Preparing for your Surgery - Inova Health System
Preparing for your Surgery - Inova Health System
Preparing for your Surgery - Inova Health System
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<strong>Preparing</strong> <strong>for</strong> <strong>your</strong> <strong>Surgery</strong><br />
Arrival Location, Day of <strong>Surgery</strong>: Please refer to the map on the back cover of this brochure.<br />
Use the hospital Main Entrance <strong>for</strong> drop-off and pick-up.<br />
<strong>Surgery</strong> Date/Time: ___________________________________________________________<br />
Your Checklist Prior to <strong>Surgery</strong><br />
❏ Online history and physical completed at<br />
www.inova.org/omp<br />
❏ Laboratory tests and/or diagnostic tests completed<br />
(EKG, X-ray as well as MRSA screening, if applicable).<br />
Fax results of any of the above tests to 703-858-6425.<br />
❏ Pre-surgical interview completed.<br />
❏ Reviewed medication to take with a small sip of water<br />
the morning of surgery.<br />
❏ Joint Camp class completed, if applicable.<br />
Your Checklist the Day Be<strong>for</strong>e <strong>Surgery</strong><br />
❏ Surgical prep completed, if ordered.<br />
❏ If you are scheduled <strong>for</strong> outpatient surgery, verify<br />
arrangements <strong>for</strong> a responsible adult to accompany<br />
you home. Public transportation (i.e., bus or taxi) is<br />
not .a satisfactory method of transportation.<br />
❏ Review and follow the dietary restrictions provided in<br />
this brochure or per <strong>your</strong> surgeon’s instructions.<br />
Your Checklist on the Day of <strong>Surgery</strong><br />
(Please check in at registration 1-1/2 to 2 hours be<strong>for</strong>e <strong>your</strong> surgery time)<br />
❏ Please leave <strong>your</strong> valuables at home. Remove all jewelry,<br />
including any body piercings. The hospital is not<br />
responsible <strong>for</strong> valuables.<br />
❏ You may wear glasses (no contacts), dentures or hearing<br />
aids. Please bring <strong>your</strong> storage case(s) <strong>for</strong> these items.<br />
They will be removed prior to surgery.<br />
❏ Shower with an anti-bacterial soap.<br />
❏ Do not shave <strong>your</strong> surgical site.<br />
❏ Shampoo <strong>your</strong> hair but do not apply any extra<br />
hair-care products.<br />
❏ Do not use any perfume, hair-care products, body<br />
lotions, nail polish or make-up.<br />
Please remember to bring:<br />
❏ Drivers license or other current legal photo ID.<br />
❏ Insurance card(s) — To avoid billing issues and delays,<br />
be sure <strong>your</strong> legal picture ID card matches the name<br />
on <strong>your</strong> insurance card(s).<br />
❏ Insurance co-pay (cash, check, VISA, MasterCard or<br />
money order).<br />
❏ Previous X-rays, MRIs or CTs (if necessary).<br />
❏ Advanced directive, living will or durable power<br />
of attorney, if available.<br />
Special Instructions/Items Discussed<br />
______________________________________________________<br />
______________________________________________________<br />
______________________________________________________<br />
______________________________________________________<br />
______________________________________________________<br />
______________________________________________________
Welcome to Surgical Services<br />
at <strong>Inova</strong> Loudoun Hospital<br />
Our goal is to provide excellent, safe care, and make you as<br />
com<strong>for</strong>table as possible be<strong>for</strong>e, during and after <strong>your</strong> surgery.<br />
This brochure explains how to prepare <strong>for</strong>, and what to expect<br />
from, <strong>your</strong> surgical experience. Your surgeon will provide<br />
additional instructions <strong>for</strong> you to follow.<br />
Patient Interview/Medical History Interview<br />
Once <strong>your</strong> surgery/procedure date has been scheduled, we ask<br />
that you please complete <strong>your</strong> medical history online using the<br />
secure One Medical Passport application. After <strong>your</strong> medical<br />
history passport is complete, an <strong>Inova</strong> Loudoun Hospital nurse<br />
will contact you to review this in<strong>for</strong>mation and give further<br />
instructions. This in<strong>for</strong>mation will assist the nurse in organizing<br />
and documenting <strong>your</strong> complete medical history to prepare <strong>for</strong><br />
<strong>your</strong> surgery.<br />
To enter <strong>your</strong> Medical History into One Medical Passport:<br />
• Go to the <strong>Inova</strong> website: www.inova.org/omp<br />
• .Click on the <strong>Inova</strong> Loudoun Hospital link under “Choose<br />
Your Location”<br />
• .If you have issues accessing the One Medical Passport,<br />
please click on the Contact Us link on the One Medical<br />
Passport web page.<br />
Be sure you have the following in<strong>for</strong>mation available be<strong>for</strong>e you<br />
start entering the in<strong>for</strong>mation on <strong>your</strong> Medical Passport:<br />
• .Legal picture ID you will bring to the hospital on <strong>your</strong> day<br />
of surgery<br />
• Names and phone numbers of <strong>your</strong> physicians<br />
• A list of all medications you are taking, dosage and<br />
frequency. This also includes vitamins, diet pills and herbal<br />
supplements. (It is helpful to have the actual medication<br />
bottles with you as you complete <strong>your</strong> Medical Passport)<br />
• .A list of surgical procedures you have had and the<br />
approximate dates<br />
Lab work and diagnostic testing might be necessary prior to<br />
surgery depending on <strong>your</strong> age, medical history and type of<br />
procedure. An EKG within six months of surgery is required<br />
<strong>for</strong> anyone over 70 years of age as well as anyone with a cardiac<br />
history. A MRSA nasal swab screening is required <strong>for</strong> all<br />
orthopedic procedures as well as patients with a known<br />
MRSA history.<br />
Depending on <strong>your</strong> insurance, <strong>Inova</strong> Loudoun Hospital can<br />
per<strong>for</strong>m the tests ordered by <strong>your</strong> surgeon or recommended by<br />
our Anesthesia department. Please call 703-858-6740 to make<br />
an appointment to complete <strong>your</strong> lab/diagnostic tests.<br />
If you had lab work and/or diagnostic tests per<strong>for</strong>med outside<br />
of <strong>Inova</strong> Loudoun Hospital, please fax results to Pre-Admission<br />
Testing at 703-858-6425 as soon as possible. This will ensure<br />
adequate time <strong>for</strong> review as well as time <strong>for</strong> follow-up to avoid<br />
delaying <strong>your</strong> surgery.<br />
Registration and Financial Arrangements<br />
The Registration Scheduling Unit will contact you by phone<br />
to complete the registration process and confirm <strong>your</strong> contact<br />
and insurance in<strong>for</strong>mation.<br />
A member of the financial quality coordinator team will:<br />
• Contact <strong>your</strong> insurance carrier to verify benefits and<br />
requirements <strong>for</strong> pre-certification or pre-authorization.<br />
• Discuss and make arrangements with you <strong>for</strong> any financial<br />
responsibilities not covered by <strong>your</strong> insurance carrier.<br />
.Most health insurance policies have a coinsurance clause, copay<br />
and/or a deductible, which are not covered under insurance<br />
and are the patient’s responsibility.<br />
Payment arrangements are required prior to the time of service.<br />
Please be prepared to pay co-pays and deductibles be<strong>for</strong>e or at<br />
the time of service. Payment may be made by credit card during<br />
<strong>your</strong> telephone interview with the financial quality coordinator.<br />
Payment on the day of service may be made by cash, VISA,<br />
MasterCard, check or money order.<br />
If you need to make payment arrangements <strong>for</strong> <strong>your</strong> upcoming<br />
surgery, please call 703-858-8091.<br />
If you do not have insurance, please contact the financial<br />
coordinator promptly at 703-858-8091 when <strong>your</strong> doctor<br />
schedules <strong>your</strong> surgery.<br />
Important Phone Numbers You May Need<br />
Preoperative Interviewing .....................................703-858-6768<br />
Preadmission Testing Fax.......................................703-858-6425<br />
Financial Counseling...............................................703-858-8091<br />
In the Event of Illness<br />
If you develop a cold, fever, persistent cough, infection or<br />
become ill within 48 hours of <strong>your</strong> surgery, or if you need<br />
to cancel <strong>for</strong> any reason, please call <strong>your</strong> surgeon and the<br />
Operating Room control desk at 703-858-6490.<br />
Preparation <strong>for</strong> <strong>Surgery</strong><br />
Failure to follow eating and drinking restrictions could increase<br />
the risk of complications and lead to cancellation of <strong>your</strong><br />
surgery. Do not eat or drink after midnight the night<br />
be<strong>for</strong>e <strong>your</strong> surgery. This includes candy, mints, chewing<br />
gum and tobacco products. If <strong>your</strong> physician or surgeon has<br />
instructed you to take medications the morning of surgery,<br />
please do so with a small sip of water.<br />
To reduce bacteria on <strong>your</strong> skin:<br />
1. Bathe or shower the morning of surgery with anti-bacterial<br />
soap be<strong>for</strong>e arriving.<br />
2. Do not apply lotion, perfume, cologne, or hair-care<br />
products.<br />
3. Do not shave <strong>your</strong> surgical site at home be<strong>for</strong>e surgery,<br />
unless instructed to do so.<br />
4. Do not wear makeup, jewelry (including body piercing),<br />
watches, earrings or rings.<br />
Make Plans <strong>for</strong> Transportation<br />
You must arrange to have someone drive you home after<br />
<strong>your</strong> surgery. Public transportation (i.e., bus or taxi) is not a<br />
satisfactory method of transportation after outpatient surgery.<br />
In addition, someone should stay with you at home <strong>for</strong> 12 to<br />
24 hours after <strong>your</strong> surgery.<br />
Your escort is welcome to wait in our waiting area or may pick<br />
you up at the main entrance after you have had time<br />
to recover. We suggest that you limit the number of escorts<br />
to one or two.<br />
If the surgery will interfere with <strong>your</strong> vision or ability to use<br />
<strong>your</strong> arms, hands, legs or feet, have someone accompany you<br />
when you come in. Otherwise, you will need to provide us with<br />
phone numbers to contact <strong>your</strong> ride. If you have been using<br />
splints, slings or crutches be<strong>for</strong>e the operation, please bring<br />
them with you.<br />
Special Instructions <strong>for</strong> Children<br />
Children preparing <strong>for</strong> surgery require special attention. For<br />
example, it is reassuring <strong>for</strong> children to have a favorite small<br />
toy or familiar item from home. In addition, parents should<br />
be aware of dietary restrictions and make sure children follow<br />
them exactly, especially the morning of surgery. You will be<br />
given eating and drinking instructions <strong>for</strong> <strong>your</strong> child by the<br />
nurse during the preoperative phone call.<br />
Patients under 18 must be accompanied by a parent or legal<br />
guardian <strong>for</strong> any required pre-admission testing. On the day<br />
of surgery, a parent or legal guardian must be on hand to sign<br />
an In<strong>for</strong>med Consent prior to surgery and must remain in the<br />
hospital throughout the surgical process.<br />
Once <strong>your</strong> child is awake, parents will be allowed in the Post-<br />
Anesthesia Care Unit (PACU).<br />
Day of <strong>Surgery</strong><br />
Parking: All parking is free.<br />
Sign In: When you and <strong>your</strong> escort arrive at the Main Entrance,<br />
please report to the Registration Desk to <strong>your</strong> right and sign in.<br />
The In<strong>for</strong>mation Desk will be to <strong>your</strong> left.<br />
After registration, you will be directed to proceed to the Surgical<br />
Services waiting area on the same floor by the fish tank. Please<br />
take a seat and wait <strong>for</strong> a nurse to call <strong>your</strong> name. If you<br />
have any questions, a courtesy phone and a phone number is<br />
provided at the desk.<br />
Pre-Op: You will meet many members of our surgical team<br />
who will ask you questions to ensure <strong>your</strong> safety. You will<br />
change into a hospital gown and slippers. For <strong>your</strong> com<strong>for</strong>t,<br />
warm blankets will be provided. At any time during this<br />
process, please feel free to ask any questions you may have.<br />
Pagers: Pagers are provided as a means of notifying <strong>your</strong><br />
family members/escorts when you are fully recovered in the<br />
Post-Anesthesia Care Unit (PACU). Family members/escorts<br />
will pick up pagers at the Operating Room control desk. Family<br />
members/escorts may also use the courtesy phone at the<br />
waiting area <strong>for</strong> all inquiries.<br />
Getting Ready <strong>for</strong> <strong>Surgery</strong>: An intravenous line will be<br />
started <strong>for</strong> most patients receiving anesthesia. The anesthesia<br />
team will meet with you to review <strong>your</strong> medical history along<br />
with the operating room clinical team and <strong>your</strong> surgeon. All<br />
<strong>your</strong> questions will be answered be<strong>for</strong>e you are taken into the<br />
operating room on the stretcher. Your family members/escorts<br />
will return to the waiting area.<br />
Operating Room: Once you arrive in the operating suite, our<br />
surgical team will help you move onto the operating table.<br />
You will notice bright overhead lights, equipment, and the<br />
room will feel cold. The operating room nurse and anesthesia<br />
provider will explain everything to you, and they will remain<br />
with you during surgery.<br />
After <strong>Surgery</strong><br />
Recovery: After surgery, you will be taken to the recovery room,<br />
also known as the Post-Anesthesia Care Unit (PACU).You will<br />
be monitored by a nurse until most of the anesthesia wears off.<br />
Pain and Nausea Control: Some pain and nausea can be<br />
expected as <strong>your</strong> body responds to surgery. Your nurse and<br />
physician will work closely with you to provide medications to<br />
reduce <strong>your</strong> pain as well as <strong>your</strong> nausea. Because each patient<br />
and pain experience is different, it is important to let <strong>your</strong> nurse<br />
know about any pain or discom<strong>for</strong>t you may have.<br />
Final Stage: After you have recovered in the PACU, you will be<br />
moved to Stage II Recovery where <strong>your</strong> family members/escorts<br />
can join you. If you are to be admitted overnight, you will be<br />
taken directly to an inpatient room. Once the room number<br />
is assigned, <strong>your</strong> family members/escorts will be notified and<br />
may join you.
Discharge Instructions<br />
Instructions: When you are ready <strong>for</strong> discharge, a nurse will<br />
review the instructions specific to <strong>your</strong> surgery and anesthesia<br />
type. A written copy will be given to you. Feel free to ask any<br />
questions be<strong>for</strong>e you are discharged.<br />
Going Home: The nurse will ask <strong>your</strong> family member/escort<br />
to meet you with the car at the hospital main entrance. You will<br />
be then be escorted via wheelchair to meet <strong>your</strong> ride.<br />
• Do not drive, operate machinery, drink alcohol or make<br />
any major decisions <strong>for</strong> at least 24 hours.<br />
• Plan to rest <strong>for</strong> at least 12 hours after you get home. It is<br />
common to feel tired, dizzy, sleepy or slightly nauseated<br />
after a surgical procedure.<br />
• Please call <strong>your</strong> surgeon’s office if you experience any of the<br />
following symptoms:<br />
- Excessive pain and/or swelling<br />
- Excessive drainage or bleeding<br />
- Fever or any other indication of possible infection<br />
like redness or swelling<br />
- Any other symptom or problem you do not feel<br />
is appropriate <strong>for</strong> the procedure<br />
If you experience any of these symptoms after business hours,<br />
please call <strong>your</strong> surgeon or go to the emergency room.<br />
Outpatient surgery patients can expect to receive a postoperative<br />
follow-up phone call from our nursing staff within<br />
24-48 business hours after you are discharged.<br />
Helpful Tips During Your Stay<br />
• Complimentary Wi-Fi, coffee, tea and newspapers<br />
• ATM’s – Bank of America and <strong>Health</strong>care <strong>System</strong>s Federal<br />
Credit Union<br />
• Caribou Coffee located in the cafeteria<br />
• Extended cafeteria hours<br />
• Gift Shop<br />
• Vending Machines<br />
• Cell Phones may be used in most areas<br />
• Children’s play section in the Surgical Waiting Area<br />
Directions<br />
From Leesburg and points west<br />
Take Route 7 East. Exit onto Lansdowne Boulevard. Turn right at first stop<br />
sign onto Riverside Parkway. Take right into hospital main entrance.<br />
From Tysons Corner and points east<br />
Take Route 7 West. Exit onto Lansdowne Boulevard. Turn right at first stop<br />
sign onto Riverside Parkway. Take right into hospital main entrance.<br />
From Dulles South and points south<br />
Take Loudoun County Parkway. Turn left onto Evergreen Mills Road. Turn<br />
right onto Belmont Ridge Road. Turn right onto Route 7 East. Exit onto<br />
Lansdowne Boulevard. Turn right at first stop sign onto Riverside Parkway.<br />
Take right into hospital main entrance.<br />
Thank you <strong>for</strong> choosing <strong>Inova</strong> Loudoun Hospital<br />
<strong>for</strong> <strong>your</strong> surgical needs. Our goal is to provide<br />
excellent care in a safe and healing environment.<br />
<strong>Inova</strong> <strong>Health</strong> <strong>System</strong> is a not-<strong>for</strong>-profit healthcare system based in Northern Virginia<br />
that consists of hospitals and other health services, including emergency and urgent care<br />
centers, home care, nursing homes, mental health and blood donor services, and wellness<br />
classes. Governed by a voluntary board of community members, <strong>Inova</strong>’s mission is to<br />
improve the health of the diverse community it serves through excellence in patient care,<br />
education and research. <strong>Inova</strong> provides a healthy environment <strong>for</strong> its patients, families,<br />
visitors, staff and physicians by prohibiting tobacco use on its campuses.<br />
inova.org<br />
G30283/4-11/10,000<br />
44045 Riverside Parkway<br />
Leesburg, VA 20176<br />
703-858-6000