Day before:
Liquid diet until midnight.  Nothing to eat or drink after midnight unless otherwise advised by your physician.
Pack bag for the hospital (see attached list of recommended items to bring with you).
Take antibacterial shower.
Day of Surgery:
Nothing to eat or drink.
You may brush your teeth but do not sip any water.
Take shower with antibacterial soap prior to coming to hospital. Do not shave body hair prior to surgery; this may increase chance of infection.
A nursing assessment will be done and consents will be reviewed and signed. Notify nurse of any allergies.
An I.V. catheter will be placed in your arm. You will be given an anti-coagulant (Heparin or Lovenox) to prevent blood clots.
You will be asked to change into a patient gown. Advise nurse of any dentures, capped or loose teeth.
Prior to entering the Operating Room you will be seen by the anesthesiologist.
In the Operating Room
In the Operating Room there will be a “time-out” called by a staff member. This is done to assure that everyone in the room knows and understands what procedure is to be performed. This is a measure taken for your safety and meets standards set by accrediting and governing agencies.
A heart monitor, blood pressure cuff and oxygen monitor will be attached to you to monitor your vital signs during the surgery. The anesthesiologist will then begin administration of anesthesia.
You will also be given a dose of anti-biotic prior to start of the operation.
Post-Op:
You will wake up in the Post Anesthesia Care Unit (PACU).  You will stay there until you are awake and alert. Your vital signs will be monitored throughout your stay there. Pain and nausea medication will be given to you as needed.
You will have an IV for fluid replacement, in your arm.
Sequential compression boots will be on your legs while you are in bed. These help prevent blood clots.
When you are alert and your vital signs stable, you will be transferred, by bed, to your room.
On the hospital unit:
Your vital signs will be checked frequently throughout the day. A nurse or nursing assistant will help you out of bed the first time you get up. You will be walking the day of surgery, with assistance if needed. You are not to eat or drink anything until the nurse tells you so.
The day after surgery you may have an x-ray (at your physicians request) to check for any leaks at the internal surgical sites. You will drink a small amount of contrast for this. Once you have been cleared by the radiologist, you will be given a clear liquid diet. The dietician will review the diet goals with you at this time. The nurses will measure your entire intake as well as your fluid output. Any drains that may have been put in during surgery will probably be removed on this day, depending on your surgeon.
Day of discharge:
You will be given discharge instructions by your surgeon and the floor nurses. Any prescriptions will be given at the time of discharge.
The dietician will see you before you leave; she will answer any questions you may have regarding your diet.
We encourage you to contact the Nurse Navigator with any concerns or questions you or your family may have.
Please let us know if there is anything we can do to facilitate your discharge, make your stay more comfortable or answer any questions you may have. Our goal is to make your experience with us as comfortable and pleasant as possible!

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