The Lobby at SurgiCare Day Surgery Center in Dallas.

About Your Surgery

Baylor SurgiCare wants you to have the best possible experience. Please, review some of the following questions to help you be the most prepared for your procedure. Feel free to contact us prior to your surgery with any questions.

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Before Surgery

What to expect before your day of surgery.

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

Yes. You may receive up to three calls. You will be contacted a few days prior to surgery by a member of your health care team. This call will include a routine health assessment, instructions for the day of surgery, and answers to any questions you may have.  You will also be contacted by someone in the facility’s business office to address financial matters such as your responsibility for co-payments and deductibles. Finally, you may also be contacted by your anesthesiologist.

What tests are required prior to my surgery?

Any pre-operative tests will be determined by your physician or anesthesiologist and communicated to you prior to the date of your surgery.

What should I bring?

  1. Please bring a photo identification and your insurance card(s). Our staff will need to verify and make copies when you check-in on the day of your surgery.
  2. If you use an asthma or other lung inhaler, be sure to bring it with you.
  3. Please bring a list of all drugs you are currently taking.
  4. Cases for eyeglasses, contact lenses or hearing aids. Cash, check or a credit card for your co-pays (depending on your insurance.) The following documents, if applicable: Photo ID (such as a driver's license), insurance cards, Medicare and/or Medicaid cards, a completed Living Will (if you have one.) If you are bringing a small child or infant be sure to bring diapers or any other supplies the infant might need.

Should I arrange a ride to the facility?

Yes. You will not be allowed to drive after surgery. If you do not have a responsible person to drive you home, your procedure will be cancelled. If you plan on going home in a taxi or use public transportation, a responsible adult must accompany you.

What may I eat and drink before surgery?

Your physician or a pre-operative nurse will inform you of eating and drinking restrictions prior to surgery. It is very important that you follow the provided instructions.  If you do not, your surgery may be delayed or cancelled. Stomach contents are hazardous when having any type of anesthesia. DO NOT EAT, DRINK OR SMOKE ANYTHINGafter midnight the night before your procedure, unless otherwise instructed. Gum, breath mints and chewing tobacco are not to be used within four hours prior to coming to the surgical center.

You may brush your teeth and use mouthwash, but do not swallow.

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

You will be given instructions regarding medications by your physician. Also, as noted above, please be prepared to list all medications 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 health care team will follow rigorous guidelines regarding site identification and procedure confirmation. National Patient Safety Goals have been developed which 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. Make sure your hair is dry prior to arriving. Bathe and shampoo before coming to the surgical center, avoid shaving the area of the surgery — this helps to prevent infection. Pull back long hair with an elastic band. Wear loose clothing that is easy to get off and on, which will fir over a dressing. Do not wear any makeup or jewlry (including body piercings) or metal hair accessories. Do not bring other valuables.
  2. Do not use lotion, cream or powder.
  3. Do not shave or clip the area where the surgery will be done unless your physician directs you to do so.
  4. 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!
  5. 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.

Are there special considerations for a child having surgery?

We realize that surgery can be frightening for you and your child. If your child would like to have a stuffed animal or security blanket for added comfort, feel free to bring these items on the day of surgery.  In the case of young children having surgery, it is best to have someone along with the driver to help care for the child on the trip home.  If your child experiences any health changes between your most recent visit with your physician and the date of surgery, notify your surgeon immediately.  Please report even minor changes, such as an elevated temperature, cough or cold.  If you cannot reach your physician, please call the facility. A parent or guardian of a patient under 18 must stay in the facility until the patient is discharged. If you are a guardian of a patient, bring copies of forms indicating guardianship or power of attorney. Do not send grandparents or stepparents unless they are legal guardians and can give consent. You may bring games and activities, or music with headphones, if you choose.

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.

Notify your surgeon if you develop any of the following:

  • Fever
  • Sore throat
  • Nausea or vomitting
  • Diarrhea
  • Cough or congestion
  • Chicken pox exposure/illness within two weeks of surgery.
  • Any other problems that may interfere with your scheduled surgery.

 

Day of Surgery

What to expect the day of your surgery.

What will happen when I first arrive at the facility?

  • We will review your insurance information and provide any co-pays. Depending on your insurance co-pays may be colelcted at this time or billed to you.
  • You will also be given information about anesthesia, physicians and the facility, which includes an acknowledgement of these various providers contributing to your care and the potentials for separate billings.

What should I wear?

For your comfort, we encourage you to wear clothing that can be easily removed and stored. Please avoid wearing any jewelry, piercings, nail polish and cosmetics, and leave contact lenses at home or bring your lens case with you.

Can I use my cellphone?

Cellphone use is limited to the lobby.

What should I do with my clothes and additional belongings?

A nurse will escort you into the pre-operative area where you will change your clothes. Your belongings will be safely stored until you are ready to go home. We recommend that you leave all valuables and additional accessories at home.

What happens after I check-in?

A nurse will conduct a pre-operative assessment and you will be prepared for surgery, taking your vital signs and starting an IV if it is required for your procedure. Our staff will keep your family and friends informed of your progress.  We understand the anxiety family and friends will have while you are having your procedure.  We will make every effort to keep them informed of your progress and when they will be able to re-join you after the procedure.

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 health care team will follow rigorous guidelines regarding site identification and procedure confirmation. National Patient Safety Goals have been developed which 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:
    • Make sure your hair is dry prior to arriving. Bathe and shampoo before coming to the surgical center, avoid shaving the area of the surgery — this helps to prevent infection. Pull back long hair with an elastic band. Wear loose clothing that is easy to get off and on, which will fir over a dressing. Do not wear any makeup or jewlry (including body piercings) or metal hair accessories. Do not bring other valuables..
    • Wash all of your body using a liquid antibacterial soap and a clean washcloth for each shower.
    • Rinse well to remove all soap.
    • Dry your body with a clean towel.
    • Do not use lotion, cream or powder.
    • Do not shave or clip the area where the surgery will be done unless your physician directs you to do so.
  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?

Your surgeon and anesthesiologist will visit with you. Please feel free at this time to ask any questions regarging your procedure.You'll learn about your anesthesia, the medication that will help to keep you comfortable during your procedure. Anesthesia will be provided based on your surgery type, your health status and your anesthesilogist. All anesthesthisologist are medical doctors withs pecial training in the field of anesthesiology.

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

This will depend upon a number of factors. However, we believe that familiar faces can assist in reducing your anxiety about the procedure, so please do not hesitate to inform the nurse that you would like a friend or family member to sit with you. Your family will be shown where to wait during your surgery, No Family may be permitted in the operating room during the surgery.

Can my child keep a special blanket or stuffed animal to ease his/her fears?

Absolutely. If your child would like to have a stuffed animal or security blanket for added comfort, feel free to bring these items on the day of surgery. Also, bring your child’s bottle or “sippy cup” for after surgery if they cannot drink from a regular cup.

When should I arrive?

You will receive instructions regarding arrival time from your surgeon or the center's staff.  It is important that you arrive at the designated time.

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 or using other tobacco products on the day of your procedure. Smoking may interfere with the anesthesia and frequently produces nausea during the recovery period.

When will my surgery start?

Waiting times before your procedure starts will vary. Ocassionally a delay will occur. The patient's surgery ahead of you could take longer than scheduled or there may be an emergency and your physician is needed outside of surgery. We will try to keep oyur informed and your pateience is apprecitated.

 

Anesthesia

What to expect regarding your anesthesia.

Are there different kinds of sedation or anesthesia?

Yes. There are five different categories of sedation and anesthesia: Conscious Sedation, General, Regional, Monitored Anesthesia Care and Local Anesthesia. Regardless of 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, and often there are, your physician or anesthesia provider will discuss them with you before surgery.

May I request the type of anesthesia I will receive?

Depending on the type of surgery, there may be anesthetic options. Your physician or anesthesia provider will discuss available options with you after reviewing your medical history.

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 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 the medical condition of the patient. 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?

Yes. You will receive a separate bill from your anesthesia provider if anesthesia was administered.

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 stomach contents (complication related to vomiting) during your surgery. This complication can be very serious. Specific instructions based on national safety standards will be provided to you prior to your procedure. 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 should I expect in the recovery room?

  • Your recovery begins with individual nursing care - including pain management. An average of 30-45 minutes is spent in the PACU it might be longer depending on your needs, the type of anesthesia and the procesdure performed.
  • Family will not be able to visit in stage one.
  • Once you have met specific medical criteria, your will be transferred to stage two where family can visit. Visitors are limited to two at a time.
  • You will be observed and made comfortable intol you have met medical criteria.

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

Admissions to a hospital from a surgery center happen occasionally. In certain circumstances, your physician or anesthesiologist may determine that you need to be transferred to a hospital for additional post operative care.

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

If you are in serious pain, or exhibit warning 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?

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

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

In addition to following the recommendations below, follow your post operative instructions carefully and notify your physician if you have any signs or symptoms which concern you.

  • When you are at home, wash your hands with soap and water:
    • Before touching your bandage.
    • Before you carry out any treatment instructions your doctor has given you.
    • When you are finished with any treatment instructions your doctor has given you.
    • Before you take any medicine
    • Any time your hands get soiled.
  • Friends and family that visit your should not touch the surgical would or bandage.
  • If you smoke, stop or cut down. Ask your doctor about ways to quit.
  • Take antibiotics only when told to by your doctor. Using antibiotics when they're not needed can create germs that are harder to kill. Also, finish all your antibiotics, even if you feel better.

How will my pain be managed?

The management of your pain is of great importance to us. Discomfort and some pain are expected after surgery. Do not mix prescription drugs with over-the-counter pain relievers without talking first to your doctor. We will be assessing your level of pain from the time of admission until you receive our post operative call at home. During your stay at the facility, you will be repeatedly asked to rate your pain using a numerical scale (1-10), or for children, the "Faces Pain Scale" (shown below).

We will often use a combination of different modalities to help make you comfortable - choosing from oral medications, intravenous medications, nerve blocks, injection of local anesthetic during the surgery, etc. Prior to the surgery, the management of your pain should be discussed with both your anesthesiologist and surgeon. 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 strong.

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?

You will not be allowed to drive after surgery. If you do not have a responsible person to drive you home, your procedure will be cancelled. If you plan on going home in a taxi or use public transportation, a responsible adult must accompany you.

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.

What should I watch for at home?

Call your doctor if:

  • Your pain increases
  • You are not getting relief from your pain with medicine and other treatments.
  • Your bandage is soaked with bright red blood.
  • Fever of more than 101 degrees.
  • Unable to urinate.
  • Increased soreness, pain or tenderness at the wound.
  • A red streak, increased redness or puffiness near the wound.
  • Yellowish or bad-smelling discharge or pus from the incision.
  • A swollen or painful lump in your groin, neck or armpit.
  • A tired feeling that doesn't go away.
  • Leg pain, tenderness, swelling or a change in skin color of your leg.