Day of Surgery
Welcome to Cypress Pointe Surgical Hospital. The following information is designed to provide you with information regarding your upcoming surgery. Although there are many different types of procedures and surgeries, there are certain things that are done for nearly every patient. After the decision is made that you are to have surgery, your physician may need you to have lab work, x-rays, and/or an EKG to be completed in preparation for your surgery. They will discuss with you the date of your surgery and provide you with paperwork if you need to have previously mentioned tests completed. If you have been asked to stop any" blood thinners", please consult your prescribing doctor.

A pre-operative Registered Nurse from Surgical Services will call you a few days before your procedure unless you are scheduled for a pre-op visit with the nurse the day before your surgery. Please verify that we have your correct phone numbers in case there is a schedule change. She will ask you questions regarding your health history, medications, and previous surgeries. Have a current medication list with doses ready to review. At the end of the interview, she will tell you the time we would like for you to arrive at the hospital. This time may be about an hour and a half before your surgery. This is so that a Registered Nurse and a Certified Registered Nurse Anesthetist (CRNA) or Anesthesiologist can begin the admission process to prepare you for your surgery. This will include review of your chart, getting changed into a gown, obtaining vital signs, starting an intravenous (IV) line, and discussing your surgery with you.

You will also be asked to fast for 8 hours before your procedure, this includes gum & mints. This will help prevent aspiration while you are going under anesthesia. The evening before & the morning of your surgery, it is recommended that you shower with the Hibiclens packet provided at your pre-op visit or Dial soap from the neck down.

If you have developed a cough or have a cold, or have a fever, please call your doctor or Cypress Pointe Surgical Hospital at 985-510-6129 and leave a message. Someone will get back with you. When you arrive at the hospital, walk into the front lobby & proceed directly to the front desk and check in with the receptionist. You will be lead to our admission's area to be checked in, then admitted to the nursing unit where you will pre-oped. Please bring the following. 
  • Photo ID or driver's license
  • Insurance card
  • Method of payment
  • Copy of Power of Attorney if applicable
  • Copy of Living Will if applicable
  • Children under the age of 18 must be accompanied by a parent or legal guardian. Legal guardian must have proof of guardianship.
  • If any pre-surgery tests were performed at another lab or hospital, make sure you bring the results and other necessary paperwork with you.
VALUABLES:
Leave your valuables at home for safe keeping. Do NOT bring credit cards, money, or jewelry. If you do bring valuables, ask family or friends to keep them for you. Please do not wear make-up, nail polish, and perfume. You can bring a book to read in case there is a delay in your care. For pediatric patients, they may bring in a favorite blanket or stuffed animal.

This will be present for them upon arrival to the recovery area and will help soothe them. If you are the parent of a minor, we ask that you remain on hospital grounds throughout the patient's admission, surgery, and recovery.

TRANSPORTATION:
If you are having outpatient surgery, you need someone to provide transportation home, as you are not able to drive for 24 hours post-operatively after anesthesia. Someone must be here in the facility at all times during your procedure.
 
CLOTHING:
Please wear loose, comfortable clothing. This will ensure that no tight clothing will be pressing on your dressing that you may have after surgery. If you are scheduled to stay overnight, bring an overnight bag with your personal items & all your medications.
 
GLASSES:
If you wear glasses, bring a case to place them in so that they are secure while you are in surgery. Do not wear your contact lenses.
 
HEARING AIDS, DENTURES AND PARTIALS:
You can wear them to the hospital. We may have you remove them immediately before your surgery begins.
 
FOOD AND DRINK:
We ask that you do NOT eat or drink anything 8 hours before your surgery. This is the time it takes for your stomach to empty food & liquids. Any food remaining can be aspirated into your lungs. This includes gum and mints. You may brush your teeth and rinse with mouthwash, just be sure to avoid swallowing any water or mouthwash.
 
SMOKING:
Do NOT smoke the evening prior to or the morning of your surgery. Smoking causes bronchial irritation and may increase the likelihood of breathing problems during anesthesia.
 
MEDICATION:
Only routine heart, breathing, thyroid, steroids, blood pressure or seizure medications should be taken with a small sip of water on the day of your surgery. Begin avoiding the use of Aspirin or Motrin/lbuprofen products at the advice of your surgeon. If you take aspirin, Plavix or Coumadin daily, you must talk with your surgeon/GP/internist before discontinuing the medication. Bring your inhalers and/or your CPAP machines with you when you come for surgery.
 
PRE-OPERATIVE PREPARATION:
When you arrive to the Surgical Services waiting, the receptionist will check you in with Registration. You will be admitted to the unit where you change into a patient gown and are given an ID bracelet to wear until you go home. Your blood pressure, pulse, and temperature are taken. Before going into the Operating Room, you may have an IV line started. The IV will provide you with fluids and enable you to receive medications (such as antibiotics, pain medication, and relaxation medication).
 
ANESTHESIA:
Anesthesia is an important part of surgery. You will meet with a Certified Registered Nurse Anesthetist (CRNA) prior to surgery to review your test results and surgical and medical history. After this thorough interview, they will discuss what kind of anesthesia is best for you and give you another opportunity to discuss any questions or concerns you may have.
 
THE OPERATING ROOM:
The Operating Room, also called the OR, is staffed by a team of trained professionals and provides the most sterile and safe surgical environment possible. The surgical team is headed by your surgeon, who is responsible for your overall care. You will meet your nurse prior to your transport into the OR. S/he will ensure that sterile procedures are followed, anticipate and act on the needs of the team, and provide a private, safe environment for you. During surgery, the CRNA manages your airway, administers medication, and will monitor your vital signs. They will be at the head of your bed throughout your procedure and will not leave until your procedure is complete and you are transported to the recovery area.
 
THE RECOVERY ROOM (POST-ANESTHESIA CARE UNIT OR PACU):
Immediately after surgery, you will be transported to PACU. You will receive care from a trained Recovery Room Registered Nurse. You are monitored until you are either ready to go to your room on the Medical/Surgical Unit or home. Your vital signs (blood pressure, pulse, respirations, oxygen saturation) are checked frequently during this time. As you awaken, you may notice the bright lights in the PACU and that the temperature is cool. We will provide warm blankets for you, if needed. We want you to be comfortable. You will be asked frequent questions to determine if anesthesia is wearing off. You may have an oxygen mask or cannula on your face. Coughing and deep breathing are important after surgery to promote adequate air exchange. This will be reviewed with you and encouraged.
 
AFTER SURGERY:
After surgery, your surgeon has specific discharge instructions for you to follow. Before you leave the hospital; you will have these instructions reviewed with you. These will be written out and given to you before you leave from home for reference. Information will include diet, activity, incisional care, medications, and follow-up appointment at your doctor's office. If you have questions about your post-op care, call you surgeon.

Walking re-awakes all of your systems, promoting normal body functions. After your surgery, you should expect to get out of bed and walk. Be sure to have help the first time you get out of bed and begin walking. Your doctor may have prescribed TED stockings or SCD (sequential compression device) be placed on your lower legs, which promote circulation and help prevent blood clots. Another thing you can do to help circulation in your legs is to do ankle exercises. To do the exercises, called ankle pumps, sit or lie down with your legs fairly straight and point your toes toward your nose and then back down as far as you can. You should feel your calf muscles tighten and relax. Do ten pumps in a row about every hour after you are awake from surgery. This pumping action is similar to the movement of your calf muscle during walking.

DRINKING AND EATING AFTER SURGERY:
What and when you can expect to eat depends on your doctor's orders. When your doctor orders that you may eat or drink, it is customary for the nurse to start you on a clear liquid such as water, ginger ale, or juice. This is so that the nurse can assess how you tolerate the clear liquid before advancing your diet.
 
DRESSINGS:
If you had the type of surgery which was done through an incision, you can usually expect to have a dressing over the incision. This will be assessed immediately upon your arrival to PACU. This dressing helps to keep the incision clean, dry, and help to prevent infection. Before you go home, instructions about your dressing will be provided to you.
 
PAIN MEDICATION:
After your surgery, you may or may not experience some discomfort. If you do experience discomfort, tell your nurse. Pain medication may be ordered by your surgeon either to be given by mouth or through your IV. In order to help your nurse control your discomfort, you are asked to rate your discomfort on a scale of 0 10. It is easier to control discomfort when it is lower on the scale then if it reaches the higher portion of the scale. Before you are discharged, patient discomfort should be tolerable.

PAIN SCALE

 
 
Thank you for giving us an opportunity to take care of you during your stay at Cypress Pointe. It has been a pleasure to be part of your care. If you have any questions, about your pre-op information, call 985-510-6093 or 985-510-6252.


   

 

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