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Surgery Guide
For patients of Crittenton Hospital Medical Center
inside
• Pre-Admission Guide
• Day of Surgery
• Pain Control After Surgery
• Recovery
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facebook.com/CrittentonHospital • twitter.com/GetCrittenton
Dear Patient,
Thank you for choosing Crittenton Hospital Medical Center for your
upcoming procedure. We value your confidence and will do everything we
can to make your visit here the best it can be.
You can help us care for you by reviewing the information in this packet.
Again, thank you for your patronage, we look forward to helping you
“Get Better Here.”
Sincerely
The Staff of Crittenton Hospital Surgical Services
1101 West University Dr. Rochester, MI 48307 • 248 652-5000
Table of Contents
Pre-Admission Guide
Ensuring safety in the Operating Room at Crittenton
1
Pre-admission interview
1
Pre-Admission Instructions2
Day of Surgery4
Pain Control After Surgery
5
Recovery6
Directions to our Hospital7
Patient Notes8
FAQ’s9
Your Family and Friends10
1101 West University Dr. Rochester, MI 48307 • 248 652-5000
Pre-Admission Guide
Ensuring safety in the Operating Room at Crittenton Hospital
Medical Center
At Crittenton Hospital Medical Center, your safety is our top priority. The doctors and nurses take
many steps to make sure your surgery or procedure goes as planned. You, as the patient, can play
a vital role in making your care safe by becoming an active, involved and informed member of your
health care team.
If you do not speak or understand English, Crittenton can provide interpreters with advance notice.
Please call 248-652-5306 to arrange for this service.
Pre-admission Interview:
A nurse from Pre-Admission Testing will contact you prior to your surgery to discuss your medical
history and provide you with information on special programs, instructions about any necessary
medical testing and dietary restrictions. Please be prepared to answer the following questions. If
you need more room, please use the other side of this form.
Who is your primary care physician?
Primary Care Physician Full Name:_______________________________________ Office Telephone Number: _____________________________________________ Who are the other physicians you visit?
Physician Full Name: ________________________________________________
Office Telephone Number: ____________________________________________
Physician Full Name: ________________________________________________
Office Telephone Number: __________
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
What medications are you currently taking? (include aspirin, blood thinners, vitamins and
herbal supplements)
Please bring with you to the hospital all your medications in their original bottles. This includes
aspirin, blood thinners, vitamins and herbal supplements, if taking any.
Be prepared to discuss your medical history and current problems
What lab or other tests have you had in the past six (6) months?
_____________________________________________________________________
Pre-Admission Instructions:
The nurse from Pre-Admission Testing will also discuss information on special programs (if they apply to
your surgery), instructions about any necessary medical testing and dietary restrictions, such as:
• If you are taking prescription medications, you will receive special instructions
• If you need to schedule a blood test, x-ray, electrocardiogram, or other tests before surgery.
• Do not drink or eat after midnight before your surgery.
This includes gum and hard candy.
• Do not smoke after midnight before your surgery.
• Complete any prep, as directed by your doctor.
• Do not wear: contact lenses, makeup (including eye makeup or mascara) If you must wear
contact lenses to the hospital, bring the case to place them in.
• Do not wear dark nail polish on the day of the surgery.
•
• Leave valuables, jewelry and money at home.
• Wear loose-fitting clothes the day of surgery to be more comfortable.
• You will want to bring your photo ID (typically a drivers’ license) and your
• health insurance card with you.
• Bring your CPAP machine or oxygen tank, if you have one. Clean it well before bringing it with
you.
• You will be notified if the date or time of surgery changes after 3:00 pm the day before your
surgery.
• Please be sure to arrive at the designated time. This is necessary for completion of admission
procedures, lab tests, examinations and medications.
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
• If you are not on time your surgery may be delayed or cancelled.
• During the Preadmission Testing interview you will be given Pre-Op instructions.
PLEASE NOTE:
In the days prior to surgery, any changes in your physical condition should be reported to your
surgeon. These changes might include a sore throat, severe cold, fever or the flu. Your doctor will have
discussed your diagnosis and surgical procedure with you and should be informed of anything that
might postpone your surgery. Any questions should be directed to your surgeon.
Skin Care
For three days prior, but especially the night before or morning of your surgery, take a shower. This
helps decrease your chances of getting an infection. Do the following:
• Use a liquid antibacterial soap (like Dial® or Hibiclens®) when you bathe or shower.
• Do not use lotions, creams, powders, deodorants or antiperspirants the day of surgery.
• Do not shave the area where the surgery will be done, for three (3) days before surgery.
This is very important for your safety and comfort; failure to observe these directives may
result in the delay or cancellation of your surgery.
Lab Hours:
M-F 7:00 am – 5:30 pm
Sat 8:00 am – 11:30 am
(248) 652-5260
EKG (Special Diagnostics)
M-F 7:00 am – 3:30 pm
(248) 652-5294
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
Day of Surgery
Make Sure Your Identification Bracelet is Correct:
Before putting your identification bracelet on, check your name for correct spelling, and your birth
date. Tell a hospital employee if anything is wrong; you will be given a new, corrected bracelet. It is
important that you carefully check for accuracy for your safety.
Review All the Information on the Consent Before You Sign It:
You must sign a surgical consent form before any medication or procedure can be done. The legal
age to sign is 18 years.
In the case of minors, the form must be signed by a parent or legal guardian, who must also remain
here with the child during the entire time. Legal guardians will be required to bring guardianship
papers or Durable Power of Attorney (DPOA) with them to the hospital.
Make sure your name, your surgeon’s name, and the procedure are correct.
If you have questions or concerns, please ask for clarification. If you don’t understand, ask again.
Preoperative Interview:
The nurses and doctors may ask you to answer the same questions repeatedly. Do not be alarmed
by the repetition, this is for your safety.
Hospital employees will repeatedly ask you to tell them your name, birth date, the surgery to be performed and the location on your body of the surgery or procedure. This is for your safety.
Expect us to check your ID bracelet when you tell us your name and birth date.
Site Marking:
If needed, your surgeon or his/her associate may place an ink mark where the procedure is expected
to be done. The mark will not rub off easily. If it does, please tell a nurse. It is very important your
doctors and nurses see that mark after you go to sleep but before surgery begins.
What Can You Do?
You are the most important part of the healthcare team. By becoming informed and involved in
making decisions about your care, you willl play a vital role in making your care safe.
If you have questions, feel free to call us at 248-652-5306 between 8 a.m. - 4 p.m. Monday
thru Friday.
1101 West University Dr. Rochester, MI 48307 • 248 652-5000
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Speak up if you have questions or concerns. If you don’t understand, ask again.
It’s your body and you have a right to know.
About SCIP
The Surgical Care Improvement Project (SCIP) is a large national partnership dedicated to reducing
the number of preventable surgical complications. SCIP includes a number of steps that surgeons,
anesthesiologists, nurses and patients can take to lower the number of surgical problems.
If you do not see them do so, ask your care team members to wash their hands.
Pain Control After Surgery
Important
Take medication as directed.
Never worry about being a “bother”. Your comfort is our number one priority.
Other therapies are available to assist with your comfort. Please let your nurse know exactly how you
are feeling.
In the hospital
The doctor and nurse want to help you control your pain.
Share with your health care providers how you manage pain. Work with your healthcare providers to
establish a comfort goal.
Take or ask for pain relief medication when pain first begins.
Report your pain to the nurse. Nurses or staff may ask you to rate your pain 0 to 10, with 0 meaning
no pain.
Ask for pain medications before treatments and therapies that may cause pain.
Tell the doctor or nurse about pain that won’t go away.
At home
Take pain medication when pain first begins and we suggest you keep record of the time of each dose.
Take pain medications before treatments and therapies that may cause pain.
Tell your doctor about pain that won’t go away.
1101 West University Dr. Rochester, MI 48307 • 248 652-5000
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Recovery
(POST-ANESTHESIA CARE UNIT – PACU)
Following surgery, you will be taken to the Post Anesthesia Care Unit (PACU). You will be monitored
until the major effects of anesthesia wear off. Patients require privacy and attention while in the
PACU. For this reason, visiting is not permitted. Visitors will be notified when appropriate.
Your surgeon will update your family/friends on the outcome of your surgery. They may indicate
to your family an expected length of time that you are expected to be in the PACU. This is only an
estimate as each individual recovers from anesthesia at a different rate, and if you will be admitted
to the hospital we will have to keep you in the recovery area until a bed is available for you. Your
family/friends should keep in touch with the Surgical Waiting Reception Desk staff for the most
current updates on the timing of your release or transfer. If you are going to be admitted, they will
provide your room number and directions to the room.
If you are scheduled to be discharged the same day of your surgery, you can expect to stay in the
Ambulatory Services Care area for at least one hour, or longer, depending upon your needs. You
will receive written and verbal discharge instructions, prescriptions if prescribed, a beverage, and
assistance to your vehicle.
Discharge Instructions
You and your family will be given discharge instructions. You will be told what medications to
resume and what medications to discontinue taking. You will receive instructions on the care of
your surgical site.
For your convenience, Crittenton Medical Pharmacy is available to you to obtain prescriptions or
various sundries which you may need. It is located in the lobby of the Medical Office Building. The
staff at the hospital may fax your prescriptions to the pharmacy so that they can be ready for you
or your family members to pick up prior to discharge. The hours of operation are Monday – Friday
from 8:30 am – 5:00 pm and Saturdays from 8:30 am – 12:30 pm.
If discharged same day, arrange someone to be with you for 24 hours and drive you home.
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
Directions to Our Hospital
From the North: Take I-75 South to the University Road exit (Exit 79). Turn left (east) on
University. Proceed on University one mile to Squirrel Road. Turn left on Squirrel Road. Go one
half mile to Walton Boulevard and turn right (east). Proceed on Walton Boulevard (also called
University Drive at some points) about four miles, until you pass Livernois Road. Crittenton will
be on your right just past Livernois.
From the South: Take I-75 North to the Rochester Road exit (Exit 67). Turn right (north) on
Rochester Road. Proceed north approximately eight miles on Rochester Road to University
Drive. Turn left (west) on University Drive. Crittenton will be on your left, just past Helen Street.
From the East: Take M-59 West to the Rochester Road exit. Turn right (north) on Rochester
Road. Proceed four miles on Rochester Road until you reach University Drive. Turn left (west) on
University Drive. Crittenton will be on your left just past Helen Street.
From the West: Take M-59 East to Crooks Road exit. Turn left (north) on Crooks Road. Go two
miles to Avon Road and turn right (east) on Avon Road. Proceed one mile and turn left (north) on
Livernois. Go two miles to Walton Boulevard (also called University Drive) and turn right (east). Crittenton will be on your right, just past Livernois.
Parking
The Howard L. McGregor Ambulatory Services Center is located at the rear of the hospital. On
the day of your surgery, please park in our parking deck, which is located behind the Hospital.
Valet Parking is also available Monday – Friday 7:00 am – 4:00 pm at the south side Outpatient
Entrance area, for small fee.
Registration
The Registration Department will contact you to preregister you for your surgical procedure.
Please be prepared with your name, address, next-of-kin, and insurance information.
Surgical Waiting Reception Desk
All patients, family and friends of patients, should check in with the Surgical Waiting Desk upon
arrival on the day of the surgery.
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
Patient Notes:
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000
FAQs
(frequently asked questions)
“Surgical Site
Infections”
What is a Surgical Site Infection (SSI)?
A surgical site infection is an infection that occurs after surgery in the
part of the body where the surgery took place. Most patients who have
surgery do not develop an infection. However, infections develop in
about 1 to 3 out of every 100 patients who have surgery.
Some of the common symptoms of a surgical site infection are:
• Redness and pain around the area where you had surgery
• Drainage of cloudy fluid from your surgical wound
• Fever
Can SSIs be treated?
Yes. Most surgical site infections can be treated with antibiotics. The
antibiotic given to you depends on the bacteria (germs) causing the
infection. Sometimes patients with SSIs also need another surgery to
treat the infection.
What are some of the things that hospitals are doing to prevent SSIs?
To prevent SSIs, doctors, nurses, and other healthcare providers:
• Clean their hands and arms up to their elbows with an antiseptic
agent just before the surgery.
• Clean their hands with soap and water or an alcohol-based hand
rub before and after caring for each patient.
• May remove some of your hair immediately before your surgery
using electric clippers if the hair is in the same area where the procedure will occur. They should not shave you with a razor.
• Wear special hair covers, masks, gowns, and gloves during surgery
to keep the surgery area clean.
• Give you antibiotics before your surgery starts. In most cases, you
should get antibiotics within 60 minutes before the surgery starts
and the antibiotics should be stopped within 24 hours after surgery.
• Clean the skin at the site of your surgery with a special soap that
kills germs.
What can I do to help prevent SSIs?
Before your surgery:
• Tell your doctor about other medical problems you may have.
Health problems such as allergies, diabetes, and obesity could affect your surgery and your treatment.
Co-sponsored by:
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• Quit smoking. Patients who smoke get more infections. Talk to your
doctor about how you can quit before your surgery.
• Do not shave near where you will have surgery. Shaving with a razor
can irritate your skin and make it easier to develop an infection.
At the time of your surgery:
• Speak up if someone tries to shave you with a razor before surgery.
Ask why you need to be shaved and talk with your surgeon if you have
any concerns.
• Ask if you will get antibiotics before surgery.
After your surgery:
• Make sure that your healthcare providers clean their hands before
examining you, either with soap and water or an alcohol-based hand
rub.
If you do not see your providers clean their hands,
please ask them to do so.
• Family and friends who visit you should not touch the surgical wound
or dressings.
• Family and friends should clean their hands with soap and water or an
alcohol-based hand rub before and after visiting you. If you do not see
them clean their hands, ask them to clean their hands.
What do I need to do when I go home from the hospital?
• Before you go home, your doctor or nurse should explain everything
you need to know about taking care of your wound. Make sure you
understand how to care for your wound before you leave the hospital.
• Always clean your hands before and after caring for your wound.
• Before you go home, make sure you know who to contact if you have
questions or problems after you get home.
• If you have any symptoms of an infection, such as redness and pain at
the surgery site, drainage, or fever, call your doctor immediately.
If you have additional questions, please ask your doctor or nurse.
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Your Family and Friends
We strongly recommend you have a family member / friend transport you to and stay at the
hospital with you while your surgery is performed. This individual should check in with the Surgical
Waiting Reception Desk so that they can stay informed of your status in the OR areas. If public
transportation is used, you must have a responsible adult with you. Please do not bring small
children with you the day of your surgery. We do not have accommodations to entertain young
visitors.
The Howard L. McGregor Ambulatory Services Center enables you to have surgery in the hospital
and return home the same day. If your surgeon feels it is in your best interest to be admitted to the
hospital after your procedure, an inpatient bed will be assigned to you.
Camp Crittenton
Camp Crittenton is a program designed to calm the fears that children have when facing the
surgical experience themselves. We offer tours throughout the surgical area for children of most
ages, weekly. Please call 248-652-5825 to pre-register.
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1101 West University Dr. Rochester, MI 48307 • 248 652-5000