Surgeon’s name: _____________________________
Expected date or month: _______________________
Surgery is a major event in anyone's life. We have
prepared this checklist so that we can work together to
plan your operation and to make your recovery as brief
Please read this pamphlet carefully and KEEP IT NEAR YOUR TELEPHONE so that you can take down
additional information given to you during the
telephone call with the nurse from the presurgery clinic.
• Inform your employer you are awaiting surgery and that you
• Check with your company's human-resources department to
see if any forms need to be completed by the surgeon. If so, get them prior to your operation.
• If you have children, ensure that you have a babysitter, if
• Have someone accompany you to the health center on the
day of your surgery. Someone must also be able to stay with you until the day after the operation, if need be.
• Wearloose-fitting clothes that are easy to fasten and unfasten (e.g. blouse, sweat pants, loose-necked sweater).
Once your duly completed questionnaires (Data Collection 1 and/or 2) have been received, submitted your request for surgery, the presurgery clinic nurse will contact you to complete your history, and plan examinations and appointments required for the type of surgery and anesthesia you will be having. You will also receive information that you need to know for both before and after your operation. This is a good time to ask any questions that you may have.
If you have received a referral for an electrophysiology (ECG, Holter) or laboratory (blood sample) exam, either from your physician or in the mail, you must call the laboratory office at 819-843-3381 extension 2014, to make an appointment. You are free, however, to have these exams performed elsewhere and have the results sent to us. Planning Schedules – Telephone Calls
The Centre de santé et de services sociaux de Memphrémagog will inform you of the date of your surgery one or two weeks beforehand. Several days before your surgery, you will receive a call from the Centre de santé et de services sociaux de Memphrémagog to confirm the time and date.
You must inform the nurse or surgeon if you have the flu, a cold, fever, sore throat, diarrhea, suspected pregnancy, or any other change in your state of health . Avoid taking certain medications. UNLESS OTHERWISE ADVISED BY A PHYSICIAN, DISCONTINUE any medication that contains acetylsalicylic acid. This means aspirin, which also goes under the names Novasen®, Entrophen®, and Asaphen®.
Usually, you will also have to stop taking anti-inflammatories such as Celebrex®, Advil®, and Motrin® as well as certain natural remedies (can increase the risk of bleeding). Ask your pharmacist what your medications and remedies contain. Have a recent list of your medications with you. When the nurse from the preoperative clinic calls, you will be told what you can eat and drink in the days leading up to your surgery. Reduce alcohol and tobacco use.
You should reduce your alcohol and tobacco use at least one week before surgery to prevent any interaction with medications used during anesthesia and to prevent respiratory problems. HAVE YOUR HEALTH-INSURANCE CARD AND HOSPITAL CARD (BLUE) WITH YOU.
You must take a shower or bath the evening before or the morning of your surgery. You must notput onperfume or aftershave.
Washing before surgery cleans the skin and reduces the number of microbes on it, which reduces the risk of infection.
You must not use:
Nail polish Scented beauty products Tampons
You may brush your teeth but do not swallow any water.
You must REMOVEall jewelry. If you have any jewelry that you can't remove by yourself (rings, piercing jewelry, etc.), you must ask a professional to remove it BEFORE your surgery. The wearing of body-piercing jewelry can cause some surgeries to be cancelled because electrical instruments are used and could result in electrocution if there is interference with other metals.
If your hair is long, wear it in a ponytail but DON'Tfasten it with anything containing metal such as hair barrettes or clips for the reason mentioned above. Eyeglasses, hearing aids, and dentures
Normally, you should remove your eyeglasses, hearing aids, and dentures immediately before going into the operating room. Wearing CONTACT LENSES is prohibited, regardless of the type of surgery. Remember to bring: Make sureyour name is on them. Do not smoke before your surgery.
You should not smoke in the 8 to 10 hours before the operation. Cigarette smoke can irritate the respiratory passages and increase the production of secretions. Secretions are difficult to expectorate after surgery or anesthesia, which increases the risk of pulmonary infection, such as pneumonia.
You should not bring any valuables or very much money with you, because the CSSS Memphrémagog cannot safeguard your personal belongings and shall not be held liable for their loss or theft. Specific Instructions from Your Surgeon
If you answered yes, you must be absolutelyfasting from midnight the day before your surgery. In other words, you MUST NOT HAVE anything to eat or drink in the 8 to 10 hours before your operation. This includes chewing gum and hard candies because chewing or sucking on a piece of candy increases production of digestive juices.
The purpose of this is to prevent the aspiration of your stomach contents, which can happen when solid food and liquids in your stomach are regurgitated and then inhaled.
On the morning of your surgery, however, unless otherwise advised by your physician, take your usual medication with a little water, even if you are supposed to be fasting. This is especially important if you take medication for your heart, blood pressure, lungs, or epilepsy. On the other hand, if you are diabetic, DO NOT TAKE your diabetes medication (e.g. Diabeta®, GlucoNorm®, and metformin) the morning of your surgery, since you will be fasting and there is a risk of you becoming hypoglycemic. If you are unsure, bring your medication with you and ask the nurse on the day of your operation. Stop Taking These Medications Plavix® Coumadin® Aspirin® Natural products Other (specify) :
If your surgery requires shaving, the day-surgery nurse will do it.
If you have general, regional, or local anesthesia with narcosis or if you receive certain medications during your surgery, LEGALLY, you cannot drive a motor vehicle for at least24 hours.
Remember that the person accompanying you must drive you back home. He or she must also stay with you for 24 hours after the operation. Overnight
If you live more than 30 minutes from a hospital, you should spend the night nearby, either with a relative or at a hotel.
Follow all of the instructions and advice in this pamphlet to make your surgery and convalescence successful.
Things to bring: House gaunt and slippers Things to remember on the morning of your surgery if indicated by the preop-clinic nurse:
Comforting items for children (stuffed toy, blankie, game,
Suitcase, personal belongings (if hospitalized)
Appointment: Laboratory Other (specify) ________________________________________________ ________________________________________________ Additional Notes:
For any additional information or changes, contactthe presurgery-clinic nurse of the Centre de santé et de services sociaux de Memphrémagog at 819-843-3381, extension 2551.
Have a good convalescence. NOTE: KEEP THIS PAMPHLET NEAR YOUR TELEPHONE SO THAT YOU CAN TAKE DOWN THE INFORMATION YOU RECEIVE.
C:\DOCUME~1\lammel01\LOCALS~1\Temp\notes1A03DD\Dépliant - consignes CPC-VA.doc 2009-01-20 /sg
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