Pre-Surgery Preparation & Visitors
Please arrive at the time the pre-surgical nurse told you. Plan ahead, consider weather, traffic, and parking. If you arrive late, your procedure may be delayed. Two adult visitors may accompany you on the day of surgery.
Do not eat or drink anything starting at midnight the night before your surgery. You may hear the term “NPO,” which means nothing by mouth. However if you must take a medication the morning of surgery, you may take it with a sip of water.
Once in the pre-operating room, we will ask you to change into a hospital gown. You must also remove glasses, contact lenses, hearing aids, dentures, jewelry and hairpieces. It is best if you leave all valuables at home.
The nurse will review your medical history and take your temperature, blood pressure and pulse. Be sure to tell the nurse the exact time you last ate or drank and the last time you took your medications.
We will ask your visitors to wait in the waiting area while we prepare you for your surgery. This will allow us to maintain your privacy while we complete your preparations. We will place an IV (into the vein) line in your hand or arm so we can give you fluids and medications. Based on your specific needs, antibiotics or other medications may be given. Once your IV is placed, your visitors may rejoin you in your pre-operative room.
For specific procedures you may wear sequential compression devices (SCDs) to assist blood flow and prevent blood clots. SCDs gently squeeze your calves at specific intervals to copy the muscle movement that occurs when you walk.
Your surgeon, anesthesiologist, nurse anesthetist or physician assistant may visit you before surgery. If you have already met with the surgeon and anesthesiologist, you may not see them before your surgery. If you do have questions for them, please ask your nurse.
For your safety, a member of the surgery team will also meet with you to:
- Confirm the type of surgery you are having
- Mark the surgery site (if needed)
- Review the plan for anesthesia
- Ask about any past problems you may have had with anesthesia
Please note, for your safety, you may be asked the above questions by different caregivers at various times.
Your original surgery time may change. If your surgical arrival time changes you will be contacted by one of our surgical Associates. Please do not schedule anything else on the day of your surgery in case of time changes.
Here are some additional things you need to know for the day of surgery:
- Do not bring jewelry, a wallet/purse or other valuables to the hospital.
- You may not wear any jewelry during surgery.
- Do not wear contact lenses to surgery.
- Plan to wear comfortable, loose-fitting clothes that will fit over bandages and splints.
- Please bring any radiology films or discs if you have them.
- If you are a female under the age of 60, we may perform a pregnancy test.
- If you use glasses please bring them, as you will need them to review and sign papers.
- If you are asthmatic, please bring your inhaler(s).
- If you take many medications or are unable to remember what you take and when, please bring a current list with last times taken.
- If your surgery requires you to stay overnight, please leave your bag in the car until your room is ready.
If you at any time have questions or concerns regarding your surgery, you may call your surgeon, Pre-surgical Testing until 5 p.m. at 815-759-4167, or Same Day Surgery the morning of at 815-759-4700.
After the operation is over the surgeon will inform your family how you are doing and when they can visit you.
Most patients are taken to the recovery room for approximately 60 minutes after the completion of their operation. Visitors will be asked to wait in the waiting room. Following your stay in the recovery room you will be brought to your inpatient room or back to the Same Day Surgery Center area where your visitors will join you. If an overnight hospital stay is not required, your nurse will assess your readiness to go home.
If you do not stay overnight, arrange for a responsible adult to drive you home and be with you for 24 hours following your surgery. For your safety, we cannot let you drive home or take a taxi. Minors must be accompanied by an adult until they are discharged. Those under 16 years of age cannot be left alone in the waiting area.
For Children Having Surgery
Please bring your child’s favorite toy, blanket, pacifier and sippy cup or bottle. You may stay with your child until he/she goes into the operating room.
After the procedure is done, you child will stay in the recovery room for 10-30 minutes while they wake up from anesthesia. Your child may be very irritable or disoriented due to anesthesia. Do not be alarmed as this is a normal response.
Anesthesia is a short-term absence of feeling. The anesthesiologist and the surgeon will talk with you to plan the type of anesthetic that is best for you. This is based on the surgery and your medical history. There are five types of anesthesia that may be used.
Local anesthesia is a numbing medicine injected around the site of the incision. It causes a lack of feeling at the incision area only. The rest of the body is not affected. You will be awake during surgery. The surgeon gives this type of anesthetic only when operating on a small part of the body.
Epidural or Spinal anesthesia is a numbing medicine that is injected into the mid or lower back. All of the nerves going into the incision area and nearby areas are numbed. This absence of sensation (feeling) is limited to one region (localized). With a spinal, you may have a lack of feeling from the waist to the toes. Feeling returns in a few hours. Sometimes, patients have trouble urinating after an epidural or spinal. This is normal and usually lasts only a short time.
General anesthesia may begin with an IV (into the vein) medicine and often also includes breathing anesthetic gases mixed with oxygen. You are not aware of the surgery or your surroundings. A breathing tube may be placed into your windpipe to help you breathe during surgery (This is why some patients have a slight sore throat on the day after surgery).
Be sure to tell the anesthesiologist about any crowns, bridges or loose teeth you may have so that extra care can be taken
Monitored Anesthetic Care uses both a local anesthetic at the incision site and IV medicine to relax you (sedation). It produces a sleepy state. You can be aroused but otherwise sleep. Due to the IV medicine, you may not recall your time in the OR. Once surgery is over, you will be fully awake.
Nerve Block is a type of local (regional) anesthesia used for arm or leg surgery. Numbing medicine is injected close to a nerve. The nerve block numbs the entire limb. Sedation or a light general anesthesia also may be given. This allows you to sleep and to be unaware of what is going on around you during surgery. Depending on the surgery, your limb may be numb for 24 to 48 hours. This numbness is also helpful in managing post-surgery pain.