Preparing for Outpatient Surgery
Welcome to Outpatient Surgery at The Southeastern Spine Institute.
Our skilled professional staff will ensure you receive the highest quality care and will make your visit as pleasant and convenient as possible.
Patients are admitted and discharged the same day allowing them to recuperate in the comfort and privacy of their own home.
Your questions and concerns are important. Please discuss them with any member of the Southeastern Spine Institute health care team.
Before the Day of Surgery…
Scheduling of your operation is done by your surgeon’s office. Be sure to follow your surgeon’s instructions carefully, otherwise your surgery may be delayed or cancelled.
Your surgeon may require specific tests to be performed before surgery. These tests should be completed at least 72 hours prior to the day of surgery whenever possible.
Your Role in Preparing for Surgery…
- The ASC will call you prior to the day of your surgery to inform you if a deposit is required. If you have insurance, please bring your card and a picture I.D.
- A pre-operative RN will contact you to provide you with information related to your procedure, answer questions you and your family may have about the procedure, and obtain your medical and surgical information.
- If you routinely take medication, check with your physician to see if you should take them on the day of surgery. Example: blood pressure, heart or diabetes medications.
- Be sure to tell your surgeon if you are taking blood thinner medication or aspirin/aspirin-like products on a regular basis. You will be informed by your physician when to discontinue their use.
- If you feel ill or experience any physical change in your condition before your surgery, contact your surgeon immediately.
- DO NOT eat or drink anything (including water) after midnight the night before your surgery
- DO NOT eat or drink anything (including water) in the morning before coming to the surgery center. Do not eat hard candy, mints or chew gum.
- Do not drink alcoholic beverages for at least 48 hours prior to surgery.
- You need to arrange for a responsible licensed driver to accompany you home, as you will not be allowed to drive or leave alone by bus or taxi.
- You may feel dizzy and sleepy after surgery.
- A waiting room is provided for visitors.
- Visitors are limited to one at a time at the nurses discretion in the Recovery Area.
- The surgeon or designee will speak to your family in the waiting room after surgery.
- You will not be discharged or surgery may be cancelled if you do not have a licensed driver escort.
- Please notify your physician or the pre-operative RN if you require an interpreter/translator service.
The Day of Surgery
Your surgeon or anesthesiologist may have instructed you to take medication the morning of surgery. You may have just enough water to swallow your medication.
- Remember not to eat or drink.
- Wear loose comfortable clothes and flat heeled slip-on shoes.
- Be sure to have containers for glasses and contact lenses as you will be asked to remove them.
- Do not wear face or eye make-up.
- Please do not wear any jewelry or bring any valuables, credit cards, or additional money that is above the deposit amount.
- Body jewelry or “piercing” MUST be removed before you come to the surgery center . If you are unable to remove your jewelry, please seek an appropriate person like a jeweler, to remove your jewelry properly.
- A parent or legal guardian (with a legal guardianship form signed by a judge) must accompany a minor to the ASC. Please bring proof of guardianship with you and give it to the nurse. Parents or legal guardians must remain at The Southeastern Spine Institute until the minor is discharged.
- Please bring an interpreter with you if you feel you may have problems communicating with us.
- A responsible adult must accompany you home. You cannot drive yourself home after your operation.
Not following these instructions may result in delay or cancellation of your surgery or procedure.
Arriving at the Surgery Center
- You will be asked to arrive at The Southeastern Spine Institute approximately one to two hours before your scheduled operation.
- If you have guardianship papers, power of attorney, health care surrogate papers or a living will, please bring them with you. A copy of these will be placed on your medical record.
- Do not bring valuables with you.
Before Your Operation…
In the pre-operative area you will:
- Change into a hospital gown and cap. An ID band and allergy band will be placed on your wrist.
- Have your vital signs (blood pressure, pulse, respiration and temperature) checked.
- Have your preoperative Registered Nurse review and confirm your initial assessment and complete the post-operative education with you.
- Have any special needs attended to and any questions answered.
- Talk with the anesthesiologist and review your anesthetic plan of care. The anesthesiologist will provide information regarding benefits and risks of the different types of anesthesia. The type you receive will depend on your general health, the surgical procedure and your preference.
It is normal to have some pain and discomfort after your operation. This is due to the surgery and swelling around the operative site.
Pain and discomfort will decrease during the healing process. Pain medication will be provided to minimize your discomfort and promote your recovery.
Please discuss any concerns about pain management with your surgeon or nurse.
The time you need to stay after your operation varies depending on the type of surgery, anesthetic and your medical condition.
Before you are discharged you will:
- Be encouraged to drink fluids as tolerated. Juice, soda and water are available.
- Walk short distances with assistance.
- Receive and understand discharge instructions and information.
- Have any questions answered and plan of care at home clarified.
- Obtain prescriptions for medications your surgeon wants you to take at home.
Remember: You must have a responsible adult drive you home and be available to assist you as needed.
Recovering at Home
Written instructions will be given to you prior to discharge. Here are some general reminders:
- Plan to spend the remainder of the day resting at home with an adult present.
- Do not drive until instructed by your doctor.
- Begin meals with clear liquids and progress to solid foods as they are tolerated. (Unless otherwise instructed by your physician)
The medications you received during your operation may affect your memory or mental judgment for 24 hours. Avoid the following activities during this period:
- Refrain from using alcoholic beverages and tobacco products.
- Do not make important business or personal decisions.
- Avoid operating machinery and using electrical appliances.
If you experience any problems while recuperating at home or have questions call your surgeon immediately.
If you need attention and are unable to reach your physician, go to the Emergency Department of the nearest hospital.
A nurse from Same Day Surgery will call you at home a few days after surgery to monitor your progress.
Your Role in Recovery…
Follow your surgeons orders.
To speed your recovery and prevent complications you may be asked to do the following simple exercises during the first 24 hours after surgery:
You will need to take deep breaths and change position every two hours (while you’re awake).
How to Deep Breathe Effectively:
- Get into a comfortable reclining position.
- Close your mouth and take a deep breath through your nose inhaling until your lungs feel full.
- Breathe out slowly through slightly parted lips.
- Repeat this for two more breaths.
- Then cough deeply three times (eye surgery patients do not cough)
It is important to prevent circulation problems and muscle stiffness by exercising your legs and feet every two hours while you’re awake.
- While reclining tighten muscles in your calves. Relax. Tighten again. Relax. Repeat three times.
- Point your toes down. Relax. Point your toes up. Relax, circle both ankles first to the right, then to the left. Relax. Repeat three times.
A healthy diet can help speed your recovery. Start with liquids and progress to solids as tolerated. Follow any special diet instructions given by your surgeon.
INCISION AND DRESSING CARE:
You will be shown how to care for your incision and dressing.
- Keep the area clean and dry. You will be told when you can bathe/shower.
- Wash your hands before and after touching the incision area/dressing to prevent infection.
Call your surgeon if you have:
- Excessive swelling, bleeding or foul smelling discharge from operative area.
- Your incision opens.
- Excessive pain or nausea/vomiting.
- Side effects from medications such as nausea/vomiting, shortness of breath, redness, rash or itching.
The fee you pay for your surgery depends on the type of procedure, anesthesia you receive and your insurance coverage.
If you have any questions about charges incurred, call the Finance Department, Monday through Friday, 8:30 a.m. – 4:30 p.m. at 843-849-1551.
If you have any questions about your surgery, please call The Southeastern Spine Institute Ambulatory Surgery Center #843-849-1551