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the Preadmission

surgery scheduling
(307) 755-4668

Monday – Friday except holidays

8:00am – 5:00pm by appointment only

Before you have your surgery, patients are asked to give some general health infor­ma­tion, which includes: any aller­gies, medica­tions, and medical history. Some patients have their inter­view over the phone, while some are asked to come to the hospi­tal. Whether you get a phone call or go in for your inter­view, this is a good time for you to ask ques­tions about getting ready for surgery or discuss any special needs you may have. Some test­ing may be required by your surgeon/​anesthesiologist and done prior to admis­sion. Some test­ing needs to be done imme­di­ately prior to the proce­dure and will be done on admission. 

Why is it impor­tant that I am inter­viewed?
A nurse or an anes­the­sia provider will be the person who will inter­view you. The goal of this inter­view is to talk about any possi­ble risks to you before you receive the anes­the­sia by asking specific health related ques­tions. The person conduct­ing the inter­view will give you direc­tions, where/​when to arrive, eating/​drinking instruc­tions, what to bring with you, etc. It is very impor­tant that you give all-impor­tant infor­ma­tion about your health history and family history, includ­ing any prob­lems with anes­the­sia and allergies.

  • Have a list of medica­tions you are taking; be sure you know the dose and time you take them. Include prescrip­tions, over the counter medica­tions, vita­mins, herbals, recre­ational drugs, tobacco and alco­hol. The Amer­i­can Soci­ety of Anes­the­si­ol­o­gists (ASA) recom­mends that every­one stop herbal medi­cines at least two (2) to three (3) weeks before surgery to avoid the possi­bil­ity of unwanted inter­ac­tions and side effects. This infor­ma­tion will help your anes­the­sia provider to select the best medica­tion for you to avoid any unwanted drug interactions.
  • It is impor­tant that you have a list of any food or drug aller­gies you have.
  • You will be asked to give infor­ma­tion on your health history as well as your family’s health. This will include any prob­lems with anes­the­sia or allergies.
  • This infor­ma­tion is very impor­tant for you safety. IF you do not follow the instruc­tions about not eating or drink­ing before your surgery, your surgery may be delayed or even canceled.

What kind of test­ing can I expect?
Depend­ing on your age, phys­i­cal condi­tion and/​or proce­dure, your surgeon/​anesthesiologist may order one or more of the follow­ing tests: 

  • blood test­ing
  • chest x-ray
  • elec­tro cardio­gram (heart)
  • respi­ra­tory test­ing (lungs/​breathing)
  • woman: preg­nancy test

There are some patients who may be asked to see another special­ist in order to be safer with the stress of surgery and anes­the­sia. These special­ists may include a cardi­ol­o­gist or internist.

Can I continue taking all of medi­cines before surgery?
Not neces­sar­ily. You will be asked to let the doctors and nurses know all the differ­ent types of medi­cines, vita­mins and herbals you are taking, why you are taking them, the amount you take and at what time you take them. You will also need to let the staff know if you take any recre­ational drugs, use tobacco, and if you drink alco­hol. Any medica­tion or food aller­gies are impor­tant for the nurse and doctor to know. They will let you know during your inter­view what medica­tions you need to keep taking and any you must stop prior to surgery.

Will smok­ing cause prob­lems with my surgery?
Ciga­rette smok­ing can cause possi­ble post­op­er­a­tive prob­lems. Smok­ing may slow down the heal­ing of surgi­cal wounds and bones. While it can take a long time to achieve the most bene­fits from not smok­ing, brief peri­ods of not smok­ing at all before surgery can help you.

What impor­tant papers should I bring, if I need to bring any?
Please consider bring­ing the follow­ing with you to the hospital:

  • Advance Direc­tives (“Living Will” or a Power of Attor­ney for Health Care”) are not required, but if you have them, you should bring them. 
  • Power of Attor­ney for Health Care — advance direc­tive: you direct another indi­vid­ual to speak on your behalf, should you be unable to express your wishes.
  • Living Will — advance direc­tive: you give direc­tion to your health care providers about your future treat­ment choices, should you be unable to express your wishes.

What should I do the morn­ing of my surgery?
You will be instructed what medi­cines to take the day of surgery, any special supplies/​equip­ment to bring with you. You will also be told what time you need to stop eating and drink­ing. There are certain surg­eries that require special prepa­ra­tions the day before, and you may even need to only drink clear fluids. 

It is very impor­tant for you to talk honestly with your nurses, doctors and other staff members. It is also impor­tant for you to take part in your treat­ment choices, promote your own safety by know­ing what is going on during your stay, and remain actively involved in your care. 

You should feel comfort­able about how to prepare for the day of surgery, know what to do when you arrive at the build­ing for your proce­dure, and have an under­stand­ing of what to before return­ing home at the end of your interview/​appointment.