About Your Surgery

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

Yes. You will receive multiple calls from different departments. 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 may 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.

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. Be sure to bring any medications that you may need during your stay at the facility (e.g., inhale or eye drops needed ).
3. Please bring a list of all drugs you are currently taking.
4. Please bring payment of any patient responsibility (e.g. co-payment or deductible)
5. Please do not bring rings, watches, or other valuables.

Yes. You will not be allowed to drive after surgery. Please arrange for an adult to drive you home and for someone to be with you when you arrive.

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.

You will be given instructions regarding medications by your physician or a staff member. Also, as noted above, please be prepared to list all medications (including name and dose) you are taking and to bring any with you that may be needed during your stay (e.g., inhaler or eye drops needed ).

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.

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.

When you arrive at the facility, you will be checked-in by a member of our staff. The admission process is usually very quick as we have obtained most of your information prior to your arrival. This final check allows us to verify all of your key information so we can better serve you.

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.

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.

A nurse will conduct a pre-operative assessment that will include taking your vital signs and starting an IV if it is required for your procedure. The anesthesia provider will also speak with you in the pre-operative area to review all pre-operative information and discuss your anesthesia. 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.

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.

Chlorhexidine Gluconate (CHG) Showering Instructions

We take every precaution and use proven practices to help prevent infection, and YOU are an important part of the process.  Beginning two days prior to your surgery date, your doctor needs you to shower with a special soap to help prepare your skin for surgery.  The soap helps to eliminate as many germs as possible to help prevent surgical-site infection.

Please follow the instructions below to clean your skin beginning two days prior to your surgery date and the morning of your procedure prior to coming to the surgical facility.  You will continue to use this soap after surgery as well, to keep your skin and your incision clean.  Use the special soap, CHG (also called Hibiclens), for your skin preparation process.  Please buy the 8 oz. bottle as you will be using this for 2 weeks after your surgery.

This product should not be used if you are allergic to Chlorhexidine Gluconate (CHG).

Shower Schedule (No baths):

• Two days prior to surgery, shower from neck to feet.
• On the night before surgery, shower from neck to feet.
• On the morning of surgery, shower from neck to feet.
• Every other day after you go home, until the bottle is gone.

Showering Steps:

1. In the shower rinse your body thoroughly with water. Wash your hair as usual with your normal shampoo.
2. Rinse hair and body thoroughly to remove shampoo residue.
3. Using the shower schedule shown above, apply at least 2 tablespoons (1oz) of the CHG soap to the area of surgery. Lather over entire body, except DO NOT USE CHG on your hair or face; near the eyes, ears or genitals to avoid permanent injury to those areas. (If using the sponges remove the sponge from the bristles and use one per shower.)
4. Do not use a cotton cloth to apply the CHG soap. The cotton fibers will absorb the CHG, rendering the soap ineffective.  Instead, use a new bath scrunchie or your hands for application.
5. Turn the water off to prevent rinsing off the soap too soon. Wash the body gently for five minutes.  Do not scrub the skin too hard.
6. Wash thoroughly with the CHG, paying special attention to the area where the surgery or procedure will be done. Do not wash with regular soap after the CHG is used.
7. Turn the water back on and rinse the body thoroughly.
8. Pat dry with a clean, soft towel. If possible allow the area of the surgical procedure to air dry.
9. CHG soap can be purchased at most large pharmacies.

Yes. The nature of most procedures will require that you and your physician confirm both the specific type of procedure you are having as well as the surgical site of that 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.

You will be notified one day prior regarding your arrival time. If you do not receive a phone call by 3 p.m. the day prior to your surgery, please call 772-283-6628. It is important that you arrive at the designated time.

No. We advise against smoking on the day of your procedure. Smoking may interfere with the anesthesia and frequently produces nausea during the recovery period.

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.

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.

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.

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.

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

It is important to refrain from eating and/or drinking prior to surgery in order to prevent the risks of aspirating gastric contents (complication related to vomiting) during your surgery. This complication may 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.

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.

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.

We require that an adult be present with the patient for 24 hours post-surgery at 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.

Chlorhexidine Gluconate (CHG) Showering Instructions

We take every precaution and use proven practices to help prevent infection, and YOU are an important part of the process.  Beginning two days prior to your surgery date, your doctor needs you to shower with a special soap to help prepare your skin for surgery.  The soap helps to eliminate as many germs as possible to help prevent surgical-site infection.

Please follow the instructions below to clean your skin beginning two days prior to your surgery date and the morning of your procedure prior to coming to the surgical facility.  You will continue to use this soap after surgery as well, to keep your skin and your incision clean.  Use the special soap, CHG (also called Hibiclens), for your skin preparation process.  Please buy the 8 oz. bottle as you will be using this for 2 weeks after your surgery.

This product should not be used if you are allergic to Chlorhexidine Gluconate (CHG).

Shower Schedule (No baths):

• Two days prior to surgery, shower from neck to feet.
• On the night before surgery, shower from neck to feet.
• On the morning of surgery, shower from neck to feet.
• Every other day after you go home, until the bottle is gone.

Showering Steps:

1. In the shower rinse your body thoroughly with water. Wash your hair as usual with your normal shampoo.
2. Rinse hair and body thoroughly to remove shampoo residue.
3. Using the shower schedule shown above, apply at least 2 tablespoons (1oz) of the CHG soap to the area of surgery. Lather over entire body, except DO NOT USE CHG on your hair or face; near the eyes, ears or genitals to avoid permanent injury to those areas. (If using the sponges remove the sponge from the bristles and use one per shower.)
4. Do not use a cotton cloth to apply the CHG soap. The cotton fibers will absorb the CHG, rendering the soap ineffective.  Instead, use a new bath scrunchie or your hands for application.
5. Turn the water off to prevent rinsing off the soap too soon. Wash the body gently for five minutes.  Do not scrub the skin too hard.
6. Wash thoroughly with the CHG, paying special attention to the area where the surgery or procedure will be done. Do not wash with regular soap after the CHG is used.
7. Turn the water back on and rinse the body thoroughly.
8. Pat dry with a clean, soft towel. If possible allow the area of the surgical procedure to air dry.
9. CHG soap can be purchased at most large pharmacies.

The management of your pain is of great importance to us. 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 the Wong Baker Pain Scale.

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.

We are not allowing visitors or family members at this time. 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.

We require that an adult be present with the patient for 24 hours post-surgery at home.

No. Patients will not be allowed to drive after a procedure and must make necessary transportation arrangements which includes being accompanied by an adult 18 years or older.

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.

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.