Preparing for Surgery in the Main Operating Room

Surgeon Name/PIC: _____________________________

Surgery Name:   ________________________________ 

Surgery Date: __________________________________ 

Location: UVA Health System Operating Room

For a copy of these instructions and other information please visit:  http://uvahealth.com/patients-visitors-guide

Preparing FOR SURGERY AT UVA (Main Hospital)

Thank you for choosing UVA for your surgery.  We are here to provide you and your family with safe, high-quality healthcare in a comfortable and convenient setting. For your safety, please be sure you have all your questions answered before surgery.

Your surgeon will determine what type of anesthesia assessment you need.  Please follow the instructions in the section CHECKED below.  Carefully review all information.

Please note:  This is written for the person having surgery (ADULT OR CHILD).

If this box is checked:

_____ You need to have a WALK-IN Assessment.  Go to PETC (Pre-anesthesia Evaluation and Testing Center)  Hospital Main Lobby, 1215 Lee Street Charlottesville, VA 22908

  • PETC is open Monday-Friday 8am-5:30pm (Wed open 9am)              
  • Bring this handout and any paperwork given to you by your Doctor’s office.   
  • Please allow two (2) hours. Plan ahead - food, drink, ride home, medical equipment, etc. 
  • You may have a blood test, test of your heart (EKG), and other tests your surgeon requests. 
  • For questions or if you are unable to visit PETC please call your surgeon.  Failure to visit PETC before surgery may result in cancellation of your surgery.     

If this box is checked:

_____ You need to have a PHONE assessment. (Please be sure we know how to reach you.)

  • You do NOT need to go to PETC for your assessment.  It will be done over the phone.
  • A nurse will call you before your surgery date. 
  • This call should last about 30 minutes.  We will ask you questions about your health.

If this box is checked:

_____ You do not need an anesthesia assessment before surgery at the UVA Main Operating Room.

ALL

  • A nurse will call you between 2:00 and 6:30pm on the day before your surgery to give you your arrival time and instructions. 
  • For surgery scheduled for Monday, you will be called on Friday.
  • Call 434-924-5455 if you have not received a call by 6:30pm the day before your surgery.
  • Bring this handout and any paperwork given to you by your doctor’s office.
  • If you are going home on the same day as your surgery, you must have an adult with you to understand the discharge instructions and ensure you get home safely.  If you do not, your surgery will be cancelled. If you are going home by public transportation the driver cannot fill this role.
  • Take my usual medicines as instructed, and follow any special instructions given by my surgeon, including taking a shower. 
  • For your safety, please be sure you have all your questions answered before surgery.

 

Pre-Surgery Checklist                 Time to arrive_____________

Please take the time to check off these important points to remember before your surgery.  If, for any reason, you do not plan to have your surgery OR you get sick with a cold, fever, flu symptoms, call your surgeon right away.

  • 2 weeks before surgery I will stop Vitamins and Supplements (including herbs)
  • 1 week before surgery I will stop Ibuprofen (Motrin®, Advil®, Aleve®, any NSAID)

 

The NIGHT BEFORE surgery I will: 

  • Remove  makeup and jewelry, including ALL piercings;
  • Take my usual medicines as instructed, and follow any special instructions given by my surgeon;
  • (IF I crush my medicines in food, such as applesauce) Take my last medicines six (6) hours before “Time to Arrive”;
  • NOT eat after midnight;
  • Drink only water, apple juice, Gatorade® until two (2) hours before “Time to Arrive”.

Special Instructions for Infants/Children: 

Infants

  • All infants may have water, Pedialyte® or diluted apple juice until two (2) hours before “Time to Arrive”.
  • Breast Fed - May be breastfed until four (4) hours before “Time to Arrive”. 
  • No food after midnight the day of surgery.
  • Formula Fed - May have formula until six (6) hours before “Time to Arrive”.

       No food after midnight the day of surgery. 

  • ChildrenMay have food until midnight. No food after midnight. May have water, Pedialyte®, apple juice, clear sodas until two (2) hours before “Time to Arrive”. 

I will bring:

  • A list of my current medicines (including over the counter and herbal remedies);
  • Any paperwork given to me by my doctor’s office;
  • A copy of my advance directive form, if completed;
  • My “Blood” bracelet, if given one;
  • Something to read or do while waiting to be called for surgery;
  • CPAP or BIPAP machine, if you have one.

I will not bring:

  • Large sums of money;
  • Valuables such as jewelry or non-medical electronic equipment

On the day of surgery you will meet your anesthesia team - an attending anesthesiologist and either a resident anesthesiologist (a medical doctor completing training) or a CRNA (Certified Registered Nurse Anesthetist).

For my safety I will: 

  • Have a responsible adult with me to hear my discharge instructions and drive me home (If I am going home the same day). If I plan to take public transportation, a responsible adult will travel with me.