PRE-OPERATIVE INSTRUCTIONS
Arrival  Date:___________________________
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You will receive a phone call the day before your procedure to finalize the time.
Colonoscopy and EGD patients should have received arrival date and time from physician’s office.
Instructions:
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Must have driver on the day of your procedure due to medications used during your visit.
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DO NOT EAT or DRINK anything after midnight the day before your procedure. This is a choking hazard. This
includes mints, gum, ice and all tobacco products.
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Infants may take a bottle until 2 am.
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Colonoscopy patients follow physician’s specific orders. No solid food the entire day before the procedure.
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Please increase your liquid intake the day before the procedure as this will help with the IV insertion.
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Take AM medications for BLOOD PRESSURE, HEART, BREATHING, and SEIZURES on the day of surgery
unless directed otherwise by M.D. or Cardiologist.
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DO NOT take ANY medication for Diabetes on day of surgery.
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Stop Glucophage, Metformin 24 hours before surgery.
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Diabetics please check your blood sugar before arrival.
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If you take a blood thinner, you should have received instructions from your M.D. or Cardiologist. If not please
contact their office. Some examples include but are not limited to Aspirin, Plavix, and Coumadin.
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Do not use excess oil or lotions on skin.
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Wear comfortable clothing and supportive shoes.
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Children and Toddlers should wear TWO PIECE CLOTHING SET.
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Take a shower or bath the day of surgery or as directed by physician.
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NO makeup as this may interfere with the delivery of oxygen to you during the procedure.
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NO hairpins, jewelry, or body piercings as these interfere with conduction of electricity and may cause burns.
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If you wear glasses, contacts, hearing aids or dentures please bring a case for storage.
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Leave all valuables at home.
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May brush teeth on day of surgery but DO NOT swallow any water.
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It is in your best interest to have a responsible adult stay with you for 24 hours after the procedure.
Bring to the Procedure:
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Universal Medication Form
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Breathing Inhalers (if applicable)
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For Children  comforting toy or blanket, extra diapers, bottle or sippy cup for AFTER the procedure