Before Surgery or Procedure:
Day of Surgery or Procedure:
- When your surgery date is set, a pre-op physical is required within
one week of surgery with your primary
doctor. After that, notify the physician of cold,
rash, fever, or other changes in your condition before surgery.
- Call the outpatient nurses at 308-995-2903 to set up a time to go
over your medical history and sign consent forms.
The hospital will be calling you to set up a time for pre-admittance.
- If you are unable to meet with outpatient nurses, some things you will
be asked for on admission are:
- Insurance cards
- Medical history, diseases, past
- Current medications (names, dosage
and how often taken)
- Previous anesthesia complications
Allergies to medications
- If the patient is a minor or
mentally disabled the power of attorney or
legal guardian should be available either by phone or in
person to give
consent for the procedure.
- Do not eat or drink anything, including water and coffee, after
midnight before surgery. Do not chew gum, smoke, or use smokeless
tobacco, or drink alcohol before surgery. These are for your own safety.
- If you are a diabetic or on insulin, contact your family doctor
about medication dosage changes due to surgery.
- Take a shower before surgery. You may be asked to use special soap.
Good oral hygiene is needed. Do not wear makeup, mascara, or eye shadow
and remove nail polish. Nurses check your condition by watching the natural
color of your skin and nails. Eye makeup may be accidentally introduced
into the eye.
- If you think of any questions before your admission to the hospital,
write them down and don't hesitate to ask the nurses who are
caring for you before surgery.
- For Dr. Doolittle's patients: To avoid post-op
constipation take 2 tablespoons of mineral oil mixed with juice the
night before surgery.
- If you are having sedation or general anesthesia you must
have someone who can drive when you are released.
- Patients are usually asked to arrive two hours before their
procedure is scheduled, this allows nurses time to prep patients and for
anesthesia and doctors to see them before surgery.
- Come to Admissions office at the
east entrance at time designated by preadmission nurse. If asked
to arrive before 6:00am come in ER door on the north side, the east
admission entrance will not be open.
- If you have not been contacted about your arrival time within one
week of surgery call the outpatient nurses at 995-2903.
- Bring robe, slippers, and own personal care items if staying
overnight. If wearing hearing aids, eyeglasses or contacts bring storage case
for their protection.
- You must remove dentures, wigs, and hairpieces, barrettes, hairpins,
hearing aid, contacts, glasses, prosthetic devices, and all loose metal
jewelry, watch etc...
- Leave all valuables at home (i.e., cash, jewelry, credit cards,
What to Expect:
The nurse will talk to you about what is needed to prepare for surgery.
Surgery generally starts at 7:30 A.M. If you are not the first case, you
will be given an approximate time your surgery will begin. Time may be
altered by emergencies.
The physician may order special treatments to help with deep breathing,
called incentive spirometer. Deep breathing and coughing after surgery helps prevent
pneumonia. The physician may also order an antibiotic to help prevent infections.
It is important to know if
you have any allergies to medications before surgery.
Leg exercises help blood flow through the body and can prevent blood
clots. Your doctor may want you to wear a support stocking which the nurses
would put on you before going to surgery. Walking helps circulation
and will help your body get back to its normal functions. For this reason, the nurse will
encourage you to change positions and move frequently after surgery.
Pain scale will be used to assess your discomfort. You will frequently be
asked to rate your pain on a scale of 1 to 10. Zero is no pain and 10 is
very severe pain. This will help your nurse determine how much medication
will be needed. If pain medication is required after surgery - information
related to medication dose and frequency will be given to you before
If you are having out patient surgery, or you leave shortly after a
procedure, you will need to have someone drive you home. It is recommended
that you not drive or operate machinery for 24 hours after anesthetic. Also,
after most abdominal surgeries, the physician will restrict your driving.
To provide the patient with a relaxed environment before and after
surgery, it is suggested that family members or support persons be limited
to one or two at a time in the room. This allows rest and recuperation for
the patient and easy access for the nurse to meet the patient's needs.