AN IMPORTANT NOTICE ABOUT YOUR SURGERY

Although your surgery has been scheduled for a specific day and time, there is always the possibility that due to unforeseen circumstances elective procedures may have to be cancelled. This is more likely to occur during the winter months as Hospitals are busier than usual with emergency cases and illness brought about by the winter weather.

Unfortunately, the decision to change the date of your elective procedure may have to be made as late as the day of your surgery. This is usually as a result of an influx of patients with more serious conditions that have come to the Emergency Department through the previous night.

Please be assured that if your surgery appointment is changed, it is done so with the input and agreement of your surgeon who knows and appreciates your specific case. In all instances, your procedure will be rescheduled as soon as possible, taking into consideration the seriousness of your case.

Cancellations do not happen frequently, however, we want you to be aware of the possibility in advance. The surgical team appreciates your understanding and cooperation. If you have any questions please speak with your physician.

You must arrive in the Day Surgery Department, D Wing, Lower Level 1:

Please Note: You must remove ALL of your jewellery before coming to the hospital. This includes rings, watches, bracelets, earrings, body piercing, etc.

There is a risk of burns and infection from wearing jewellery during surgery. If you are unable to remove your jewellery, you MUST have a jeweller remove it.

You may bring a family member or a friend with you to the hospital.

Children must have a parent or guardian stay with them. Please do not bring their brothers or sisters to the Hospital. Your child will need your undivided attention.

Following the instructions in this booklet will help to prepare you and keep you safe during and after your surgery. If you do not follow them, your surgery could be cancelled. If you have any questions before your surgery, call your Surgeon’s office.

Call your family doctor if you have any changes in your health during the week before your surgery.

Call your surgeon immediately if you decide to cancel your surgery.

What to expect in the Recovery Room…

  • When you wake up, you will be in the Recovery Room (now called the Post-Anaesthetic Care Unit or PACU).
  • The nurse will call you by your first name. Patients answer to their first name more quickly when waking up.
  • You may have an oxygen mask over your mouth and nose. This is a normal routine after an anaesthetic and does not mean that anything is wrong.
  • The nurse will check your blood pressure, pulse and breathing at least every 10 to 15 minutes. A machine will automatically measure your blood pressure.
  • You will have an oximeter clip on your finger to measure your oxygen level.
  • The length of time you will be in the Recovery Room varies. It could be 1/2 hour or several hours. One to two hours is average unless you have been informed otherwise. If you are longer it does not mean that there is a problem. We are only able to give estimates of length of stay.

If you are staying overnight in the hospital...

  • You will go by stretcher to your room.
  • When you have recovered from your surgery, your doctor will tell you when you may go home.
  • You will need to make plans to leave the Hospital by 9 AM. The Hospital needs to have rooms ready for other surgery patients.

What to expect when you come to the Day Surgery Department …

  • Your nurse will ask you if your health has changed since you were in the Pre-Op Clinic.
  • Your nurse will check your pulse, blood pressure and temperature.
  • You will be given a hospital gown to wear
  • You will be asked to go to the bathroom and empty your bladder. Your nurse may give you medication your doctor has ordered.
  • An intravenous, called an I.V. may be put into a vein in your arm to give you extra fluids and medication.
  • Tell your nurse if a family member wishes to talk with the surgeon after your surgery. If you make this request please be sure to stay in the O.R. waiting room until the surgeon does see you.

Before your surgery...

  • Your anaesthetist will assess your health and discuss what type of anaesthetic is best for you.

What to expect in the Operating Room...

An anaesthetist and nurse will ask you questions that you have answered before. This is a way of checking information and is for your safety. You will have a blood pressure cuff put on your arm to measure your blood pressure. An oximeter clip will be put on one of your fingers to measure your oxygen level. An electrocardiogram will be used to record your heart rate.

Things you should do to prepare for your surgery…

2 weeks before…

  • Stop taking herbal remedies and medications. You may take your vitamins unless otherwise directed.
  • Do not shave any body areas that are close to your surgical site for 2 weeks before surgery.

1 week before…

  • Stop taking aspirin or aspirin containing medication
  • Instructions will be given regarding anti-inflammatory medication.

**Acetaminophen (Tylenol) may be taken as needed**

  • If you take insulin, ask your surgeon or anesthetist how much to take and when morning of surgery
  • If you are going home on the same day as your surgery you will not be allowed to drive or take the bus. Plan ahead to have someone drive you home and stay with you for 24 hours.

The day before...

  • Do not smoke for 24 hours before your surgery
After midnight DO NOT EAT ANY solid food, not even gum, lozenges or candy!*


*Your stomach must be empty before your surgery. This will reduce the possible risk of problems if you should vomit during your surgery. If your stomach is not empty, your surgery will be cancelled.

You may drink up to 4 ounces (125 mLs) of the following clear liquids from midnight up to ___ (am/pm).

  • Clear tea (no milk, cream or powder)
  • Black coffee (no milk, cream or powder)
  • Ginger ale
  • Apple juice
  • Water

 

The morning of…

  • Please shower or bathe before coming to the hospital.
  • Do not use perfume, cologne or aftershave.
  • Do not take your fluid or water pills (unless otherwise directed) _____________________.
  • Do not take your diabetic pill _____________.
  • Take your insulin according to surgeon’s or anaesthetist’s instructions and bring with you to day surgery.
  • Take your other usual (prescribed) medications with a small sip of water.
  • Bring any inhalers (puffers) with you; use morning of surgery.
  • Wear comfortable, appropriate, loose fitting clothing.
  • Remove all make up and nail polish (fingers & toes.)
  • False nails should be removed.
  • Jewellery worn during surgery poses a significant risk of burns and wound infection. You MUST REMOVE ALL JEWELLERY or have a jeweller remove it for you. If you arrive for surgery wearing jewellery, the Day Surgery staff will notify your surgeon and anaesthesiologist, and your surgery will likely be cancelled.
  • Do wear “Medic Alert Tags” – these will be removed before surgery.
  • Do wear hearing aids, your glasses or contact lenses. Please bring a container for your contact lenses.
  • Bring no more than $10.00 with you
  • Bring lined garbage can in car
  • For dental surgery have ice pack or bag of frozen vegetables available at home
  • Bring crutches if necessary – leave in vehicle.
  • Remember to get any necessary prescriptions filled
  • Bring sling if needed.
  • Apply Ted Stockings if needed.

If you are staying in the Hospital overnight after your surgery, bring:

  • Bathrobe
  • Pajamas
  • Socks and walking shoes
  • Soap
  • Comb and hair brush
  • Kleenex
  • Toothbrush and toothpaste
  • Do NOT bring aerosol cans such as deodorant or hair spray
  • Please bring all your prescribed medications in original containers to Day Surgery.

Leave your suitcase in your vehicle.

If you are going home the same day as your surgery...

  • You will be taken to the Day Surgery Department. You will rest there.
  • Before you go home you will be given a drink and helped to the washroom.
  • Your nurse will phone the person that you have planned to drive you home if they are not waiting for you at the Hospital.
  • For the first 24 hours after your surgery you may feel dizzy, light-headed or sleepy.
  • Rest quietly for the rest of the day.
  • Have a responsible adult stay with you for 24 hours after your surgery.

For 24 hours after your surgery do not...

  • Drive a vehicle
  • Operate heavy equipment
  • Drink alcoholic beverages
  • Sign any important papers
  • Make any important decisions

You will be given special instructions about how to care for yourself after you go home. If you have any problems after you go home, call your doctor.

IN AN EMERGENCY
If your doctor is NOT available go to the nearest Emergency Department.
 
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