This booklet contains information about your scheduled procedure.
P R E PA R I N G F O R S U R G E R Y
Your surgery has been scheduled: Thank you for choosing King’s Daughters Medical Center
for your upcoming procedure. We appreciate the trust
you have placed in us and want you to know we will do everything possible to justify that trust. We’ve prepared this booklet to help you – and your family – get ready. You will likely have questions that are not addressed here; please feel free to talk to your surgeon, any of our Surgery Team members, or your nurse about any questions you have.
_____ Main OR Please report to the Information Desk in the Lexington Avenue Lobby at the designated time. Parking is available in the Lexington Avenue Parking Garage across from the entrance.
____ Cardiovascular OR (CVOR) Please report to the Information Desk in the Heart & Vascular Center (22nd Street, across from Central Park) at the assigned time. Parking is available in the surface lot on Bath Avenue.
____ Outpatient Surgery Center Please report to the Reception Desk on the 3rd Floor of the Outpatient Surgery Center on 23rd Street. Parking is available on the surface lot on 23rd Street and in the parking garage directly across from the Outpatient Surgery Center.
KDMC Surgery Team Members, clockwise from front: Emillie Kerns, Main Operating Room nurse; Debbie Miller, Cardiovascular Operating Room nurse; Nicole Stamper, Outpatient Surgery Center nurse; Christopher Smith, Operating Room nurse; and Laurie Vossmer, Outpatient Surgery Center nurse.
A G U I D E F O R PAT I E N T S
Access to the Main OR is through the Lexington Avenue entrance.
Access to the Cardiovascular OR (CVOR) is through the Heart & Vascular Center.
Access to the Outpatient Surgery Center is on 23rd Street next to Medical Plaza A.
Preparing for Surgery Our goal is to help you feel comfortable and confident going in to surgery. The most important member of the surgical team is you! Patients who are well informed and involved in their care typically experience better outcomes and are more satisfied. Your surgeon will talk to you about your condition, treatment options and his/her recommendations. Some of the topics you’ll discuss include: • Why you need the procedure and alternatives to it • Expected outcomes • Risks • Anesthesia • Allergies • How long the procedure will last • Whether an overnight stay is required/ how long you will be at the hospital • Activity restrictions • Your medications
If your surgery is being done on an outpatient basis, a Surgical Services Team Member will call you the evening before your procedure to let you know your arrival time. This is the time you will need to be at the hospital – not the time your surgery will start. If your surgery will be done on an inpatient basis, you will be told where and when to report to the hospital. Depending on the type of procedure you’re having, you may be instructed to report to the Information Desk in the Lexington Avenue Lobby, the Outpatient Surgery Center or the Heart & Vascular Center.
Patients who are well informed and involved in their care typically experience better outcomes and are more satisfied.
P R E PA R I N G F O R S U R G E R Y
Pre-Admission Testing (PAT) You will receive a call from our PAT/ registration. During this call, we will verify the procedure you’re having, the anticipated date of the surgery, your personal information and your insurance. Pre-Admission Testing is required for all patients before surgery. For some, this may consist of a telephone screening. Some lab work may be required, which you can have at King’s Daughters Medical Center, a King’s Daughters Family Care Center, or a facility of your choice. Some patients may be required to schedule a PAT visit at the hospital, during which time we will perform any tests (lab, X-ray, EKG, etc.) needed to prepare for your surgery.
KDMC PAT Team Members, clockwise from front: Christy Morgan, surgery scheduler; Connie Cole, RN, PAT; Sandy Webb, RN, PAT; Sandy Williams, APRN, PAT; and Jo-Dee Priddy, registration clerk.
Numbers to Know Main Hospital........................................ (606) 408-4000
Your PAT visit may be scheduled by your surgeon’s office when your surgery is scheduled, or you may be asked to call us directly to schedule the visit. In either case, your PAT visit must be completed between one and five days before your surgery. If your PAT visit is not completed, your procedure may be canceled. If you have any questions about PAT, please call us at (606) 408-7600.
Outpatient Surgery Center..................... (606) 408-5250 Main Operating Room........................... (606) 408-7572 Cardiovascular OR................................. (606) 408-6543 Pre-Admission Testing........................... (606) 408-7600 Business Office .................................... (606) 408-4446 Toll free..............................................1-877-420-3555 Pastoral Care......................................... (606) 408-4560 Daily Devotional.................................. (606) 408-6137 Valet Parking......................................... (606) 408-7275
If a situation arises that makes it necessary for you to reschedule or cancel your procedure, please call your surgeon’s office immediately. After hours, you will be transferred to the answering service where you can leave a message.
A G U I D E F O R PAT I E N T S
The Day Before Surgery A Surgical Services Team Member will call you the evening before your procedure with your arrival time. It is very important that we have the right phone number so we can reach you. If you have caller ID, our call will come through as a restricted number or caller unknown. • Notify your surgeon if you have had a cold, flu or fever recently, even if you feel you have recovered from it. • Don’t drink or eat anything after midnight. This includes mints, gum, water, hard candies, etc. You may brush your teeth, but do not swallow. • Don’t smoke or use tobacco products for at least 24 hours before your procedure. • Do not take any medication after midnight unless your surgeon gives you specific instructions otherwise. If you are diabetic, take heart or blood pressure medications, or blood thinners, ask your surgeon for specific instructions.
• You may be instructed to follow special skin preparation instructions. If so, you will receive these instructions at your PAT appointment. If this is required, it is essential that you follow these instructions precisely to minimize your risk of infection. • Review your list of current medications. This list should include the names, strengths and how often you take the medication. Include any over-the-counter medications, supplements or herbal remedies. You will need to bring this list to the hospital with you.
On the Day of Your Surgery • If you were given special skin preparation instructions, please follow them carefully. • Shower or bathe the morning of your procedure. Don’t apply any lotions, oils, moisturizer, makeup, etc. • Don’t put your hair up or use hair pins or other metal objects in your hair. • Wear loose, comfortable clothing that’s easy to take off and put on. • If you wear nail polish, please remove it. If you have artificial nails, please remove at least one nail from each hand. • All body piercings must be removed. • Leave your jewelry and valuables at home. This includes wedding rings, watches, etc. • Bring your insurance cards, medication list and a photo ID with you. • If you wear contacts, glasses, or dentures, please bring cases to store these while you are in surgery. You will not be able to wear these items during surgery. • You will be asked to sign a consent for surgery form. If you are not legally able to consent, your guardian will need to give consent. For adult patients, we require a
copy of the court order granting guardianship or a power of attorney giving the individual the right to consent on your behalf. • If you have a living will or a durable power of attorney for healthcare, bring these with you. If you’re scheduled for a same-day procedure: • You will not be allowed to drive after your procedure. Please make transportation arrangements in advance. If you do not have a ride home, let the nurse know when you arrive at the hospital; we can assist in arranging transportation for you, at your expense. • If you live alone, please ask a friend or relative to stay with you for the first 24 hours after your procedure. Special instructions for children: • If possible, we recommend two adults accompany the child to the hospital. This allows one adult to care for the child while the other drives. • Please bring an extra change of clothing for the child with you. • Plan to bring comfort items for your child – bottle, pacifier, sippy cup, favorite toy, blanket, book, etc.
P R E PA R I N G F O R S U R G E R Y
Pain Control Some pain is to be expected following surgery. Your surgeon will prescribe appropriate medication for you. We understand many patients are concerned about becoming dependent on pain medications. However, effective pain control is essential to your healing and ability to resume normal activities.
At the Medical Center
In most cases, you won’t need pain medication after just a few days.
Please arrive at the hospital promptly. Your arrival time is scheduled to give us adequate time to prepare you, answer questions and complete necessary lab tests before you go to the operating room. Once you are changed into a gown and settled into your bed, your family will be able to stay with you until you are taken to the operating room. For your privacy and the privacy of others, we ask that no more than two people wait with you in the pre-op area. Once you’ve been taken to surgery, your family will be directed to the appropriate waiting area. Our Team will take good care of them. Your family will be able to check on the progress of your surgery on the status boards in the waiting areas. If your surgery is scheduled in the Cardiovascular OR, your family will be kept informed by a member of the surgical team and/or the patient liaison. After your procedure, you will be taken to the post-anesthesia care unit, where you will be closely monitored. After you have recovered from the anesthesia, you will either be taken to dismissal to go home or taken to your room. Heart and vascular surgical patients may be admitted to an intensive care unit after surgery. Your family will be kept informed of where you are and when they will be able to visit. The surgeon will speak with your family shortly after the surgery, either by telephone or in person.
After Surgery When it’s time for you to go home, your nurse will give you discharge instructions. These will include: • Instructions about your medications, including new prescriptions and medications to be discontinued • Diet • Activity levels and restrictions • Signs/symptoms of a problem and what to do • Follow-up treatments and appointments If there’s anything you don’t understand be sure to ask! A member of our Team will call you one to two days after you go home to check on your progress. Please let us know of any problems you’re having or anything you don’t understand.
A G U I D E F O R PAT I E N T S
Anesthesia affects your thinking, reflexes and hand-eye coordination. For this reason, we recommend you have someone stay with you for the first 24 hours after your surgery. In addition, avoid the following for 24 hours, or until cleared by your surgeon:
You will receive separate bills from King’s Daughters Medical Center and your surgeon. Our bill will include charges for the operating room, supplies and equipment, nursing care, lab tests, medications, oxygen, etc.
• Driving or operating heavy machinery or other potentially dangerous equipment • Cooking, using sharp knives, etc. • Making any significant decisions or signing any contracts • Alcohol, tobacco and smoking Follow your surgeon’s orders regarding rest, diet, medication and activity. If you have trouble affording your medications, please speak with us. There may be generics or financial assistance available. Make sure you understand your medications and how to take them. If you develop any signs or symptoms of a problem, or if symptoms worsen, call your surgeon’s office immediately or go to the nearest emergency room. Signs that require immediate attention include: • Fever • Redness, tenderness, swelling of the affected area • Oozing, seeping or foul odor from the incision • Bright red blood
Thank You! Thank you for choosing King’s Daughters. Your safety, comfort and health are our top priorities. You can help ensure your surgery and recovery are world class by: • Being aware. Pay attention to what is going on around you, your symptoms and changes. • Listening. Learn everything you can about your surgery and treatment. • Speaking up. If you’re unsure about something, ask. • Following through. Get your prescriptions filled and take them as directed. Keep your appointments with your doctor. Follow your surgeon’s orders regarding activity, driving and return to work. • Washing your hands. Hand washing is the single most important thing you can do to prevent the spread of germs. Wash your hands regularly and remind your caregivers to wash, too.
The surgeon’s bill represents professional fees for performing the surgery and providing follow-up care. You also will receive bills from other physicians involved in your care. This might include pathologists, radiologists, or anesthesiologists. King’s Daughters is happy to bill your insurance company for you. We require copies of your current insurance cards and complete, current personal information. If we are unable to bill your insurance company because of incomplete or incorrect information, you will be responsible for the total cost of your care. We will verify your coverage with your insurance prior to the procedure. We are required by contract to collect your co-payments, deductibles or co-insurance prior to your procedure. If you are unable to pay these amounts in advance, please speak with us as soon as possible. We may be able to set up payment arrangements for you. If you are unable to afford your care, please let us know. There may be community resources that can help.
For questions about financial arrangements, please call our Business Office at (606) 408-4446 or toll free at 1-877-420-3555.
Surgery Locations Valet parking is available from 6 a.m. to 5 p.m. Monday through Friday at the Center for Advanced Care and the Heart & Vascular Center entrances on 22nd Street. There is a nominal fee for valet service, payable when you leave.
Parking Lexington Ave. Parking Garage
1 Emergency Department
Surgeon:________________________________ PAT Appointment: _ ______________________
Parking Medical Plaza A
Outpatient Surgery Center
24th Street Parking Garage
Outpatient Surgery Center
________ Main OR ________ Outpatient Surgery Center ________ CVOR
2 Medical Plaza B
Surgery Location: 22nd Street
Center for Advanced Care
Heart & Vascular Center
Surgery Date: ___________________________ Arrival Time: _ ___________________________ Special Instructions:______________________ _______________________________________ _______________________________________
Main OR. Please report to the Information Desk in the Lexington Avenue Lobby at the designated time. Parking is available in the Lexington Avenue Parking Garage across from the entrance.
Cardiovascular OR (CVOR). Please report to the Information Desk in the Heart & Vascular Center (22nd Street, across from Central Park) at the assigned time. Parking is available in the surface lot on Bath Avenue.
Outpatient Surgery Center. Please report to the Reception Desk on the 3rd Floor of the Outpatient Surgery Center on 23rd Street. Parking is available on the surface lot on 23rd Street and in the parking garage directly across from the Outpatient Surgery Center.
If itâ€™s necessary for you to reschedule or cancel your procedure, please call your surgeonâ€™s office immediately. After hours, you will be transferred to the answering service where you can leave a message.