Surgery - SUNY Upstate Medical University

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44140 Rev. 2/2014
Surgery: Before, During, and After • 1
Welcome to Upstate University Hospital
SURGERY: BEFORE, DURING, AND AFTER
Introduction
Information in the booklet includes what you
must do preoperatively or before surgery. We
will let you know what you need to bring to
the hospital, what happens at the hospital, and
what you need to do to be
PATIENT ED:
discharged to home. There are
RESOURCES
many patient education and
informational materials available www.upstate.edu/patiented
on the Upstate Patient education
website at www.upstate.edu/
patiented.
PATIENT ED:
Pre-Surgery Insurance Authorization
RESOURCES
• Call your insurance companywww.upstate.edu/patiented
when you are
told of your surgery or procedure date.
• Your insurance company may ask for
information or give “pre-approval” in
order for payments to occur. PATIENT ED:
RESOURCES
If you do not have insurance and need
to speak to
www.upstate.edu/patiented
a social worker then please let us know.
Pre-Anesthesia Screening
• Before the day of admission you will be
called on the phone or come in person for
a doctor, licensed health care provider,
or Registered Nurse to review your health
history with you.
• It is important for you to tell them
all of your medical history including
medications (name, dose and frequency),
allergies (medication, food and
environmental) and other important
information about your health (like if you
have obstructive sleep apnea).
• If you are seen in Pre-Testing before your
surgery, you may have a physical exam by
a licensed healthcare provider if you did
not get one at your providers.
• Staff will give you instructions about your
surgery and tell you how to prepare for it.
• If the patient is under age 18 years old or
has a court appointed guardian, you will
need to bring this person with you and
bring copies of all the legal guardianship
papers
with you.
PATIENT
ED:
RESOURCES
If you
are under 18 years old and live with a parent
www.upstate.edu/patiented
or guardian then they must come with you to
Pretesting and Surgery.
Screening Tests
•PATIENT
Tests ED:
and lab work may be ordered before
RESOURCES
your surgery.
www.upstate.edu/patiented
• You may have this done at the hospital or
another testing location.
• If the test results show concern, another
appointment
may be needed before your
PATIENT
ED:
surgery.
RESOURCES
www.upstate.edu/patiented
Donating Blood
• Let your doctor know if
you wish to donate blood
for your procedure.
• You must donate at least
one week before your surgery.
• Contact the Red Cross and they will
schedule your donation according to your
procedure date.
• If you have donated your own blood,
please tell the nurse when you arrive at the
hospital.
Quit Tobacco
• There is no smoking or tobacco use at
Upstate University Hospital.
• Smoking is not advised following surgery
because it can slow down the healing of
the surgical incision.
2 • Surgery: Before, During, and After
• If you smoke, you should try to stop one
week before surgery.
• For information on how to quit smoking,
visit the New York State Department of
Health Quit line website or call the NYS
Quit line (866) 697-8487.
What to Bring the Day of Your Surgery or
Procedure
• A list of current medications including
dosages and reasons you use them, as well
as any over-the-counter medications and
herbal supplements list
• Living Wills, Health Care Proxy, DNR and/
or guardianship paperwork
• Photo ID
Community Campus
If your surgery is at the Community Campus then
you will receive an automated call 3 days prior to
the surgery. If you have questions after the call
then please call us at (315) 492-5614.
Downtown Campus
• The day before the admission a staff
member will call to confirm your arrival
time the day before the surgery day.
• If you miss the call or have questions about
your arrival time, please call:
Upstate Hospital Downtown Adults:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (315) 464-2900
Upstate Hospital Downtown Children:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . (315) 464- 3636
Upstate Outpatient Surgery Center:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (315) 464-2626
Upstate Hospital Community Campus:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (315) 492-5614
Lodging
• If your drive from home to the hospital is
far or it is winter, you may choose to stay
in Syracuse at a hotel the night before your
surgery.
• The Case Management Department has
a list of local hotels with special rates for
patients and families. If interested, please
call:
Upstate Hospital Downtown and Community
Campus: . . . . . . . . . . . . . . . . . . . . . . (315) 464-6161
• Insurance information and cards
• One small bag with personal belongings.
Bring loose, comfortable clothing.
• Obstructive sleep apnea patients must
bring their CPAP machine to the hospital if
they are staying overnight
• Parents or guardians must stay with
children who are having surgery
• One book or comfort item
Leave Home
• Jewelry and large sums of money. This
includes wedding rings
• Credit cards and all valuables
• Do not bring your medications, only a list
of medications
Preoperative/ Pre-Procedural Diet
• Follow the instructions given to you by
your provider regarding your diet on the
night before surgery
• Most patients will have nothing to eat or
drink after midnight
• Patients with Diabetes should follow the
instructions from their provider
• If you need to take medication in the
morning, only take a small sip of water
• Chewing gum or throat lozenges are not
allowed the morning of surgery
• Children having surgery may have special
guidelines, please discuss with your
doctor/provider
Surgery: Before, During, and After • 3
Bathing
• Special soap may be
needed to clean your skin
before surgery and we
have a handout for you
on this depending on
where your surgery will
take place. We will give
you the special soap or your provider will
let you know what to get and where to get
this. Surgeries on the Community Campus
will be get instructions at the Pretesting
appointments.
• Do not shave or remove any hair from your
surgical site before surgery.
Types of Admissions:
• Outpatient admission: You will come to the
hospital for your procedure and go home
the same day. You will need someone to
drive you home and stay with you for the
first 24 hours.
• One Day Stay Procedures: You will stay for
the night after your procedure and then go
home the next day.
• Operative Day Admission/ Same Day
Admission: You will be admitted the day of
your procedure to an Inpatient unit of the
hospital.
The Day of Arrival and Presurgical Care
Building Location of Surgery
Ask for a map if you are uncertain of the building
location of your surgery. You can also find maps
and directions on the Upstate Website at www.
upstate.edu/patiented.There are different surgery
locations and they include:
Upstate University Hospital Downtown
• Pre-Surgical Holding area: 5th floor
• Center for Children’s Surgery: 3rd floor
• Ambulatory Procedures: 1st floor
• Heart and Vascular Center: 6th floor
• Endoscopy: 3rd Floor
Upstate Outpatient Surgery Center
• Go to Suite K
Upstate Community Campus
• Check in at the main lobby or Diagnostic
area volunteer desk and the volunteers will
direct you to the Surgery Center on the 1st
floor. This is for both adult and pediatric
patients.
Other Locations
• If your surgery/procedure is at another
location, your provider will give you a
building name and location. Let them
know if you need a map.
• Nursing staff will let you know where your
procedure is being done in the hospital and
where your family should wait.
Once at the Surgery/Procedure Location:
• You will be shown where
to get ready for your
procedure.
• You will wear a bracelet
that lets everyone know who you are. The
healthcare team will look at the bracelet
and they will ask for your name and your
date of birth. As a safety precaution, staff
members will verify this information many
times during your hospital stay.
• After you change into a hospital gown, a
registered nurse will go over your health
history and medication list in order to
update and confirm your information.
• You will also meet other members of the
health care team to go over your final plan
for surgery.
• Before going to surgery/procedure, an
intravenous catheter (IV) will be placed
into your arm or hand to give you fluid and
medication.
• While you are in surgery/procedure,
your family should keep your clothes and
belongings.
4 • Surgery: Before, During, and After
The other members of the healthcare team
that you may meet before your surgery are:
• Operating room nurse
• Anesthesiologist (the doctor who will
provide your anesthesia)
• Certified Registered Nurse Anesthetist
(CRNA)
• Anesthesia Resident
• Surgeon or licensed provider doing the
procedure
Please speak up and ask any questions when you
meet your healthcare team.
Confirming Your Procedure
Each team member will ask what surgery or
procedure you are having done. This is for your
safety and will help to make sure you are getting
the right procedure and the team will verify this
with you.
• You will be asked several times to confirm
your surgery or procedure.
• Your surgical site will be marked by your
surgeon.
• All members of the health care team are
focused on your safety.
• Please ask questions if you are unsure
about your surgical site or procedure.
Anesthesia
• An Anesthesia Doctor (Anesthesiologist)
or Anesthesia provider (resident or CRNA)
will meet with you before the procedure
or surgery and will provide care to you
before, during, and after your surgery or
procedure.
• The type of anesthesia you receive will be
discussed with you and will be based on
your medical condition and surgery. You
will be asked to sign a consent for your
specific anesthesia plan.
• The Anesthesiologist will provide pain
control and will support life functions
during the procedure and during your
recovery phase.
Types of Anesthesia
General Anesthesia
Medication is given in your IV
(intravenous catheter) or by a mask
that will put you into a sleep-like
state. A breathing tube may be placed after this
to help you breath during surgery. You will be
deeply asleep and will not feel pain or remember
the procedure.
Monitored Anesthesia (MAC)
You will be sedated with medicine but will be
breathing on your own. The doctor will monitor
you closely and you may or may not remember
the procedure and you will feel no pain.
Regional Anesthesia
This type of Anesthesia numbs part of the body
so you do not feel pain at the surgical
site. This can be done before, during
or after the procedure. Types of
regional Anesthesia include either
an “epidural” or “spinal”, where
medicine is injected near the spinal
cord and a small tube may be
placed to give you the medication
steadily and all the time during your procedure.
A Peripheral Nerve Block is when medicine is
injected around the nerves in a leg or arm to
block the sensation of pain. Ask your doctor what
choice is best for you.
The Operating Room
• The operating room staff wears surgical
caps and masks to keep the environment
germ free. You will also be asked to wear a
surgical cap before going into the operating
room.
• Sometimes, emergencies come up and the
surgery schedule may change after you
have arrived. We apologize for delays, and
try our best to stay on time.
• Please feel free to ask any questions that
you may have.
Surgery: Before, During, and After • 5
After Your Procedure
Recovery Room:
• The Recovery Room is where you will wake
up after surgery/procedure.
• A Registered Nurse will watch your vital
signs closely and you will receive pain
medication if needed.
• You will be monitored for your heart rate
and blood pressure and you may also have
oxygen given by a tube in your nose or a
mask on your face.
• The nurse will call or come and speak
with your family when you arrive to the
Recovery Room and will update them on
your progress.
Some patients spend the night in the Recovery
Room. An appropriate level of nursing care will be
given as you continue to recover.
Pain Management
Adult patients are asked to rate their pain on a 0 to
10 pain scale. This helps nurses and providers treat
your pain effectively.
• Other scales are used for children and
adults who cannot use the number scale.
The nurse will discuss what scale is best for
you in order to rate your pain.
• The provider will order pain medication
that best fits your medical needs.
• Please let the healthcare team know if
you have been on pain medication before
surgery as your needs may change after
surgery/procedure.
Diet
• Your doctor will order your diet for after
surgery/procedure. Most patients start
with clear liquids and progress to their
regular diet.
• You may request special foods based on
your ethnic or cultural preferences.
Discharge
• You may have a Nurse Case Manager to
help you plan for your discharge needs
including any services or equipment
needed.
• Before your discharge, you will receive
written instructions about your care
medications (use and side effects) and
follow-up appointments.
• If there are any changes or additions to
your medications then your provider and
nurses will let you know in writing about
these changes. They will tell you about the
use and side effects of the new or different
medications.
• Discharge time from the hospital
is generally between 10 am and 11
am, although times may vary. Many
outpatients will go home 1-3 hours after
their procedure.
• Plan for someone to stay with you for
at least 24 hours after your surgery/
procedure.
• Childcare should be set up for children
while you are in the hospital.
• You need someone to drive you to and from
the hospital.
• You cannot walk home or take the bus or
cab alone after your procedure.
• Let us know before your surgery/
procedure if you need any help making
transportation arrangements to get you
home.
Please, speak up and ask if you have any
questions.
Health Information for You
Patient and Family Education
Upstate Connect: 464-8668 • (800)464-8668
Back to Basics: Good Hygiene
Good personal hygiene can make you healthier and less likely to get sick.
It also helps you to look good and feel good.
Wash Your Hands Often
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•
Handwashingisthebestwaytopreventinfectionsandthespreadofdiseases.
Alwayswashyourhandsbeforeyoueat,beforeyouhandlefood,andafteryouusethetoilet.
•
•
Washyourhandsoftenifyouaresickoraroundpeoplewhoaresick.
Usesoapandwatertoworkuplather.
Keep Your Body Clean and Healthy
•
•
•
•
•
•
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Takeashowerortubbathatleasttwotothreetimesaweek.
Usesoapandwater,rinsewell,anddrycompletely.
Shampooyourhaireverytimeyoubathe.
Cleanyourgenitalsandarmpitseveryday.
Keepfeetcleananddry.Wearcleansocks.
Don’twalkbarefootoutside.
Usebodylotiontokeepskinsoft.
Womenshouldalwayswipefromfronttobackafterusingthetoilet.
Take Care of Your Teeth
•
•
•
•
Brushyourteetheverymorningandnight.
Trytobrushaftereverymeal.
Flossbetweeneachtootheveryday.
Seeyourdentistatleastevery6months.
Take Care of Your Nails
•
•
•
•
Cleanunderneathnailseveryday.
Keepingfingernailsshortmakesiteasiertokeepthemclean.
Cuttoenailsstraightacross,justlongerthanyourtoe.Ifyouareunabletocareforyournails,askforhelp.
Ifyouhavediabetesordecreasedbloodflowtoyourlegs,askyourhealthcareprovideraboutpropercareofyournails.
Cover Your Mouth or Nose
•
•
Manydiseasesspreadthroughsneezesandcoughs.Coveryourmouthandnosewhenyousneezeorcoughbecausethelittle
diseaseparticlesmovethroughtheairandinfectothers.
Usetissueswhenyousneezeorcoughandifyoudonothaveatissueusethebendofyourarmorhand.Thenwashyourhands
rightaway.
If You are Sick Avoid Close Contact with Others
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Whenyouaresickyoushouldstayhome.Don’ttouchorshakehandswithothers.
Whengoingtogetmedicaltreatmentcallaheadtoaskwhatyoucandotonotspreadittoothers.Tellthepeoplewhenyouget
totheofficeifyouneedamasktowearifyouarecoughingorsneezing.
Get Shots to Avoid Disease and Fight the Spread of Infection
•
Makesurevaccinationsareuptodateforyouandyourfamily.TherearevaccinationsavailableforFlu,Shingles,Measles
(Rubella),Mumps,Diphtheria,Hepatitis,Meningitis,Whoopingcough(Pertussis),andPneumonia.
Make sure your Heath Care Providers wash their hands and wear gloves when needed. It is okay for you to ask them if they have washed
their hands especially if they are drawing blood, touching wounds or fluids, or touching your mouth or private parts.
F81222 Rev. 1/2014
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44140 Rev. 2/2014
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