What to Expect the Day of Surgery

Geller with PatientThe preparation for surgery is just as important as the care you recieve afterwards.  Please be sure to follow all instructions provided to you by your surgeon or oncologist.  Again we are here to answer any questions and ensure that your are comfortable and safe throughout your procedure.   
 

Eating and Drinking Guidelines

Eating and Drinking Guidelines

Eating and Drinking Guidelines

For your safety, it is very important to follow the instructions, provided by your oncologist, about eating and drinking before your surgery.  If you have even a small amount to eat or drink, outside the guidelines below, your surgery may need to be delayed or cancelled.
 
When to Stop Food and Liquids:
All food and liquids, whether by mouth, feeding tube, or other means, must be stopped by the timeline provided below, unless your oncologist or surgeon say otherwise.  Your oncologist or nurse will contact you by phone or prepare you in clinic explaining the exact times you need to stop eating and drinking.
  • Stop eating and drinking as usual 8 hours before surgery.  Although you can not eat, you are allowed to have clear liquids up to 2 hours before your procedure (i.e. water, clear juice, black coffee, or tea without milk or cream).
  • You will need to refrain from anything by within 2 hours of surgery.  This includes food, beverages of any kind, ice, gum, candy, or breath mints. 
Medications:
Please consult with your care team to find out if you should take daily medication the morning of your surgery.  If you are diabetic, please consult with your diabetes care team to insure you have a plan for bridging or insulin. 
 
Why is this Important?
During surgery the muscles that keep food and liquid in your stomach relax.  If there is anything in the stomach, even a small amount, it may aspirate or enter the lungs, which can cause pneumonia or other serious infections. 
 
We want to keep you safe at all times throughout your procedure; therefore, it is imperative that you follow the instructions provided above and by your surgical team.  

What Should I Bring with Me?

What Should I Bring with Me?

What to bring with you

  • Insurance and prescription cards
  • Money or credit card for co-pay and parking (if needed).  Leave extra cash, money, jewelry, or other valuables at home.  
  • A list of all medicaitons you take, do not bring the pill bottles with you.  Include any vitamins, minerals, herbs, and over the counter medication you take.  Additionally, please note any drug allergies.  
  • A copy of your advanced care directive, if you have one.  This tells us what treatment you would want, and/or who would make health care decisions on your behalf, should you no longer be able to speak for yourself.  You can request this form in advance or download it here
  • Your CPAP machine or inhaler, if you use either at home.  

Required Prep the Morning of Surgery

Required Prep the Morning of Surgery

The Morning of Surgery

Please follow the instructions below, the morning of your surgery, to ensure you are prepared for your procedure.  
  1. Wash your hair and body as you normally would, using regular shampoo/conditioner and soap.  Be sure to rinse the shampoo and soap thoroughly.
  2. Using clean hands, apply 2 ounces of antiseptic surgical soap (as provided by your clinic) on your skin from the neck to your toes.  Use on your groin area last.  Do NOT use this soap on your face or head.  If you get any soap in your eyes, ears, or mouth rinse immediately.
  3. Repeart step 2.  It is very important to let the soap stay on your skin for at least 1 minute. 
  4. Rinse well and dry off using a clean towel.  If you feel any tingling, itching, or other irritation, rinse your body right away.  It is normal to feel some coolness on the skin after using the antiseptic soap.  Your skin may also feel a bit dry or tight after the shower, but do NOT use any lotions, creams, or moisturizers.  Do not use hairspray or other hair products.  
  5. Dress in loose clean clothing.  
If you have questions about showering with or have an allergy to the CHG (antiseptic) soap provided, please contact the clinical nurse at the hospital you are having surgery performed. 
  • Regions Hospital: 651-254-3572
  • University of Minnesota Medical Center - East Bank: 612-273-4333
  • Methodist Hospital: 952-993-5475

When you Arrive to the Hospital

When you Arrive to the Hospital

When you arrive

Upon arriving to the surgery center, you will need to complete the following:
  1. Check in.  If you are under the age of 18, you must be accompanied by a parent or legal guardian.  
  2. Receive a copy of the Patient's Bill of Rights.  If you do not receive a copy, please be sure to ask for one.  
  3. Change into surgery garments, typically an open back hospital gown, provided by your periop nurse.  
  4. Meet with your care team.  Your oncologist/surgeon will explain the procedure to you and he/she may use a marker to indicate the area on your body that surgery will be performed.  The anesthesia team will then discuss with you the medication they will be using to ensure you are comfortable during the procedure, if applicable.  In some instance, a patient may not require general anesthesia and a local agent will be used instead.  This will be discussed with you prior to your procedure and the day of. 
  5. You will be asked to sign a surgical or care consent form.  By signing this document, you are allowing us/your oncologist to perform your surger.  Before you sign and date the form, please be sure to read it carefully and ask any quesitons you may have.  
For safety reasons, we will ask you some routine questions throughout your stay.  Such as, your name, date of birth, what day it is, who is the president.  Your family and support system are welcome to stay with you until the time of surgery.  When it is time for surgery, you will be transported into the operating room and your family will be asked to move into our waiting room/lobby area.  Once the surgery is complete, your family will be notified and you will be moved into a recovery room. 
  
Please note, cell phones are not allowed in some areas of the hospital, including peri-operative rooms.