Understanding your visit to Bidwell Surgery Center will help you prepare for your procedure. Below is valuable information on what you can expect before, during and after your surgery.
Will I need pre-operative testing?
In most cases no testing is needed. If you have a history of heart problems, hypertension, diabetes, or are on a diuretic and will be receiving general anesthesia for your procedure you will have to have an EKG and/or lab work. As soon as two weeks before your surgery we will contact you by telephone to conduct an interview about your medical history. We will need to know about your allergies, medications, herbal drugs, previous surgical and medical history, and family medical history.
If testing is needed, arrangements will be made at that time. All patients require a history and physical before surgery. This can be done by your medical doctor or surgeon within 30 days of your surgery or at the surgery center on the day of your procedure.
What do I need to do before surgery?
You must make arrangements for a responsible adult to take you home after surgery and to stay with you 24 hours after the procedure. We will need to verify this information in person or by phone before your procedure begins. You will not be allowed to drive yourself home. You should not use public transportation (i.e buses, taxi, etc.) If you have local anesthesia only, with no sedation, you may be able to drive yourself. Please check with your surgeon.
As a general rule you should have nothing to eat or drink after midnight before your surgery. With certain cases, if your surgery is with local sedation only, or is scheduled for late morning or in the afternoon, you may be given special instructions during your phone interview if you may eat or drink the day of surgery.
These instructions are important for your safety. If you do not follow the above instructions, your surgery may be cancelled.
You will be allowed to take any medication you are on daily for your heart, high blood pressure, stomach problems, or anxiety. Please take these with a sip of water only. Do not take any diuretics, diabetic medication, blood thinners, or anti-inflammatories. This will be discussed with you during the phone interview.
If you smoke, please refrain from doing so before your surgery.
On the day of your surgery, wear loose fitting clothing that is easy to put on and will fit over any bulky dressings or surgical dressings you may have after surgery. Do not wear jewelry (a wedding ring is okay as long as it is not on the affected extremity). Leave your valuables at home. If you wear contacts, wear your glasses instead. Ladies, do not wear nail polish (acrylic nails may be left on). If you are receiving general anesthesia, do not wear make-up or mascara.
What happens when I arrive to the surgery center?
Please arrive between 1 to 1½ hours before the scheduled time of your surgery. Your time for arrival will be discussed during your pre-op interview. You will register at the front desk and sign papers giving your consent to have the procedure done and for your financial obligation. Any co-payments will be collected at this time.
What happens in pre-op?
When you are in the pre-op area, a nurse will take your vital signs. If you are receiving sedation, an I.V. will be started and you will meet with the anesthesiologist who will review your medical and anesthesia history, the results of any tests you had, and answer any further questions you may have. A history and physical exam will be done if necessary. Your surgeon and members of the operating team will visit you.
What happens during surgery?
Once in the operating room, an anesthetist or nurse monitor will be personally responsible for your comfort and well-being throughout the entire procedure. They will monitor your blood pressure, EKG pattern, and oxygen saturation. They will also manage any medical problems that may arise related to surgery or anesthesia.
What will happen after surgery?
After surgery, your surgeon will want to speak with your family, either in the waiting room or at your bedside. You will be taken to recovery room where specially trained nurses will care for you. Medication to minimize postoperative pain and nausea will be given as needed. Your discomfort should be tolerable, but do not expect to be totally pain free.
How soon can I go home?
You may be discharged as soon as you are comfortable with your pain level, able to tolerate sitting up, and your vital signs are stable. Depending on the type of anesthesia used, this can be as soon as 15 minutes or up to 60 - 90 minutes. You can expect to be drowsy all day if you had sedation for the procedure.
The person who will be responsible for your care at home will be brought back to recovery, where verbal and written instructions will be given. Most supplies that may be needed will be sent home with you.
What will my recovery at home be like?
Be prepared to go home and finish your recovery there. You may feel the after-effects of the anesthesia, including drowsiness, muscles aches, a sore throat, and occasional dizziness or headaches. Nausea may also be present, but vomiting is less common. These side effects usually decline several hours following the surgery, but it may take several days before they are gone completely. If you are taking pain medication at home you may be drowsy. Plan to take it easy for a few days after your procedure until you feel back to normal.
It will be your responsibility to follow the instructions given to assure a safe recovery. You will be also responsible for the follow-up visit with your surgeon. We will try to contact you within several days of your surgery to see how you are doing and if you have had any problems. If you do have problems at home, please do not hesitate to call your surgeon.
Finally, remember the focus of the surgery is on you, the patient. Please feel free to ask questions! Your experience will be easier if you know what you should expect.
Regarding your bill:
In order to assure proper billing, be sure to bring your insurance card and driver’s license on the day of your procedure. We request that any payment that will not be covered by insurance be paid at the time of registration. Our business office will contact you by phone and/or a letter to discuss the amount that will be due.
Payment methods: Bidwell Surgery Center accepts cash, cashiers check, Mastercard, Visa, or Discover Card.
A memo about Advanced Directives:
An advanced directive is a legal valid document which allows you to communicate to others your preferences concerning your medical treatment in the event you could not do so on your own. A Living Will or Durable Power of Attorney for Health Care are two of the most common types of advanced directives.
If you have an advanced directive, you are welcome to provide us with a copy of it when you are admitted. Please be aware that while under the care of the surgery center, since you have elected to have the procedure performed, the advanced directive will not be honored.
At Bidwell Surgery Center, we are committed to providing you with quality care. We want you to be well informed so that you will be able to communicate openly with us and your surgeon, and to participate effectively in your recovery.
Patient’s Rights and Responsibilities
You have the right to:
- Quality care and treatment
- Be treated with respect and dignity as a unique individual, regardless of your background
- Participate in decisions concerning your care and treatment
- Privacy regarding your care and treatment
- Confidentiality of records and communication
- Be fully informed about your condition
- Change your mind about accepting treatment
- Expect that full instructions will be given to you and your responsible party for home care
- Detailed information regarding service fees or charges
- Understand any forms and consents that require your signature
- Register any grievances
- Have access to their medical records
The patient is responsible for:
- Providing accurate /complete information related to their health
- Their actions if they refuse treatment or fail to follow the plan of care prescribed
- Making their healthcare providers aware if they do not understand the proposed treatment or expectations of them
- Being respectful and considerate of other patients and the personnel of the surgery center, and following the facilities’ rules and regulations
- Providing feedback, suggestions and comments and/or complaints to help the surgery center improve our service needs