INDIANAPOLIS

FranciscanHealth.org /Indianapolis

Before your surgery

Thank you for entrusting Franciscan Health Indianapolis with your surgical and procedural care. This information packet is designed to help ensure that you are prepared for your surgery experience.

We encourage you to review the information and share it with your family.

Surgeon’s name: _______________________ Date of surgery: ______________________

Scheduled surgery time: _________________ Nothing to eat or drink after: ___________

Arrival Time: ________________________________________________________________

PARKINGOn the day of surgery, there are many parking options available to you. Free valet parking is available in Zone 2 at the Outpatient Center (Entrance 6). You can use this service from 6 a.m. to 6 p.m., Monday through Friday. If you are going to be with us past 6 p.m., our security officers will be happy to pick up your keys from the valet station before you leave.

Another option is our shuttle service that operates from 6 a.m. to 8 p.m. Monday through Friday. Just call (317) 416-8725 and tell them what parking lot you are in and they will pick you up.

BEFORE YOUR SURGERYYou play an important role in your health. Because skin is not sterile, you can reduce the number of germs on your skin by carefully washing the night before and on the day of sur-gery for a total of two showers or baths.

Shower: _____ p.m. _____ a.m.

• You will need to shower with a special soap called chlorhexidine gluconate (CHG). CHG shower solution will be provided to you at your pre-operative testing visit. If you are allergic to chlorhexidine, use an antibacterial soap (such as DIAL®) for your shower. You can use your normal shampoo product.

• Turn the water off before applying CHG soap to prevent rinsing it off too soon.

• Apply CHG to a wet cloth and lather your body from the neck down only. DO NOT USE CHG NEAR EYES, EARS OR GENITAL AREA.

Patient initials: _______

Rev. 09/2016

Indianapolis Campus – Valet Parking

Complimentary valet parking is available at Entrance 6 from 7 a.m. to 6 p.m. Monday through Friday.

Shuttle service: Monday through Friday, 6 a.m. to 8 p.m.Call for pick up: (317) 416-8725

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Patient initials: _______

STOP TAKING ALL HERBAL AND VITAMIN SUPPLEMENTS TWO WEEKS BEFORE YOUR SURGERY

Example of herbs:

• Ephedra (Ma-Huang; ephedrine) • Fish oil • Vitamin E • Ginkgo biloba • Ginseng • St. John’s wort • “Energy” pills • Weight-loss pills (prescribed and non-prescribed)

Do not take aspirin and NSAID medications (Ibuprofen®, Advil®, Motrin®, Aleve®, Celebrex®, Mobic®, etc.) unless you have received other instructions from your physician.

If you are an insulin-dependent diabetic, DO NOT TAKE INSULIN THE DAY OF SURGERY, unless you have received other instructions from your physician. ___________________

___________________________________________________________________________

If you use any inhalers, please bring the inhaler(s) with you to the hospital. Let the pre-op nurse know about any of the above conditions when he/she reviews your health history.

On the day of surgery, TAKE ONLY THE FOLLOWING MEDICATIONS with a small sip of water:

*If you are seeing an internal medicine doctor, follow their instructions for medications.

________________________________ ________________________________

________________________________ ________________________________

________________________________ ________________________________

________________________________ ________________________________

• Wash thoroughly, paying close attention to the area(s) where your surgery will be performed. Do not scrub your skin too hard.

• If you are having surgery on your back, ask someone to wash your back for you.

• If you are unable to reach your legs or feet, have someone assist you.

• Turn the water back on and RINSE your body thoroughly afterward to remove the residue.

• Pat yourself dry with a clean, soft towel.

• Do not use lotion, cream or powder. Do not shave the area(s) of your body where your surgery will be performed.

• Dress in clean clothes and sleep on clean sheets after you begin your shower routine.

• It is recommended not to sleep with family pets after you shower in preparation for your surgery.

* All patients with diabetes should continue to check glucose as usual. Patients should travel to and from the surgical facility with a form of hypoglycemic treatment (i.e. Sprite or 7-Up) and drink 4 ounces if you have symptoms or if blood sugar falls below 70 mg/dL. Patients may resume normal insulin and oral diabetes regimen when eating. Patients may arrive at the surgical center earlier than their scheduled time if symptoms persist.

* You may take your pain medication the morning of surgery.

DAY OF SURGERYArrivalYour scheduled surgery time or arrival time may change. You will be notified by the surgery department, or by your surgeon’s office, of any changes made to your surgery time or to your arrival time. We know your time is valuable. Should a delay occur on the day of your surgery, we will make every effort to keep you and your family informed.

Arrive at Zone 2, Outpatient Center (Entrance 6) and check in at the surgery and endoscopy reception desk.

Speak upIf at any time you have a concern or a question, please speak up. You are the reason we are here. We take your safety very seriously and have adopted these practices as part of our culture of safety.

HistoryWe will review your medical history again in the ambulatory surgery department.

MedicationWe will review all of your medications and when you took them last. This includes any over-the-counter medication and herbal supplements. Patients taking herbs may be at risk for herb-anesthesia interactions. Please let your doctor and nurse know if you are taking any herbal medications prior to the day of surgery.

SafetyWe want you to have a safe surgical experience. Here are the things we’ll do to keep you safe while you are in our care.

• Check your identity: We will ask you to state your name and date of birth several times and will check your armband many times. We want to make sure everything is correct. Staff members may ask you other questions more than once, such as:

• When was the last time you had anything to eat or drink?

• What are your allergies?

• What are your medications?

• What procedure are you having performed?

• Wash our hands: We will use hand hygiene before and after we touch you or your bed linens. This is the best way to prevent infection. Do not hesitate to remind a caregiver to wash their hands if you have any concerns.

• Monitor your vital signs: We will watch your temperature, heart rate and blood pressure closely during surgery. We want to make sure you do not develop a fever or have any type of reaction. A special monitor is used to ensure that you will remain asleep during your procedure.

• Mark your surgical site: Your doctor will write the word “yes” with a marker near the area where the incision will be made. He or she wants to communicate to all team members exactly where the surgery will be performed.

• Perform a “safety check” and “time out” before starting your procedure: The pre-op nurse and the surgical nurse will perform a safety check before you go back to surgery. You will be asked to participate. We will go over all your information again. The surgical team will also take a “time out” before starting your procedure to review and verify your identity, the procedure being performed, any known allergies, any antibiotics or other medications needed, and any other important information the team needs to know.

• Administer antibiotics: We may give you antibiotics before surgery to prevent infection, depending on your condition and procedure.

• Prevent blood clots: Also depending on your condition and procedure, your doctor may order support stockings and special air sleeves to be placed on your legs during surgery and while you are in the hospital. These lower your risk of blood clots by helping to keep blood flowing. Additional clot-preventing medications may be ordered.

DietPlease do not eat or drink anything – not even water or chewing gum – after midnight the night before your surgery. This is sometimes referred to as “NPO” on the doctor’s instructions sheet. Not eating or drinking decreases the risk of vomiting stomach contents into the lungs, which could cause pneumonia, lung damage or death.

Not following this rule may result in your surgery being canceled or delayed.

IllnessIf you develop a cold, persistent cough, flu symptoms or fever, please contact your physician before coming to the hospital.

ClothingPlease wear comfortable clothing; avoiding jeans or other tight fitting clothing. Following some surgical procedures, you may have a cast or large dressing. You will need to bring clothes that will fit over these large items. After abdominal or laparoscopic surgery, your abdomen may be tender and distended with air. Please wear exercise or lounge type clothing with a drawstring waist, if possible.

Valuables and jewelryPlease leave your money and valuables (including jewelry) at home or with a family member. All jewelry must be removed before surgery, including wedding bands and body piercings. Patient lockers are available for clothing.

Please leave your suitcase in the car and have family bring it to your room after surgery.

CPAPIf you use a CPAP at home, please bring your machine, tubing and mask to the hospital on the day of surgery. These may be used on the day of your surgery and throughout your hospital stay, as needed.

DenturesYou may wear your dentures, but make sure you do not use adhesive to secure your dentures the morning of surgery.

Glasses and contactsGlasses and contact lenses must be removed before surgery. It is very important to us that nothing gets lost during this busy day. Please leave them with a family member before you go to surgery. Please remember to bring your eyeglass case and/or contact lenses case with you.

Make upPlease do not wear make up the day of surgery. Artificial nails and fingernail polish may be worn.

FamilyYour family will be taken to the family lounge. The pre-op nurse will give you a card to fill out. To provide us with contact information needed to keep your family informed throughout the day, please give the card to the Patient Representative in the family lounge.

Highlights• Do not eat or drink anything – not even water or chewing gum – after midnight the

night before surgery.

• Shower from the neck down with CHG or DIAL® soap as instructed.

• Inform your nurse and doctor of any allergies you may have.

• If you use inhaler(s), please bring them with you.

• Take ONLY medications instructed by your pre-admission nurse or internal medicine doctor with a small sip of water.

• If you are taking herbal supplements or vitamins, stop taking them two weeks before your surgery.

• If you develop flu-like symptoms, consult your doctor before coming to the hospital.

• Wear comfortable clothing to the hospital.

• Leave all valuables at home.

• All jewelry must be removed, including body piercings.

• Glasses and contacts will be removed before going to surgery.

• You must have a responsible adult drive you home.

Please bring the surgery folder with you the day of surgery.

FranciscanHealth.org /IndianapolisPreAdmit_BeforeYourSurgery_Indianapolis 6/17

If you have any questions before surgery, please call pre-admit testing at (317) 528-5515.

You may also call (317) 528-5283 for questions on the day of surgery.

THE DAISY AWARDWe are very proud of the care and clinical excellence our nurses provide to their patients every day. If you would like to nominate one of our nurses for The Daisy Award For Extraordinary Nurses, forms are available in the lobbies and waiting areas.

WE WANT TO HEAR FROM YOUWe pride ourselves on providing compassionate, quality care. We want to know more about your experience at our facility. If you have concerns about your care or any of our services, please contact Service Excellence at (317) 528-6000. As well, if you or a loved one had a great experience, we welcome the feedback.

THANK YOU NOTESMaybe it was a kind word, a gentle smile or a warm blanket that brought comfort to you or a loved one. A variety of free note cards are available in the lobbies and waiting areas if your would like to recognize a member of your care team.