Inpatient Surgery Nothing to eat or drink after midnight on the night before your surgery (this means nothing by mouth, including water, ice chips, hard candy or mints, gum, or cigarettes). Not following these instructions can be a reason to cancel the surgery for your safety. You will come in the main hospital entrance into the main lobby and you will go to the main registration, which is to the right from the lobby entrance. You will need to check in at registration at least 90 minutes before your planned surgery time, in order to allow time for all pre-surgery procedures. You may need to pay a co-pay or a deductible on the day of surgery. Please check with your insurance provider so that you are prepared. You will be escorted to the surgery waiting area where you will be checked in; once checked in you will be taken back to a private room in the Pre-operative holding area. Your family members and/or friends may be present with you here until you are taken back to the operating room. Pre-Operation You will change into a hospital gown. A nurse will meet with you and discuss your medical history. An intravenous line (IV line) will be placed in order to administer fluids, medications, and anesthesia during the surgery. The surgeon will meet with you and have you sign an informed consent form, telling us that you understand and agree to have the surgery done. The anesthesiologist (a medical doctor trained in anesthesia) will meet with you and discuss the method of anesthesia that will be used to keep you comfortable throughout the surgery. The nurse for the operating room will meet with you and take you to the operating rooms. At this point your family and/or friends will be escorted back to the surgery waiting area. Operating Room You will have routine monitors placed in order to monitor your vital signs (blood pressure, oxygen levels, heart rate and rhythm) throughout the entire surgery. The anesthesiologist will have you breathe oxygen through a mask, and then will put you to sleep for the surgery. You may need to have a breathing tube placed once you are asleep. The anesthesiologist will be with you throughout the entire surgery. Once the surgery is complete, the anesthesiologist will wake you up (the breathing tube will be removed before you wake up), and you will be taken to the recovery room. The surgeon will speak to your family and/or friends who are with you when the surgery is complete.You will wake up slowly from the anesthesia. Post-Operation You will have a nurse with you at all times as you wake up, monitoring all of your vital signs and your progress. You will be asked about your pain level and you will be given pain medications as needed to keep you as comfortable as possible. Inpatient Once you are stable, you will be moved to your hospital room. Your family and/or friends will be notified of your room number and they can visit with you there. The amount of time you will be in the hospital varies depending on the type of surgery and your individual recovery. You will have a nurse and a nurse aid evaluating your vital signs, your pain level, your degree of comfort, your needs, and your progress on a regular basis throughout the days and nights. After surgery, you may or may not be started on a diet right away, depending on the type of surgery that you are having. Once we feel you are ready to eat, you will be started on liquids first, and your diet will be advanced slowly to ensure that you are able to tolerate food. You will be given pain medications as needed to keep you as comfortable as possible, however, some pain is expected and unavoidable after any surgery. You will be encouraged to do deep breathing exercises and get out of bed and walk several times per day; you will also get injections of a blood thinner medication. These measures are to help prevent pneumonia and blood clots, which can be complications after surgery. All of the staff members are available to help with your recovery. Use your nurse call light button for assistance or any needs, especially when getting out of bed. This is for your safety. You will see the surgeon and the physician assistants on a daily basis. If you have questions or concerns, or you need to speak with the surgeon or the physician assistants at any time, you can ask your nurse to contact them. The nursing staff will inform you of certain hospital policies when you arrive: No smoking anywhere on the hospital campus Visiting hours are unlimited but we do ask that you keep visitation to 2 to 3 people at a time in order to keep noise levels low for other patients. You will be given a “Privacy Code” that you should give to your family and friends who are concerned about your status and want updates on your medical condition. The staff is not allowed, by law, to give out any medical information over the phone to anyone, unless they have your special “privacy code.” This is to protect your privacy and your medical information. When you are ready to leave the hospital, your team of doctors, nurses, therapists, etc. will determine if you are safe to go home or if you need extended care at a rehabilitation or nursing facility. Our case managers will meet with you and your family to discuss discharge options and any needs for home, such as visiting nurses, home physical therapy, or medical equipment.