Patients/Visitors

About Your Surgery

Before Surgery

What to expect before your day of surgery.

To learn more - watch a short video.

Will I be contacted prior to my surgery by the facility?

Yes. You may receive one to two calls. You may be contacted a few days prior to surgery by a member of your health care team who works in day surgery. This call may be a Preadmission Testing call (PAT) and may include routine questions about your health history, instructions for the day of surgery, and answers to any questions you may have. You may also be contacted by someone in the facility’s business office to address financial matters such as your responsibility for co-payments and deductibles.

What tests are required prior to my surgery?

Any pre-operative tests will be determined by your physician or anesthesiologist and preformed in either your physicians office or at the hospital during your PAT appointment. All PAT appointments are completed prior to the date of your surgery.

What should I bring?
  1. Please bring your photo identification and insurance card(s). Our staff will need to verify and make copies when you check-in on the day of your surgery.
  2. Be sure to bring any medications that you may need during your stay at the facility (e.g., inhaler or insulin).
  3. Please bring a list of all drugs you are currently taking.
  4. Please bring payment of any patient responsibility (e.g. co-payment or deductible)
  5. Please do not bring rings, watches, or other valuables.
Should I arrange a ride to the facility?

Yes. You will not be allowed to drive after surgery. Please arrange for an adult to drive you home and for someone to be with you when you arrive.

What may I eat and drink before surgery?

Your physician or a pre-operative nurse from day surgery will inform you of eating and drinking restrictions prior to surgery. Generally, no food or fluids are allowed after midnight the day before surgery. It is very important that you follow the provided instructions. If you do not, your surgery may be delayed or cancelled.

Should I take my routine medications on the day of surgery?

You will be given instructions regarding medications by your physician or a staff member. Also, as noted above, please be prepared to list all medications (including name and dose) you are taking and to bring any with you that may be needed during your stay (e.g., inhaler or insulin).

What can I do to help ensure that I have the proper procedure on the correct surgical site?

Your safety is our primary concern. Your entire care team will follow rigorous guidelines regarding site identification and procedure confirmation. The Joint Commission has “National Patient Safety Goals” which have been developed for hospitals and require your involvement too. You will be asked numerous times to confirm both the procedure you are having and the surgical site. You should take a very active role in all discussions with your physician, your anesthesia provider and our staff regarding the identification of your procedure and the correct surgical site. In most cases, your surgeon will mark the site prior to your procedure.

What can I do to help prevent a surgical site infection?
  1. Take a shower the night before and the morning of surgery.
    Follow these simple steps:
    1. Wash your hair first with any shampoo.
    2. Wash all of your body using a liquid antibacterial soap and a clean washcloth for each shower (some procedures may require a specific cleanser – if so this will be provided during your PAT appointment).
    3. Rinse well to remove all soap.
    4. Dry your body with a clean towel.
    5. Do not use lotion, cream or powder.
    6. Do not shave or clip the area where the surgery will be done.

2. On the day of your procedure make sure you, your family and any other caregivers wash hands frequently while at the facility and at home following your surgery. Also, do not hesitate to ask members of your health care team at the facility if they have washed their hands!

3. After your procedure make sure you, your family and any other caregivers wash their hands frequently. Also, be sure you follow all instructions provided by your health care team regarding the care and cleaning of your surgical site as well as the administration of post-operative medications and bandages.

What if I think I might be pregnant?

Please be sure to notify your physician, anesthesiologist and nurse prior to the date of surgery if you think you may be pregnant. The surgical procedure, anesthesia and medications may be harmful to a developing fetus.

Day of Surgery

What to expect the day of your surgery.

What will happen when I first arrive at the facility?

When you arrive at the facility, please check-in at the Concierge desk. The admission process is usually very quick as we have obtained most of your information prior to your arrival. The Concierge will direct you and your family to the first available registrar. At registration you will be provided with a “texting notification card”. This card allows you to identify the mobile numbers of the people you desire to receive text notifications about your progress during and after your procedure. After registration you will be directed to the Day Surgery area (the same area as your PAT appointment). Final information and surgery preparations will be completed prior to the operating staff transporting you to the OR.p>

What should I wear?

For your comfort, we encourage you to wear clothing that can be easily removed and stored (snap or zip up tops, sweats). Please do not wear any jewelry, nail polish and cosmetics, and leave contact lenses at home or bring your lens case with you.

What should I do with my clothes and additional belongings?

Your belongings will be safely stored in a bag or given to family members until you are ready to go home. We recommend that you leave all valuables and additional accessories at home.

What happens after I reach the Day Surgery area?

A nurse will conduct a pre-operative assessment that will include taking your vital signs and starting an IV if it is required for your procedure. The anesthesia provider will also speak with you in the pre-operative area to review all pre-operative information and discuss your anesthesia.

What can I do to help ensure that I have the proper procedure on the correct surgical site?

Your safety is our primary concern. Your entire care team will follow rigorous guidelines regarding site identification and procedure confirmation. The Joint Commission has “National Patient Safety Goals” which have been developed for hospitals and require your involvement too. You will be asked numerous times to confirm both the procedure you are having and the surgical site. You should take a very active role in all discussions with your physician, your anesthesia provider and our staff regarding the identification of your procedure and the correct surgical site. In most cases, your surgeon will mark the site prior to your procedure.

What can I do to help prevent a surgical site infection?
  1. Take a shower the night before and the morning of surgery.
    Follow these simple steps:
    1. Wash your hair first with any shampoo.
    2. Wash all of your body using a liquid antibacterial soap and a clean washcloth for each shower (some procedures may require a specific cleanser – if so this will be provided during your PAT appointment).
    3. Rinse well to remove all soap.
    4. Dry your body with a clean towel.
    5. Do not use lotion, cream or powder.
    6. Do not shave or clip the area where the surgery will be done.

2. On the day of your procedure make sure you, your family and any other caregivers wash hands frequently while at the facility and at home following your surgery. Also, do not hesitate to ask members of your health care team at the facility if they have washed their hands!

3. After your procedure make sure you, your family and any other caregivers wash their hands frequently. Also, be sure you follow all instructions provided by your health care team regarding the care and cleaning of your surgical site as well as the administration of post-operative medications and bandages.

Will I see my physician prior to surgery?

Most likely. The nature of most procedures will require that you and your physician confirm both the specific type of procedure you are having as well as the surgical site of that procedure.

How long can my family stay with me prior to my procedure?

This will depend upon a number of factors. However, most of the time we encourage family members to remain until you have been transported to the OR suite. If the wait is expected to be lengthy, family members and friends are encouraged to get something to eat, move to the lobby or even leave the facility – REMEMBER, they will remain informed via text message notification.

What if I think I might be pregnant?

Please be sure to notify your physician, anesthesiologist and nurse prior to the date of surgery if you think you may be pregnant. The surgical procedure, anesthesia and medications may be harmful to a developing baby.

Can I smoke?

No. We advise against smoking on the day of your procedure. Smoking may interfere with the anesthesia and frequently produces nausea during the recovery period. Las Colinas Medical Center is a non-smoking facility.

Anesthesia

What to expect regarding your anesthesia.

Are there different kinds of sedation or anesthesia?

Yes. There are several different categories of sedation and anesthesia: Conscious Sedation, General, Regional, and Local Anesthesia. No matter the type of sedation or anesthesia that you receive, special anesthetic agents and techniques are used to provide a safe and speedy recovery. If there are alternative choices available for your surgery, your physician or anesthesia provider will discuss them with you before surgery.

Will I receive any sedatives before surgery?

Together, you, your surgeon and your anesthesia provider will develop an anesthetic care plan. This plan may include preoperative sedation and other medications for the prevention of nausea, if necessary.

What are the risks of anesthesia?

All surgical procedures and all anesthetics have risks. These risks are dependent upon many factors, including the type of surgery and your medical condition. Your anesthesiologist will assess you preoperatively and every precaution will be taken to minimize your risk. We routinely see minor symptoms such as nausea and vomiting, sore throat, dizziness, tiredness, headache, muscle aches and pain, most of which are easily treated. Please feel free to discuss any questions with your anesthesia provider.

Will I be billed separately by the anesthesiologist, radiologist and pathologist?

Yes. You will receive a separate bill from your anesthesia provider if anesthesia was administered; a radiologist if x-rays or fluoroscopy is used during your procedure; and a bill from a pathologist is a surgical specimen is taken and sent for analysis.

Why must I refrain from eating and/or drinking prior to surgery?

It is important to refrain from eating and/or drinking prior to surgery in order to prevent the risks of aspirating gastric contents (complication related to vomiting) during your surgery. This complication may be very serious. It is very important that you follow the provided instructions. If you do not, your surgery may be delayed or cancelled.

After Surgery

What to expect after your day of surgery.

What will happen if I am not well enough to go home?

Infrequently, a patient experiences a complication or has difficulty with pain control. Admissions to the hospital after a day surgery procedure do occur. Your physician will make this determination after surgery.

What if I am not feeling well once I get home?

If you are in serious pain, or exhibit symptoms described in your discharge instructions, please call your physician, go to the nearest emergency room or call 911.

What can I eat when I get home?

We generally suggest that you eat lightly after surgery, and strongly encourage you to drink plenty of fluids. You should avoid alcoholic beverages. Your surgeon may have specific recommendations for your post operative diet.

What can I do to help prevent a post operative infection?

Follow your post operative instructions carefully and notify your physician if you have any signs or symptoms which concern you.

  1. You may or may not be allowed to shower, if so follow these simple steps:
    Follow these simple steps:
    1. Wash your hair first with any shampoo.
    2. Wash all of your body using a liquid antibacterial soap and a clean washcloth for each shower (some procedures may require a specific cleanser – if so this will be provided during your PAT appointment).
    3. Rinse well to remove all soap.
    4. Dry your body with a clean towel.
    5. Do not use lotion, cream or powder.
    6. Do not shave or clip the area where the surgery will be done.

2. After your procedure make sure you, your family and any other caregivers wash their hands frequently. Also, be sure you follow all instructions provided by your health care team regarding the care and cleaning of your surgical site as well as the administration of post-operative medications and bandages.

How will my pain be managed?

The management of your pain is one of our 5-Stars. We will be assessing your level of pain from the time of admission until you receive our post operative call at home, generally within 48 hours. During your stay at the facility, you will be repeatedly asked to rate your pain using a numerical scale (1-10).

 

We will often use a combination of modalities to help make you comfortable - choosing from oral medications, intravenous medications, injection of local anesthetic during the surgery. Please feel free to bring up any concerns or fears you may have. Remember that information on pain management gives you the appropriate expectations and hence a smoother, more comfortable recovery. It is important to follow instructions regarding your post operative pain medication closely. Many pain medications take 20 to 30 minutes to begin to work. For best results, the pain medication should be taken before the pain becomes too severe.

Can my family be with me after surgery?

Yes. After surgery, you will be taken to a recovery area. A nurse will monitor your vital signs and make sure you are comfortable as the anesthesia begins to wear off. Once you are awake and alert, your family will be invited back to the recovery area. Special arrangements are made for children having surgery.

May I drive home?

No. Patients will not be allowed to drive after a procedure and must make necessary transportation arrangements.

Should I continue my usual medications after surgery?

Most patients should continue their usual medications after surgery. Patients who have diabetes and those patients on blood thinners may require some adjustment of their medications. These instructions will be clarified with you before you leave the facility. If you have any questions, please call your surgeon or primary care physician.

How long will I stay after my surgery?

The amount of recovery time varies from patient to patient. After your procedure, a nurse will monitor your vital signs and make sure you are alert and stable. You will be sent home as soon as your health care team feels it is safe to discharge you from the facility.