Planning for Surgery at University of Washington Medical Center

SPEAKER: Welcome
to the University of Washington Medical Center,
one of the nation’s leading academic medical centers. We’re committed to
providing compassionate care to every patient we serve. This video will cover important
information and resources that you need for your
upcoming surgery, including how to prepare for
your surgery, what to expect the day of surgery,
and how to plan for the care you’ll need after surgery. Thank you so much for choosing
you UWMC for your care. KELLY: Hello, my name is Kelly. I’m a registered nurse
at the University of Washington Medical
Center, and we’ll be talking with you today
regarding your upcoming surgery. During your pre-surgery
clinic visit, you will meet with your surgeon
and the surgical care team to discuss treatment
options and the risks and benefits associated
with surgical treatments. We will give you
an estimated number of days you will
stay in the hospital, and we will answer
any questions you may have regarding your surgery. This can help you plan
ahead for recovery after surgery so that you can
consider what assistance you may need with chores, meals,
errands, driving, childcare, or care of your pet. A member of the health
care team will talk to you about your medications. Be sure to have a list
of all the medications and supplements you are taking
and the doses for each one. You may be asked to stop taking
certain medications prior to your surgery. A nurse will explain any
eating or drinking restrictions that you may have
before your surgery. It is very important that
you do not drink any alcohol or have anything to eat
after midnight the evening before your surgery. Depending on your
specific surgery, you may or may not be allowed
to drink clear liquids on the morning of surgery. Beginning two hours
before your arrival, no liquids are allowed except
for very small sips of water if you have been directed
to take medications. Your nurse will
also talk with you about showering the day
before and morning of surgery with a special soap,
chlorhexidine gluconate, or CHG. This helps reduce the risk
of getting an infection. You can buy CHG at
most drugstores, and a common ground is
Hibiclens, but any brand is OK. To help reduce infections, do
not shave the part of your body where you are having surgery
for 48 hours beforehand. Please do not wear any
deodorant, makeup, fragrances, perfumes, body lotions, or hair
products on the day of surgery. Please carefully read
all of the information we provide you such as the
booklet about your surgery experience. The information in
our booklet will help you get ready for your surgery. Depending on the type of
surgery or underlining health condition, you may
need to be seen in our pre-anesthesia clinic
for further medical evaluation. Your surgeon or
anesthesiologist may also have you get pre-surgery
laboratory testing or radiology testing. A patient care coordinator
will meet with you in clinic or call you to schedule
a date for your surgery. In addition, you will receive a
phone call one to two business days prior to your
scheduled surgery to inform you where to check
in and what time to arrive on the day of surgery. If you do not receive this call
by 5:00PM on the business day before your surgery, please
call the number that is listed on your surgery
confirmation letter. The following is
information you should know for the day of your surgery. Depending on where your
surgery will take place, you may park in one of
the following locations. The Triangle Garage, the
Surgery Pavilion Garage, or the Roosevelt Clinic Garage. There is also a valet
service at the main hospital off of Pacific Street. Parking fees do apply. When you check in
for your surgery, you will be asked for
the following items. A photo ID, your medical and
pharmacy insurance cards, a list of all the medicines
and supplements you take, including their doses. You must also have a way
to pay for your co-pays on your medicines when
you leave the hospital. If you have the following
items, please bring them as well on the day of your surgery. A copy of your
health care directive and durable power of
attorney for health care if you want them added
to your medical record. Bring any medical
equipment that you use at home that you will
need during your stay or at the time of
discharge or travel to and from University of
Washington Medical Center. Examples include c-pap
machine, rescue inhaler, prescription glasses,
hearing aids, or any devices provided to you at your pre-op
appointment such as crutches or braces. Please do not bring any
of the following items on the day of your surgery. Your daily medicines,
children without an adult to watch over them,
any valuables, unless they can be kept safe
by a waiting family member or friend. Please also remove all jewelry,
piercings, contact lenses, and leave them at home. When checking in at the
surgery reception desk, you will have an identification
band placed on your wrist. This will guarantee
that each care team member knows who you are. You will also be asked to
arrive early for your surgery so that we can do a
full medical review. You may want to bring a book or
magazine to read while waiting. A registered nurse will
review your health history, give you any
necessary medications, and may collect blood or
urine samples if needed. If you are female,
the nurse will also talk with you about doing
a urine pregnancy test. Prior to your surgery, you will
meet with the anesthesiologist and surgery care teams to
review your surgery plan and answer any
questions you may have. Please tell your
anesthesiologist provider about any problems you
or your family members have had with
anesthesia as well as any problems you have had
with post-op pain or nausea. You will then be taken to
the operating room where the surgical team will
perform a final verification before proceeding
with your surgery. Do not be alarmed if we ask
your name or the type of surgery that you are expecting. This is all part of our
safety verification process. While you are in surgery,
your family members or friends are welcome to wait in
our surgery waiting area. A member of the surgical team
will talk with your family periodically to keep them
updated on your progress. After surgery, you will be taken
to the Post Anesthesia Care Unit, also known as the PACU,
where our nurses will check your breathing, heart rate,
and blood pressure often and also give you any
necessary medications and help you recover
from your anesthesia. Most people spend about
two hours in the PACU before they go home or are
transferred to a hospital room. For patients going home on
the same day of surgery, your PACU nurse will also
provide home care instructions. If you are having
same-day surgery, you must have a responsible
adult take you home after your surgery. Your surgery will be
canceled if you have not made these arrangements. The following is
information regarding care after your surgery. While you’re in the
hospital, your team will work closely with you to
provide individualized pain management. You will experience some
discomfort after surgery, but your pain
management plan should allow you to stay as
comfortable as possible so you can participate
in your recovery. If you are staying in the
hospital for one or more days after surgery,
most hospital units will allow one adult
family member or friend to stay with you
overnight in your room. People are at greater risk
for falls after surgery. To keep you safe
in the hospital, we may use an alarm that tells
us when you’re getting out of bed, a belt around
your waist when you walk, and a staff member
to stay with you when you use the toilet or commode. Before you leave the
hospital, your nurse will teach you and your family
about your diet and activity and how to prevent constipation,
how to care for your wound, and anything else specific
to your condition. You will also get
information about when to return for your follow up
appointment, what to watch for, and how to contact your
doctor or clinic if you have any questions or concerns. In planning for
recovery after surgery, you will want to consider
what assistance you may need with chores, meals,
errands, driving, childcare, or pet care. You must have somebody
available to drive you home after hospital discharge. Plan ahead for your
trip home by wearing loose, comfortable clothing. Many people bring extra
pillows and blankets to make the car ride
home more comfortable. Your surgeon may
prescribe pain medications when you leave the hospital. If you need a refill,
please be sure to initiate the refill request at least
two business days before you will run out. Out of area or out-of-state
patients need to allow for additional time, as some
prescriptions such as pain medications must be mailed
and cannot be faxed or called into pharmacies. Our social workers can provide
support to you and your family before, during, and
after your surgery. Social workers can provide
emotional support as well as community resources that
you might find helpful at home following your surgery. Most University of Washington
Medical Center Clinics are open weekdays from 8:00AM to 5:00PM. We are closed on weekends
and major holidays. To reach your doctors,
nurse, or the care team, please call us during
normal business hours. You will be provided
with an after hours phone number in case an urgent
issue should arise. Please keep our phone
numbers handy so that you may reach your
care team at any time. You may also want to program
these numbers into your cell phone. Thank you for taking the
time to watch this video. Please review all handouts
provided to you carefully and let your care team know
if you have any questions, and thank you so
much for choosing the University of Washington
Medical Center for your care.

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