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Prior to your surgery, a nurse from the center will contact you to review your health history, medications, and pre-operative instructions. Be sure to notify your surgeon immediately if there is any change in your physical condition such as cold, fever, or respiratory problems. For your own comfort and safety, it is important to limit the intake of foods and fluids prior to anesthesia and surgery. This applies to hard candies, alcohol, and cigarettes as well. Depending upon the type of procedure you are receiving, you might receive special instructions from your physician. The instructions will help you to prepare your body for the procedure and should be followed with care.

IT IS BEST TO ADHERE TO THE FOLLOWING GENERAL GUIDELINES:

• If your procedure is scheduled for any time before 12:00pm, do not eat or drink anything after midnight (12:00am) the night before the procedure.
• If your procedure is scheduled at 12:00pm or later, it is permitted for you to consume clear liquid up until 6:00am on the day of the procedure.
• Eating meats, eggs, fatty foods, or fried foods on the day of your procedure is NOT PERMITTED and will result in a cancellation of your procedure.
• If you have a history of heartburn, esophageal reflux, hiatal hernia, gastro paresis, or other similar conditions that impair gastric emptying, no solid food should be consumed after midnight (12:00am) the night before your procedure.

*Failure to adhere to these guidelines may result in cancelation of your scheduled procedure. This is for your own safety. Fasting guidelines are identical for both diabetic and non-diabetic persons.

A NOTE ON DAILY MEDICATIONS: If you take regular medications for seizure (epilepsy) control, heart or lung diseases (such as angina, chest pain, high blood pressure, or asthma), we recommend that you continue to take these medications on your usual schedule, including on the day of your procedure. You may take your medications with a small sip of water.

On the day of your surgery, please plan to arrive at our facility at the appointed time. Check in with the receptionist first to complete the necessary paperwork and attend to any payment that is necessary for your procedure.

PLEASE DO COME PREPARED WITH THE FOLLOWING:
Do wear comfortable, loose-fitting clothes. Do not wear anything that has to be pulled down over your head. Instead, choose something that buttons or zips up the front.

• Do be sure to remember your medical insurance cards.
• Do bring all medication and be sure to follow all instructions carefully.
• Do bring along a protective case for storing your glasses, eye contacts, or hearing aid.
• Do bring a ponytail scrunchie for your hair if you have long hair.
• If your child is having surgery, do feel free to bring a favorite stuffed animal or security blanket for added assurance.

PLEASE LEAVE THE FOLLOWING AT HOME:

• Do not wear any jewelry, including wedding bands or any body piercing jewelry.
• Do not wear any makeup, hairpins, nail polish, or contact lenses.
• Do not bring any cash with you.
• Do not bring any extra luggage or clothing.

Please understand that we expect you to have a responsible adult companion accompany you to the surgery center. This person will need to remain available during your treatment and be capable of driving you home. We will not be able to proceed without your companion present.

ADDITIONAL NOTES:

• Any family or visitors are welcome and will be told where to wait during your procedure.
• You might be asked to mark or indicate the location of your procedure. This is so that we can identify you appropriately along with the type and location of your procedure.
• The nurse will take your temperature, blood pressure, and pulse then review your health history and answer any questions you may have.
• In some cases, we may provide you with an IV for fluid and medicine.
• Your anesthesiologist will review your health and blood tests closely, and then discuss your procedure with you and answer any questions you may have.

Following the procedure, you will be taken to the recovery room. Your companion is welcome to join you in the lounge until you are released. If you feel very sleepy, chilled, have a sore throat, feel pain, or experience nausea, please tell your nurse immediately so that we can make you comfortable. During this period, your nurse may ask for you to cough or take slow, deep breaths. Following these simple instructions will help to facilitate a speedy recovery. If you are feeling any pain, your nurse or physician may ask you to rate the pain on a scale from 0 to 10. This will help us to understand how best to make you most comfortable.

RATE ANY PAIN BASED ON THE FOLLOWING SCALE:

• 0 to 3 = Mild Pain. If you are able to cough, move around, and rest without pain being a problem, we consider this to be mild pain.
• 4 to 7 = Moderate Pain. If coughing, moving around, or even getting out of bed causes noticeable pain, we consider this to be moderate pain. We will typically treat this sort of pain with medication or some other form of pain treatment.
• 8 to 10 = Severe Pain. If you are in pain even while lying still and breathing normally, we consider this to be severe pain. This sort of pain requires immediate attention.

BEFORE LEAVING THE SURGERY CENTER:

• Please be sure to understand all instructions related to medicine, diet, and rest.
• After your procedure, you might feel tired and possibly even a little dizzy. Plan to have a responsible adult drive you home and stay with you while you rest.
• For your own safety, it is very important that you do not drive a vehicle, operate machinery, drink alcohol, or make any important decisions for at least 24 hours after discharge.

AFTER RETURNING TO YOUR HOME:

• Please plan to have a responsible adult spend the night with you after your procedure.
• Certain procedures will require that special instructions be carefully followed to help aid you in a speedy recovery. These instructions will be explained to you in detail before you leave the surgery center.
• Of course, never hesitate to call us directly if you have any questions after getting home.
• You can expect to receive a call from your nurse or physician – they’ll be calling to see how you are feeling and to answer any questions you might have.

All patients have the right to participate in their own healthcare decisions and to make Advance Directives or to execute Powers of Attorney that authorize others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make decisions or unable to communicate decisions. Trusted Care Surgery Centers respects and upholds those rights.

However, unlike in an acute care hospital setting, Trusted Care Surgery Centers does not routinely perform “high risk” procedures. While no surgery is without risk, the procedures performed in this facility are considered to be of minimal risk. You will discuss the specifics of your procedure with your physician, who can answer your questions with regard to risk, your expected recovery, and care after your surgery.

Therefore, it is our policy, regardless of the contents of any Advance Directives or instructions from a health care surrogate or attorney-in-fact, that if an adverse event occurs during your treatment at this facility, we will initiate resuscitation or other stabilizing measures and transfer you to an acute care hospital for further evaluation. At the acute care hospital, further treatments or withdrawal of treatment measures already begun will be ordered in accordance with your wishes, Advance Directive, or health care power of Attorney.

If you wish to complete an Advance Directive, copies of the official State forms are available at our facility.

• Every patient has the right to courtesy, respect, dignity, privacy, responsiveness, and timely acknowledgement of his/her needs regardless of age, race, sex, national origin, religion, cultural, or physical handicap, personal value and beliefs.
• Every patient has the right to every consideration of his/her privacy and psychological wellbeing.
• Every patient has the right to confidentiality, including the right to approve or refuse the release of medical information to any individual outside the facility, except in the case of transfer to another health facility, or as required by law or third-party payment contract.
• Every patient has the right to express grievances or complaints without fear of reprisals.
• Every patient has the right to continuity of health care. The physician may not discontinue treatment of a patient, as long as further treatment is medically indicated, without giving the patient sufficient opportunity to make alternative arrangements.
• Every patient is provided complete information regarding diagnosis, treatment and prognosis, as well as alternative treatments or procedures and the possible risks and side effects associated with treatment. If medically inadvisable to disclose to the patient such information, the information is given to a person designated by the patient or to a legally authorized individual.
• Every patient has the right to make decisions regarding the health care that is recommended by the physician. Accordingly, the patient may accept or refuse any recommended treatment.
• Every patient has the right to be informed of any research or experimental projects and to refuse participation without compromise to the patient’s usual care.
• Every patient has the right to appropriate treatment and care to include the assessment/managements of pain.
• Every patient has the right to understand facility charges; you have the right to an explanation of all facility charges related to your health care.

Every patient has the right to all resuscitative measures; therefore, we will not honor Advance Directives.

• Patients are responsible to be honest and direct about matters that relate to them, including answering questions honestly and completely.
• Patients are responsible to provide accurate past and present medical history, present complaints, past illnesses, hospitalizations, surgeries, and existence of advanced directive, medication, and other pertinent data.
• Patients agree to accept all caregivers without regard to race, color, religion, sex, age, gender preference or handicap, or national origin.
• Patients are responsible for assuring that the financial obligations for health care rendered are paid in a timely manner.
• Patients are responsible to sign required consents and releases as needed.
• Patients are responsible for their actions if they should refuse a treatment or procedure, or if they do not follow or understand the instructions given them by the physician or Surgery Center employees.
• Patients are responsible for keeping their procedure appointment. If they anticipate a delay or must cancel, they will notify the Surgery Center as soon as possible.
• Patients are responsible for the disposition of their valuables, as the Surgery Center does not assume the responsibility.
• Patients are responsible to be respectful of others, as well as the property of others and the property of the Surgery Center.
• Patients are to observe safety and no smoking regulations.