Instructions for Surgery

Enter via the Hospital Main Lobby. Walk through the lobby, take the elevator on the left to the second floor and turn right. Check in with the volunteer at the desk.

Please review the following information before your visit to better understand what you need to do to prepare for surgery.

Pre-Admissions

Registration, Insurance & Testing

During your pre-operative visit with the surgeon, the office staff will schedule your surgery and send the required registration information to the hospital. Your surgeon’s office and a financial counselor at Doylestown Hospital will verify your insurance.

Your surgeon may order pre-admission testing and will have your registration and pre-surgical testing forms sent to the hospital. A hospital scheduler will call you to schedule your pre-admission appointment. If you need to fast from food for blood work, you will be told so. You may drink water only.

If your doctor did not order pre-admission testing, a Registered Nurse will call you the day before your surgery to review your health history and give you specific instructions. If you cannot be reached, this information will be reviewed the morning of surgery.

Your Pre-Admission Visit

It is important to be prepared for your pre-admission visit. Wear comfortable clothing, i.e. a button front shirt and socks for easy access for testing. A registrar will verify your insurance, other information and collect co-payments (if applicable). You must bring the following with you:

Nurse Interview/ Testing

During your visit you will meet with a pre-admission nurse to review your health history and be given instructions to follow before and after surgery. This interview is a perfect time for you to ask questions you may have about your surgery. Pre-admission studies may include blood tests, urinalysis, x-rays, CAT scans, MRIs, Pulmonary Function Studies or electrocardiograms (ECG).

Preparing Children for Surgery

Our goal is to care for the special needs of children during their surgical and anesthesia experience. During your pre-admission visit, your child will be given a tour of Same Day Services. A room is available with a TV. Bringing a familiar toy to the hospital may help your child feel more secure. Assure your child that coming to the hospital is only for a short time and that they will be going back home. Encourage your child to ask questions. Be honest with your answers. (For the ride home from the hospital, two adults need to be with a child under the age of five).

Preparing for Surgery

Medicines

During your visit with the surgeon and hospital pre-admission nurse, the medicines you take will be reviewed. You may be told to stop taking some medicines such as aspirin, NSAIDS and blood thinners. Be sure to have an up-to-date list of all your prescription and over-the-counter medicines, including supplements, with dosage.

Visitors

For the comfort of all patients and visitors, we ask that only one visitor be at your bedside. Both parents of children that are having surgery are allowed. Please have other children under 16 years of age cared for at home.

Services/ Special Needs

Non-English speaking patients may use family members as interpreters. For any healthcare discussion or decision, the hospital language line interpreter must be used.

If a patient has special needs (physical disabilities, hearing impairment, is ventilator dependent or mentally challenged), please tell the Pre-Admission nurse so that we can plan ahead.

If you have any health changes between your last visit to your surgeon and the day of surgery, tell your surgeon. These include a fever, sore throat, cough or cold. If you think that you may be pregnant, tell your surgeon.

Pre-Operative Patient Instructions

Follow the instructions given to you by your Surgeon or Primary Care Doctor about your surgery or medicine. If you have not received instructions, please follow these guidelines as advised by Doylestown Hospital’s Department of Anesthesia.

The Day Before Surgery

  • Call your surgeon’s office between 3 and 4 PM the day before surgery to find out what time to come the hospital.  (Call on Friday if your surgery is scheduled for Monday).
  • Drink 8-16 more fluids (water) than usual the day before surgery, unless you have been told to limit fluids. Do not drink alcohol for 2 days before surgery.  Caffeine and alcohol can dehydrate you.
  • Do not smoke after midnight the night before surgery.  Smoking can delay healing.

General Instructions for Preparing for Surgery

(unless you have been given other instructions by your surgeon)

You must follow the fasting guidelines you have been given , or your surgery may be cancelled to avoid life threatening consequences.

Fasting Guidelines: Follow your surgeon’s instructions (if given). Do not chew gum or suck on candy 8 hours before arrival.

  • Adult Fasting Guidelines:(to follow if no instructions from surgeon)
    • No solid foods for 8 hours before you arrive for surgery.
    • You may have clear liquids (water, apple or cranberry juice ONLY)  in small amounts (no more than 3 ounces) up to 2 hours before you arrive for surgery.
    • NO liquids for the last 2 hours before you arrive for surgery. 
    • No chewing gum or sucking candy 8 hours before arrival.
    • You may have a sip of water with medicines that your doctor has told you to take before surgery.
  • Pediatric Fasting Guidelines – (Ages newborn to 17 years): (to follow if no instructions from surgeon)
    • May have clear liquids up to 2 hours before arriving for surgery.
    • May have breast milk up to 4 hours before arriving for surgery.
    • May have formula up to 6 hours before arriving for surgery. 
    • No solid foods for 8 hours before arriving for surgery.
  • Skin Conditions: Tell your surgeon if you have any rashes, cuts, sores or skin problems before surgery.
  • Jewelry/Piercings: Remove ALL jewelry (rings, earrings, bracelets, necklaces or others) before you are admitted. Piercings worn during surgery increase the risk of infection, may cause damage to your skin and affect circulation.
  • Valuables:  Leave money, wallets, credit cards and other valuables at home. If you wish to have prescriptions filled before going home, bring your prescription cardc with a small amount of money.
  • Contact Lenses:  Remove before surgery. You may bring glasses.
  • Make Up/Nail Enhancements:  Remove all make up. Remove acrylics, wraps or polish from nails on the side of your surgery (includes arm, shoulder, hand, hip and leg surgery).
  • Dentures or Mouth Appliances: May be removed before surgery after talking with the Anesthesiologist.
  • Tampons: Remove before surgery.
  • Hair Styling Products Containing Alcohol: DO NOT use these before surgery. This includes hair spray and gels.
  • Clothing:  Wear comfortable, loose-fitting clothing.  You may need to remove your underwear before surgery.
  • Cell Phones:  Are not allowed in the Critical Care Unit, Cardiac Intensive Care Unit, Operating Room, Neonatal Intensive Care Unit and Catheterization Lab. Please silence cell phones while in the Same Day Surgery unit.
  • An Escort Driver: 18 years of age or older must drive you home if you are being discharged the same day of surgery. You should have someone stay with you the first 24 hours after surgery.
  • Medicines: If surgery is scheduled after 12:00 noon, you are to take your morning heart & blood pressure medicines at their regular time.

Download the Pre-Operative Patient Instructions

Download the Pre-Operative Patient Instructions (Pediatrics)

The Morning of Surgery

Enter and walk through the hospital main lobby.  Take the elevator on the left to the second floor. Turn right and check in with the volunteer at the desk.

When you arrive, a nurse from Same Day Services will greet you and take your blood pressure, pulse and temperature.  For your type of your surgery, you may need to have surgical stockings applied, a prep of the surgical area or an IV (intravenous) line.

An anesthesiologist will visit with you, review your health history and talk about anesthesia options.

You will be taken to the operating room on a stretcher. We will make every effort to keep your scheduled surgical time. If your surgery is delayed we will tell you.

After Surgery

Your family or visitor may wait in the second floor atrium during your surgery and recovery time. If they opt to leave the hospital, they need to give us a contact phone number so that we can let them know when you are ready to go home.

You will wake up in the Post-Anesthesia Care Unit (PACU)/Recovery Room or in Same Day Services. Your vital signs (blood pressure, heart beat, etc.) will be checked often and you may be given oxygen. Please tell your nurse if you are nauseated or uncomfortable so that you can be made as comfortable as possible.

Going Home

You will be discharged from Same Day Services. At the time of your discharge, your nurse will give you written instructions to follow for your care at home. Once home, you may feel sleepy, slightly dizzy or nauseated. We advise that you have someone with you during the first 24 hours after surgery to help you. It is advised that you arrange for childcare as well.

If you are staying overnight, you will be taken to a hospital room from the PACU (recovery room). At the time of your discharge, your nurse will give you written instructions to follow for your care once home.

Infection Prevention

While in the hospital, everyone who comes into your room to care for you or to visit you should first wash their hands with soap and water or the alcohol hand rub. Wash your hands often. Do not touch your incision. When at home, wash your hands before and after wound care. If your incision is red, hot, swollen, is draining, or if you have a fever, call your doctor immediately.

Download the Instructions for Surgery