  Maintenance of your airway and cardiac status are the first priority followed by pain control and relief from any nausea you may experience.


Please note that after surgery you may experience pain and even some nausea and vomiting.  A certain amount of pain is to be expected following surgery.  Some of the medications you may receive including anesthetic drugs, antibiotics, and narcotic pain relievers may all contribute to feelings of nausea.  The RR nurse will provide medications to assist you in controlling your pain and nausea to the extent possible but may not be able to eliminate them completely.    


The time you spend in the recovery room is individualized to each patient.  You will be discharged only when you have met very specific medical discharge criteria including airway status, circulatory status, your pain, nausea and vomiting are under control, stable vital signs, etc.  Once medical discharge criteria are met you will be discharged to home in the care of a responsible adult to continue your recovery in the comfort of your own surroundings.  Just prior to discharge your nurse will go over home care instructions with you and your caretaker and give you a chance to ask any questions you may have.   Sometimes our patients require an overnight stay if their physician decides they would benefit from continuing care.  During overnight observation your vital signs will be monitored, you will receive medications to control your pain and nausea as applicable, you will receive food and drink as tolerated, your intake and output will be monitored and you may be awakened for nursing assessments and treatment as applicable. The next day you will be discharged in the care of a responsible adult per the same criteria as mentioned before after receiving home care instructions and once your questions have been answered.     

If you have non-emergent questions or problems following your discharge regarding your surgery or the medications prescribed to you at the surgery center please contact your surgeon   at their office.  If the questions you have are more routine medical questions or are regarding problems not related to your surgery please call your family practice physician.  If the situation you are calling about is emergent please call 911 or go to the nearest emergency room.