Thank you for choosing Catawba Valley Medical Center for your surgical needs. We want to provide you with highest quality of care throughout your surgical experience. It is important that you are informed about what to expect before, during and after surgery.
Pre-procedure Testing and Interview
One of our highly skilled Registered Nurses will call you 1-3 days prior to your procedure date to obtain information about your health history and medications that you currently take. We will provide your Day Surgery arrival time and procedure time during this phone interview. If your procedure time changes after that initial phone call from our pre-anesthesia testing department, you will be notified the business day before your surgery/procedure with an updated Day Surgery arrival time and procedure time. It is very important that we have a working phone number to contact you in case there is a change with your Day Surgery arrival time.
Selected patients may require an in-person anesthesia consultation. Regardless whether we obtain your health history over the telephone or you have an in-person interview prior to your procedure, EVERY patient undergoing anesthesia is assessed on the day of surgery by highly qualified anesthesia providers such as a Certified Registered Nurse Anesthetist (CRNA) or an Anesthesiologist prior to undergoing anesthesia.
Why do I need Pre-procedure testing and interview?
Our goal is to identify any potential risks before you receive anesthesia or sedation in an effort to prevent complications and provide education about expectations before, during, and after your procedure.
Pre-procedure interview includes:
- Review of you medical history, including previous surgeries, hospital admissions and illness.
- Review of your medications taken daily or as needed. (This includes over the counter medications, vitamins, herbs, inhalers, eye drops, topical ointments, CPAP and oxygen)
- Blood work, x-rays, and electrocardiogram as ordered by your doctor or the anesthesiologist.
- Bring your medications and important documents with you: Living Will, Healthcare Power of Attorney, Advanced Directive, etc.
- Depending on your surgery and medical history you may meet with an anesthesiologist at your interview.
Instructions given to you at your Pre-procedure interview:
- Date and Time of surgery
- Arrival time to the hospital
- When you can eat or drink before coming to the hospital. Normally this is nothing after midnight, but this depends on your surgery time. This is for your safety in an effort to prevent stomach contents from accidentally entering your lungs during sedation or anesthesia. If you do not follow instructions your procedure may be delayed or cancelled for your safety.
- What medications to take the day of surgery
- How to clean your skin prior to surgery
- Do not wear make-up, finger nail polish, lotion, or powders.
- Do not use tobacco products, alcohol, recreational drugs, or herbal remedies prior to surgery.
- You must have a responsible adult to drive you home and stay with you for the first 24 hours after surgery.
- If you develop a cough, cold, fever or flu-like symptoms before surgery, please contact your doctor.
- Leave valuables at home.
- Wear hearing aids, dentures, and glasses and bring cases for them if you have them. You will not be able to wear contacts during surgery so please leave them at home. Bring walkers and/or canes with you.
- If you use a breathing machine you may be instructed to bring your mask, tubing, and settings with you to the hospital but please leave your machine at home.
Day Surgery (Prior to Surgery)
What to expect the day of surgery:
- Bring an updated list of all medications you take (herbal remedies and over-the-counter medications included). Please list the medication name, dose, and the number of times taken each day exactly as it reads on the medication label.
- Enter the hospital main drive from Fairgrove Church Road. Drive toward the hospital to the Stop sign, turn right. At the next Stop sign, turn left. The Day Surgery entrance will be on your left. Park in the “D” parking area for convenient access to the Day Surgery entrance. Once you enter the building, take the gold colored elevator (on your left as you enter the building) up one floor to the Day Surgery lobby.
- Upon arrival to Day Surgery, please check in with the receptionist at the main desk.
- We will provide a beeper to communicate with you or your support person while in the waiting area.
- You will be taken to the pre-operative area and provided with a personal belongings bag and asked to change into a hospital gown.
- A registered nurse will perform an assessment and will ask you a series of questions that are important for your safety.
- To ensure your privacy we ask that you only have 2 visitors with you in your day surgery room.
- The day surgery nurse will start an IV.
- You will meet some members of your surgical team in Day Surgery. This includes: your anesthesiologist, certified registered nurse anesthetist (CRNA), pre-operative registered nurse, and operating room registered nurse.
- Once your pre-operative admission is completed you will be taken to operating room at the appointed time. Note: All patients arrive 1.5 to 2 hours before their scheduled surgery time. Please know that we value your time, however, there are occasions where your surgery may be delayed due to unforeseen circumstances. If this happens we will keep you informed of delays. If you believe you are waiting too long or have questions about your care, please SPEAK UP to a hospital staff member.
Post Anesthesia Care Unit (PACU)/Recovery Room
- On arrival to the PACU you will be monitored closely by a registered nurse.
- After surgery, some pain is expected. The registered nurse will ask you regularly about pain to ensure your comfort. Please rate your pain on a scale from 0-10. 0=no pain, 1-3= mild pain, 4-6= moderate pain, and 7-10=severe pain. We offer multiple interventions to ensure your comfort. We will also ask if you are having any nausea. If you experience pain, nausea or have any other concerns please do not wait on staff to ask, SPEAK UP immediately to allow us the best opportunity to give you excellent care!
- The type of anesthesia you receive will determine how long you stay in the PACU. The PACU nurse will observe you until you sufficiently arouse from anesthesia. Sometimes patients stay longer than expected in PACU, do not be alarmed: a longer stay is sometimes necessary to ensure your comfort and safety.
- Depending on your surgery and your physician’s orders, you will either return to Day Surgery for discharge or go to a hospital room once you are ready to be transferred from PACU.
Please call the Preanesthesia Testing Clinic at 828.326.3404 or 828.326.3536 if you have additional questions.
Catawba Valley Medical Center, First Floor
Entrance located at the north side of the main hospital building.