Preoperative Fasting Instructions
If your surgeon gave you specific eating/drinking guidelines, follow them. If no guidelines were given to you, follow the following:
- Nothing to Eat (NPO):
- Do not eat anything for 8 hours prior to arrival time for surgery
- May take a sip of water with medications prescribed by your physician (those medications you are requested to take prior to surgery)
- May have clear liquids up to 2 hours prior to arrival time for surgery (taken in moderate amounts: water, apple juice, and cranberry juice)
Children: (Ages newborn to 12 years)
- Use the 2-4-6-8- rule:
- May have clear liquids up to 2 hours prior to arrival time for surgery, (taken in moderate amounts: clear liquids include water, apple juice, and cranberry juice).
- May have breast milk up to 4 hours, prior to arrival time for surgery.
- May have formula up to 6 hours, prior to arrival time for surgery.
- No solid food for 8 hours prior to arrival time for scheduled surgery.
Day Prior to Surgery
If you experience any health changes between your most recent visit to your surgeon and the day of surgery, notify your surgeon. Please report even minor changes such as fever, sore throat, cough or cold. If you suspect that you are pregnant, notify your surgeon.
- Call your surgeon's office between 3 and 4pm to determine your arrival time for surgery. (Call Friday, if surgery is scheduled for Monday.)
- Drink a glass or two more than usual of warer or juices. Withholding alcohol at least 2 days before surgery is recommended. Caffeine and alcohol may dehydrate you.
- Do not smoke after midnight. People who do not smoke heal faster than people who do.
The Morning of Surgery
- You can bathe or shower the morning of your surgery. You may also brush your teeth but do not swallow water.
- Leave valuables, credit cards, wallets and jewelry at home. Remove all piercings.
- Wear comfortable, loose fitting clothing. During the surgery you may wear a patient gown provided by the hospital.
- Remove contact lenses.
- Hair styling products with alcohol should be avoided.
- Nail enhancements: Remove acrylics, wraps or polish.
When you Arrive for Surgery
- Check in with the volunteer at the desk on the second floor of the Main Lobby.
- When you arrive, a nurse will greet you and take your blood pressure, pulse and temperature. You will be given an explanation of what will occur before surgery. Depending on the type of procedure, you may require some pre-operative preparations such as application of elastic stockings, a shave and/or scrub of the surgical site or insertion of an intravenous line. An anesthesiologist will visit with you, answer your questions and determine your need for medication before, during and after surgery.
- You will be transferred to the operating room by stretcher. We will make every effort to maintain your scheduled procedure time. Occasionally it is possible that emergencies or complications during other patients' procedures will cause delays.
- Your family or visitor may wait in the second floor atrium during your surgery and recovery, or they may go home. Be sure to have that contact phone number so we may call them when you are ready for discharge
- You will wake up in the Post-Anesthesia Care Unit (Recovery Room). Your vital signs (blood pressure, heart beat, etc.) will be checked frequently and you may receive oxygen. Please inform your nurse if you experience nausea, discomfort or are chilled so that the nurse can make you as comfortable as possible.
- From the Post-Anesthesia Care Unit, you will return to the Same Day Surgery Unit until you are ready for discharge. If you are staying overnight, you will be admitted to an inpatient bed directly from the Post Anesthesia Care Unit.
- When you are discharged, your nurse will give you written instructions to follow for specific care at home.
- After discharge you may feel sleepy, slightly dizzy or nauseated. Please prearrange for an adult to drive you home. We recommend that you have someone with you during the first 24 hours after surgery to support your needs. Arrange for care of your children as well, since you may feel drowsy for this period of time.
Preparing Children for Surgery
- Our goal is to provide for the special needs of children during their surgical and anesthetic experience.
- During your pre-admission visit your child will be given a tour of the Same Day Surgery Unit.
- A playroom is available on the unit with a TV, games and toys. A familiar toy brought to the hospital might give your child a feeling of security.
- Assure your child that coming to the hospital is only temporary and they will be returning home. Encourage your child to ask questions. Be honest in your answers.
If you have questions or concerns, please call the Pre-Admission Office at 215-345-2287. If your call is not answered immediately, please leave a message and we will return your call as soon as possible.