Care and Compassion You Deserve.
Transcription
Care and Compassion You Deserve.
Care and Compassion You Deserve. Surgery Preparation Guide IMPORTANT SURGERY INFORMATION Date of Surgery: Time of Surgery: Suture/Dressing Appointment: First Post-Operative Appointment: Remember not to eat, drink or smoke anything after midnight on the day before your surgery! NOTES: 2 www.lancasterneuroscience.com About The NeuroSpine Center Welcome to The NeuroSpine Center, a specialized outpatient surgery center dedicated to spine. The NeuroSpine Center is equipped with a large, comfortable reception and waiting area, a private preoperative area, two operating rooms and a recovery area. We pride ourselves on providing each patient with a positive surgical experience and top-notch customer service. The NeuroSpine Center is located on the second floor of the Eden Road Medical Center at 730 Eden Road, adjacent to Lancaster NeuroScience & Spine Associates’ Main Office. OUR NEUROSURGEONS STANDING: Eddy Garrido, MD James Thurmond, MD Christopher Kager, MD Keith Kuhlengel, MD SEATED: Kristine Dziurzynski, MD William Monacci, MD Contact Information FOR ALL EMERGENCIES: 717.569.5331 After office hours, weekends, and holidays, the Medical Bureau will answer and the doctor on call will contact you as soon as possible. MAIN OFFICE NUMBERS LEBANON OFFICE NUMBERS MAIN OFFICE: 717.569.5331 800.628.2080 MAIN OFFICE: 717.454.0060 MAIN OFFICE FAX: 717.569.4210 MAIN OFFICE FAX: 717.454.0062 NEUROSPINE CENTER OFFICE NUMBERS MAIN OFFICE: 717.509.6510 MAIN OFFICE FAX: 717.509.1890 www.lancasterneuroscience.com 3 PREPARATION FOR SURGERY PREPARING FOR SURGERY Your doctor will discuss your operation with you. Be sure to tell your doctor about any medications you may be taking and ask whether or not you should take them on the day of surgery. You will receive a phone call from a member of the nursing staff at The NeuroSpine Center within one week prior to your surgery. If you do not hear from the staff please call The NeuroSpine Center at (717) 509-6510 between 8am and 3pm for your instructions. It is very important to answer all questions honestly. All information provided will be kept confidential. It is important for you to receive your preoperative instructions. Your surgery could be cancelled if we are unable to reach you prior to surgery. If a change occurs in your physical condition prior to surgery, such as a cold, rash, sore throat, cough, fever, or upset stomach, notify your surgeon. The doctor may wish to reschedule your surgery. TRANSPORTATION ARRANGEMENTS If you are receiving anesthesia or sedation you must make arrangements for someone to accompany you during your entire stay at The NeuroSpine Center as well as providing transportation to and from your home. If you have general anesthesia, a responsible adult must be at home with you for the 24 hour period immediately following your procedure. Patients under the age of 18 must be accompanied by a parent or guardian who will be required to remain in the center at all times during the minor’s surgery. If you are unable to arrange for an escort, please inform us as soon as possible, as it may be necessary to reschedule your surgery. A waiting room is available for the comfort of your escort with complimentary coffee, tea and hot chocolate, as well as a vending machine if needed. Complimentary Wi-Fi is available throughout The NeuroSpine Center. To ensure safety and confidentiality, we do not routinely allow family members or companions in our recovery area until time of discharge instructions. 4 www.lancasterneuroscience.com PREOPERATIVE INSTRUCTIONS PREOPERATIVE CHECKLIST • The NeuroSpine Center office staff will provide you with the time you should arrive at The NeuroSpine Center the day of your surgery. Your arrival time is typically 1 to 1 1/2 hours prior to your scheduled surgery. • You will have specific bathing instructions to be completed on the evening before your surgery and the morning of your surgery to reduce the number of germs present on your skin. Please refer to the bathing instructions on page 6. • Do not eat, drink, or smoke anything after midnight the day before your surgery. VERY IMPORTANT • You may brush your teeth but do not swallow any liquid. • Do not chew gum, lozenges, hard candy and/or chewing tobacco. • Please remove all nail polish. • If you are having any arm or hand surgery you will need to remove all artificial nails. • If you are diabetic you must check with your physician as to the dose and time to take your medication prior to arriving at The NeuroSpine Center. • If you routinely take a medication that thins the blood, you must speak with your surgeon about when to stop this drug and if you need any blood tests before surgery. • You must stop aspirin, anti-inflammatory medications and/or anti-coagulants for 7 days prior to your surgery. • Plavix must be stopped 10 days prior to surgery. • Vitamin E, fish oil and all herbal supplements must be stopped 7-14 days prior to surgery. • If you use a continuous positive airway pressure (CPAP) machine to sleep at night, you will be instructed to bring your machine with you to the NSC on the day of your surgery. • Do not bring valuables such as jewelry, purses, money, etc. • If you are unable to keep your appointment or you are delayed, please contact The NeuroSpine Center at (717) 509-6510 immediately. www.lancasterneuroscience.com 5 IMPORTANT BATHING INSTRUCTIONS COMPLETE THE SHOWER OR BATH ON THE EVENING PRIOR TO AND THE MORNING OF SURGERY. PURPOSE To reduce the number of germs present on your skin. SUPPLIES 1. Obtain one (4) ounce 4% Chlorhexidine Gluconate (CHG) bottle. • CHG is a soap used to clean the skin. • Hibiclens is the brand name and it is available at local drug stores. • CHG soap can be purchased at the surgeon’s office for $5. 2. Freshly laundered towels for bathing and clothes to wear after bathing. INSTRUCTIONS 1. Moisten skin with water. 2. Apply CHG soap to a clean wash cloth like any other liquid soap. Use approximately half of the bottle. Save the other half for the following morning. VERY IMPORTANT 3. Wash your body from the neck down including skin folds, armpits, groin, fingers and nails. Turn off the shower and wait 5 minutes before rinsing. 4. Rinse thoroughly. 5. Avoid getting CHG into your eyes, ears or mucous membranes (vagina). If CHG gets into your eyes, rinse for 15 minutes and seek medical attention. 6. Use a clean dry towel. 7. Do not apply lotions or powders. 8. Wear freshly laundered clothes after bathing. ADDITIONAL INFORMATION • Do not use regular soap in addition to CHG. • Underarm deodorant may be used. • Avoid shaving any part of your body for 4 days prior to surgery. Patients may shave their face during the 4 days prior to surgery but should not shave the morning of surgery. 6 www.lancasterneuroscience.com DAY OF SURGERY BRING THE FOLLOWING ITEMS WITH YOU Photo ID Insurance cards or forms Any co-payments needed for the admission process Do not wear contact lenses to The NeuroSpine Center on the day of surgery A list of all medications you currently take and any inhalers you currently use A driver who will be asked to remain in the building while you are in surgery Wear loose, comfortable clothing and simple shoes to make getting dressed easier after your surgery WHEN YOU ARRIVE Once you have registered, a nurse will escort you into the preoperative area, where your pulse, temperature, respiration, and blood pressure will be taken. You will be asked to change into a gown provided by The NeuroSpine Center. Your clothes will be placed in a secured locker until you are ready to be discharged. For those patients receiving anesthesia and sedation, an I.V. will be started. Your anesthesiologist, surgeon and operating nurse will visit you in the pre-op area and will re-verify information and answer any questions you may have about your surgery. Your surgeon will ask you to assist with identifying and marking the location of your surgery. RECOVERY After surgery you will be taken directly to the recovery room where you will again be monitored by nurses. The length of time you remain in recovery depends on several factors including the type of procedure, your pain level and your ability to tolerate fluids. Estimated recovery time is 1-2.5 hours. You will be given something to drink and a snack during the recovery phase. Once you are fully recovered the nurse will review and give you discharge instructions. Rarely, patients may need to be admitted to the hospital for specific medical reasons. If this need arises, be assured that this decision will be made in conjunction with anesthesia personnel and your surgeon. If this decision needs to be made you would be transferred by Manheim Township Ambulance Service to Lancaster General Hospital. SURVEY AND FOLLOW-UP You will be asked to complete a patient satisfaction survey on the care you received during your stay. Your comments are very important to us and will help us improve our services and provide the finest care possible. A member of the Surgical Center staff will call you the day after your surgery to check on how you are doing. www.lancasterneuroscience.com 7 FINANCIAL INFORMATION FINANCIAL BREAKDOWN The NeuroSpine Center takes great pride in assuring that every patient receives the highest level of service. This also applies to the way our Business Office handles your account. To help you understand the various issues related to payment of your surgery we have prepared the following: • The “total” cost of your surgery may be comprised of a number of charges and bills. Your surgeon will generate a bill for his professional services in addition to The NeuroSpine Center generating a bill for their “facility”, which includes some of the following items: • Use of the operating room and surgical equipment • All supplies and medications used during your surgery • Provision of nursing personnel for your care • The administration of anesthetic agents are provided and/or supervised by an anesthesiologist; a separate bill will be generated by the anesthesia company for their services. Any pre-surgical testing or specimens obtained during the procedure will also be billed separately to your insurance plan by the facility providing those services. • We will submit a claim, on your behalf, to the insurance company for our facility fee. You will be financially responsible for any deductible, co-pay and/or co-insurance, as determined by your individual plan coverage. • If you do not have insurance, payment will be required on or before your service date. We will estimate the cost prior to your procedure for our facility fee only. Our Business Office will contact you to discuss a payment method; we accept cash, check, VISA, Discover or MasterCard. QUESTIONS Should you have any questions regarding your financial responsibilities with The NeuroSpine Center, you may call our Billing Coordinator at (717) 581-4804 OWNERSHIP DISCLOSURE You are being referred to The NeuroSpine Center for a procedure that the surgeon has recommended. You have a right to know that the surgeon has an ownership interest in The NeuroSpine Center. The physician is confident that you will receive prompt, courteous and professional care at The NeuroSpine Center. However, you are free to have your procedure performed at a facility of your choice. At your request, we would be happy to supply you with the names of other ambulatory care centers in our area. 8 www.lancasterneuroscience.com AFTER YOUR DISCHARGE You will be given specific written instructions regarding your care upon discharge from The NeuroSpine Center. It is very important that your escort is present during the post operative instructions, as you may experience difficulty remembering said instructions due to the anesthesia. Our recommendations include: • Have an adult stay with you for at least 24 hours directly following your surgery. • Rest and relax - Follow your surgeon’s recommendations for resuming your normal activities. • Eat a light meal when you feel hungry - heavy meals may cause nausea. • Follow your surgeon’s instructions for resuming any medications as well as pain medication that may have been prescribed. You will receive instructions specific to your surgical procedure and anesthesia in general at the time of discharge. • Please be aware of restrictions and/or limitations when taking narcotic medication. • Do not drive, drink alcoholic beverages or operate heavy machinery for at least 24 hours directly following your surgery (or as directed by your surgeon). • It is natural to experience some discomfort in the area of the operation. You may also experience some drowsiness or dizziness for the first 24 hours directly following your surgery. • Please contact your surgeon’s office at Lancaster NeuroScience & Spine Associates at (717) 569-5331 immediately if you experience any problems following your surgery. NEUROSURGEONS Eddy Garrido, MD, FACS, FRCS (C) • University of Santo Domingo Medical School • Neurological Surgery Residency: Tufts New England Medical Center • Pediatric Neurosurgery Fellowship: The Hospital for Sick Children, Toronto, Ontario Co-Chairman, Gamma Knife Center, Lancaster General Hospital Joined the practice in 1981 Keith R. Kuhlengel, MD, FACS • Washington University School of Medicine • Neurological Surgery Residency: Washington University Barnes Hospital • Fellowship in Neurobiology of Spinal Cord Injury: Washington University Barnes Hospital Chief of Neurosurgery, Lancaster General Hospital Joined the practice in 1995 www.lancasterneuroscience.com 9 NEUROSURGEONS Christopher D. Kager, MD, FACS • University of Pennsylvania School of Medicine • Neurological Surgery Residency: University of Cincinnati Medical Center • Fellowship in Spinal Surgery: The Cleveland Clinic Foundation Joined the practice in 2001 William T. Monacci, MD, FACS • Uniformed Services University, Health Sciences School of Medicine • Neurological Surgery Residency: Walter Reed Army Medical Center • Research Fellowship: National Institute of Health • Cranial Base and Micro-Neurosurgery Fellowship: George Washington University Hospital Joined the practice in 2006 James C. Thurmond, MD • Indiana University School of Medicine • Neurological Surgery Residency: University of Medicine and Dentistry, New Jersey • Endovascular Fellowship Year: University of Medicine and Dentistry, New Jersey Joined the practice in 2009 Kristine Dziurzynski, MD • University of South Alabama • Neurosurgical Residency: University of Wisconsin Hospitals and Clinics, Wisconsin • General Surgery Residency: University of South Alabama, Alabama • Skull Base Fellowship: Oregon Health Sciences University, Oregon Joined the practice in 2013 10 www.lancasterneuroscience.com ADDITIONAL NOTES www.lancasterneuroscience.com 11 The NeuroSpine Center ) 72 (Rt e. 2 nP ike Ore go Sheetz Eden Road Drive Crooked Oak Lititz Pike (Rte. 501) Eden Road Medical Center • 730 Eden Road, 2nd Floor Lancaster, PA 17601 • (717) 509-6510 Eden Resort/ Best Western Rte. 30 By- Pass Directions The NeuroSpine Center is located on the second floor of the Eden Road Medical Center, adjacent to Lancaster NeuroScience & Spine Associates’ Main Office. In addition to the NeuroSpine Center, the building is home to the MRI Group, Eden Physical Therapy, and The Lancaster Family Allergy Group. From Route 30, take exit for Oregon Pike north. Drive one-tenth of a mile north on Oregon Pike to the intersection at Eden Road. Go right onto Eden Road (at Sheetz), past the Best Western Hotel/Eden Resort. Drive a half-mile to entrance of the NeuroSpine Center (just past Crooked Oak Drive) on right. The NeuroSpine Center is in partnership with Lancaster General Hospital. 1671 CROOKED OAK DRIVE, LANCASTER, PA 17601 717.569.5331 • TOLL FREE IN PA 800.628.2080 FAX 717.569.4210 www.lancasterneuroscience.com