PATIENT GUIDE TO. Surgery

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1 PATIENT GUIDE TO Surgery

2 1 Dear Guest, We at Baylor Scott & White Medical Center Frisco believe that health care should be about you and your family. We strive to deliver health care compassionately and to act with absolute integrity. Our team of professionals will work closely with you and your family to provide an ideal patient WILLIAM A. KEATON President & CEO Baylor Scott & White Medical Center Frisco experience. We want to help you heal quickly and get back to the life you enjoy. We want to put your mind at ease by including you as an active participant in your care. If, at any time, you have questions or concerns regarding your medical treatment, please do not hesitate to ask your physician. Our nurses and staff are always available to answer your questions and to help you in any way possible. If at any time you believe you are not being treated in a professional, courteous, or fair manner, please dial and our administration will be on WE CARE DEEPLY ABOUT YOUR Experience! After you return home, you may receive a survey to complete in the mail. We ask that you complete and return the survey. Your input helps us to recognize those who provide exceptional care and areas in which we can improve. We appreciate your assistance with providing us your valuable feedback. hand to help you. We are committed to you, our patient, and want your visit here at Baylor Scott & White Medical Center Frisco to be of the highest quality. Thank you for allowing us to care for you. It is our privilege to be your health care provider. Sincerely, William A. Keaton President & CEO, Baylor Scott & White Medical Center Frisco

3 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco Welcome to Baylor Scott & White Medical Center Frisco Your doctor has scheduled your upcoming procedure at our facility. Baylor Scott & White Medical Center Frisco is a technologically advanced hospital where surgeons perform a broad range of surgeries and procedures. Our facility offers a safe, convenient, quality, caring, and smoke-free environment. We are fully licensed by the State of Texas and the Centers for Medicare and Medicaid Services as well as The Joint Commission. Baylor Scott & White Medical Center Frisco serves Collin County and surrounding areas. Our central location offers easy access for patients and doctors traveling from any direction. At Baylor Scott & White Medical Center Frisco you will receive personalized attention from caregivers and the benefit of healing in your own private room. YOUR HOSPITAL ROOM All larger than average private rooms Oversized windows with generous light CareView System LCD televisions in every room Dine on Demand Smoke-free campus Full service café ADDITIONAL HOSPITAL AMENITIES Concierge Free WIFI Free parking and valet service Pastoral care Free notary service for patients ATM Smoke-free campus Full service café We welcome your comments and suggestions about your experience with us. Our main phone number is You can also access our website at BaylorHealth.com/ Frisco. 2 WELCOME

4 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 3 PREPARING FOR SURGERY Preparing for surgery A member of our staff will call you prior to your surgery date in order to confirm the details of your surgery, complete a pre-admission questionnaire, provide you with your pre-operative instructions, and review your current medications. Please inform the staff member of any daily medication including name, dosage, and frequency. Be sure to mention any over-the-counter drugs such as Aspirin, Tylenol, Advil, or Motrin, alcohol, recreational drugs or herbal supplements you take. You will be given instructions by your surgeon and/or anesthesiologist for medications you may take the morning of surgery. If your procedure involves a general anesthetic or other type of sedation, please arrange for a responsible adult to remain at the hospital during surgery and accompany you home. You may want to have a spouse or friend stay with you the first night following surgery. If the patient is a child, it is best to have someone along with the driver to help care for the child on the trip home. Please bring all medical power of attorney or legal documents with you on the day of surgery. IF THE PATIENT IS A CHILD IF THE PATIENT IS A CHILD One or both parents (or guardians) must remain at Baylor Scott & White Medical Center Frisco while the child is at our facility. A parent or guardian must sign an informed consent for the surgery if the child is under 18. Guardians must bring written proof of guardianship on the day of surgery. Without this documentation, surgery may be delayed.

5 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco Before your surgery IMAGING/RADIOLOGY TESTING Advanced imaging technologies are available at Baylor Scott & White Medical Center Frisco. This includes in-surgery imaging technology that your doctor may use to guide your operation such as X-ray or ultrasound images. Medical imaging tests like chest X-ray, CT Scans or MRI scans are important tools for your doctor to plan your surgery. Please have these tests completed prior to the day of your surgery. If these tests are performed at Baylor Scott & White Medical Center Frisco, your imaging reports will be available to your doctor prior to your surgery date and available in the surgical suite during surgery. If your imaging is conducted at a separate location, please bring copies of the images, films, or CD on the day of surgery. 4 BEFORE YOUR SURGERY LABORATORY TESTS Your doctor may order pre-operative lab tests to assist in screening and preparing you for surgery. It is important to have pre-testing completed at least 2-3 days before surgery. Surgery may be delayed without these test results. Pre-operative testing is available at Baylor Scott & White Medical Center Frisco. FEES AND MEDICAL INSURANCE Baylor Scott & White Medical Center Frisco bills for services incurred during your visit. Your bill may include charges for services provided in various areas. Baylor Scott & White Medical Center Frisco accepts most major commercial insurance, Medicare and Medicaid. We collect deductibles, co-payments and a portion of your out-of-pocket expenses prior to arrival or at registration. We will then bill your insurance carrier for our facility fee. After your insurance has processed the claim, you will be billed for any balance that remains. Professional services are billed separately including surgeon, physician, anesthesiology, pathology, facility and radiology charges. If you have any questions regarding fees or insurance, please feel free to call us. In certain circumstances, payment plans may be arranged. Please speak with our financial specialist prior to admission by calling

6 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 5 THE NIGHT BEFORE YOUR SURGERY The night before your surgery For your safety, please DO NOT EAT OR DRINK anything after 12:00 midnight (including water) the night before your surgery, unless otherwise instructed by your surgeon or anesthesiologist. This includes hard candy, gum, chewing tobacco, ice chips, or prescription medications unless ordered by your doctor. Bathe or shower the night before and the morning of your surgery to minimize the chance of infection. Depending on your surgical procedure, you may be given a medical cleansing cloth with instructions for use. Teeth may be brushed but DO NOT SWALLOW WATER. Refrain from smoking 12 hours prior, and do not consume alcohol 24 hours prior to surgery. WHEN TO NOTIFY YOUR DOCTOR WHEN TO NOTIFY YOUR DOCTOR If for any reason you cannot keep your scheduled appointment for surgery, contact your doctor immediately. If you suspect that you are pregnant or experience any changes in your health such as a cough, fever, or cold, or if there is any abrasion, cut, scrape, bug bite or open wound close to the site of your surgery, please contact your doctor immediately.

7 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco When you arrive Upon arrival at Baylor Scott & White Medical Center Frisco, please use the front parking area or valet service and enter the facility through the front door. You will be greeted by our concierge who will guide you through the registration process. Please have your insurance card and identification available. The registrar will then review your pre-admission information and complete the check-in process, including collecting any copayment or deductibles as indicated by your insurance benefits. Please be prepared to cover these expenses prior to surgery. 6 WHEN YOU ARRIVE Ask your doctor to provide your prescriptions in advance of surgery. Please have your doctor notify scheduling no later than 72 hours prior to surgery if you will need an interpreter or will require further assistance due to hearing, speech, or visual impairments. Leave your valuables, including jewelry and watches at home. On the day of surgery, please bring a list of your medications including dosages and the actual medications in their original containers. Please use the medication list at the back of this guide. If you receive a packet of information and forms from your doctor, please bring this packet. THE DAY OF SURGERY Your arrival time will be determined by your surgeon. Please plan to arrive promptly at the time you were instructed by your surgeon. After you have completed your registration, you will be escorted to the pre-operative area. Your family is welcome to accompany you as long as space permits. Your clothing and other belongings will be placed in a personal bag. If you have not previously signed a consent form in your doctor s office, you will be asked to do so at this time. A nurse will spend time with you to answer questions and prepare you for surgery. THE DAY OF SURGERY

8 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 7 The procedure itself ANESTHESIA THE PROCEDURE ITSELF You may receive a phone call from your anesthesia provider the night before your surgery. They will answer any questions you may have and collect your medical history. Be sure to talk to your anesthesia provider about any medications you are currently taking including all over the counter drugs and supplements. If you or any family member have had a negative reaction to anesthesia, please be sure to provide details. RECOVERY Immediately following surgery, you will be taken to our recovery room where you will be monitored by specially trained registered nurses. The amount of time you will spend in recovery depends on the type of surgery and/or anesthesia you have received. Your family members will be kept apprised of your situation and will be able to speak to your surgeon as you recover. RAPID RESPONSE TEAM IN CASE OF EMERGENCY BEFORE GOING HOME FROM THE HOSPITAL Sometimes it is a family member that first notices a change in your condition. If you notice one or more of the following changes in a patient s condition, please dial from the bedside phone to call our Rapid Response Team. Increase or decrease in heart or breathing rate Decrease in blood pressure Chest pain Decrease in urine output Confusion or other changes in thinking/mental status When something just does not seem or look right with your loved one. WHAT DO I NEED TO DO WHEN I GO HOME FROM THE HOSPITAL Before you go home, your doctor or nurse will explain everything you need to know about taking care of your incision. Make sure you understand how to care for your incision before you leave the hospital. Always clean your hands before and after caring for your incision. Before you go home, make sure you know who to contact if you have questions or problems. If you have any symptoms of an infection, such as redness and pain at the surgery site, drainage, or fever, call your doctor immediately.

9 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco After surgery For your safety and well being you should have an adult drive you home after surgery. It is unsafe to leave unescorted. The medical staff will discharge you when they determine you are in stable condition, however, you could still feel sleepy, slightly dizzy or nauseated. These are possible (and normal) side effects of anesthesia and can last for hours post surgery. Please wait 24 hours after surgery to drive, sign important papers, make significant decisions, drink alcoholic beverages, or take any medication not prescribed or acknowledged by your surgeon. 8 AFTER SURGERY AT HOME AFTER SURGERY We suggest that you eat lightly for the first 24 hours after your procedure. Be sure to follow any specific post-operative instructions your doctor gives you regarding diet, rest, activities, and medication. The hospital will provide you with a written summary of these instructions. In addition, a member of our staff will call you after surgery to see how you are doing. INFECTION PREVENTION AND CONTROL DO THE WAVE The most important thing that you and your family can do to help stop the spread of infection is the W.A.V.E. WASH Wash your hands frequently with soap and water or use hand sanitizer, before meals, after going to the bathroom and after touching any equipment. ASK QUESTIONS Do not be afraid to ask a caregiver if he or she cleaned his or her hands, or about any other infection control measures Baylor Scott & White Medical Center Frisco follows. Speak up if anything concerns you, or if you do not understand something. VACCINATE Get your flu and pneumonia shot unless your physician directs you otherwise. INFECTION PREVENTION & CONTROL ENSURE SAFETY Do not touch medical equipment unless necessary. Please ask friends and family members who are sick not to visit you in the hospital.

10 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 9 PAIN MANAGEMENT REPORTING PAIN It is important to realize that pain is a part of the healing process. Post-surgical pain helps us to understand your limits when working with Physical Therapy or when you are ambulating with your nurse. An increase in pain medication can result in decreased breathing and drowsiness. Because of this, it is important that you are not over sedated with pain medication. We will do our best to keep your pain at a tolerable level, however, it is likely that you will experience some pain after surgery. PLEASE BE AS DETAILED AS POSSIBLE ABOUT THE PAIN AS WE ASK YOU THE FOLLOWING QUESTIONS: 1. How does your pain feel? Possible answers include aching, stabbing, tender, numb, dull, crampy, throbbing, gnawing, burning, penetrating, miserable, radiating, deep, shooting, sharp, exhausting, unbearable, nagging, squeezing, pressure. 2. Where is your pain? 3. Is the pain always there or does it come and go? 4. What makes the pain worse and what makes it better? 5. How does the pain affect your sleep, appetite, energy, activity, relationships or mood? 6. Are you experiencing other symptoms with your pain, such as nausea, constipation, vomiting, itching, sleepiness or difficulty breathing? 7. How would you rate your pain using the following scale? NO PAIN PAIN CONTROL MILD PAIN MODERATE PAIN It is important to keep your pain out of the moderate to severe range (4 and above), so please do not wait until your pain gets worse to tell one of your care team members. If your pain is not relieved by your medicine, or if you are having any side effects, please tell your physician or nurse. If you are unable to communicate, Baylor Scott & White Medical Center Frisco uses a different pain intensity scale. NON-VERBAL PAIN INTENSITY SCALE SEVERE PAIN VERY SEVERE PAIN WORST POSSIBLE PAIN NO PAIN MILD PAIN DISCOMFORT DISTRESSED SEVERE EXCRUCIATING Relaxed, Calm Stressed, Guarded Moaning, Crying Increased Expression Tense Movement, Restless Out Intensity Expression Grimace of Behaviors

11 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco PREVENTING FALLS You may be at risk of falling down when walking or getting out of bed due to certain factors. If so, you may have fall precautions put in place. If you are at risk for falls, here are some things you and your family can do to help prevent falls: Call for assistance when getting out of bed. NEVER get up by yourself. Make sure at least two side rails on your bed are in place. Make sure your care team puts your bed alarm on, which may help remind you to call for help when getting out of bed. Your family members should tell staff when they are leaving. Please help us keep you safe by using your nurse call button for assistance. 10 PREVENTING FALLS CareView and View System reference guide STAY CONNECTED DURING YOUR TREATMENT AND RECOVERY This communications system offers patients a convenient way to stay connected to family and friends and enjoy TV entertainment through PatientView and NetView. It also gives Baylor Scott & White Medical Center Frisco nurses and doctors a way to offer additional care through patient monitoring. NurseView enables nurses to respond quickly to a patient s needs by using a touch monitor at the nurse s station. And, SecureView enhances patient safety and security so you and your family can have real peace of mind. PATIENTVIEW Visit with family and friends and correspond with loved ones via video and text. Parents and grandparents who may be far away can see you on their monitor so you can get support and encouragement from the people who matter most. PatientView is password-protected, prompting patient permission to be viewed. STAY CONNECTED NETVIEW A high-speed internet connection gives you access to this entertainment package. You can check s, browse favorite sites, shop online and stay in touch with family and friends through social networking sites by using a wireless keyboard. TO GET STARTED WITH CAREVIEW: 1. Turn the TV on to Channel 3 2. Press CareView/TV, F2 on the keyboard. This brings you to CareView s main menu.

12 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 11 STAY CONNECTED TO USE PATIENTVIEW 1. Use the arrow keys on the keyboard to navigate and highlight the PatientView Icon. Once the Icon is highlighted, press the left or upper mouse button to continue. 2. Instruct your family and friends who have been given your password to call you and then: Have them go to and click on the CareView System link to access the CareView System. Click CareView Visitors Login. Have them enter their name and the password you gave them. Enter and select Request Permission. A large popup window will appear on your screen, allowing you to accept or deny visitor access. 3. Select yes or no from the popup window to grant visitor access. A real-time image of you in the hospital room will appear on the visitors screen. 4. You can also communicate with family and friends through the Message Board by entering a message in the Message Box at the bottom of the screen and clicking Send. The Message Board can be used as a family communication network during your stay to keep family and friends updated. 5. Push Deny Visitor Viewing or F4 on the keyboard to deny visitor access. Visitors will not be able to view you, but will be able to leave a text message by using the message board. TO USE NETVIEW 1. Turn the television to Channel 3 and push CareView/TV, F2 on your keyboard. 2. Select NetView to access the internet. IF YOU REQUIRE PRIVACY IN THE ROOM 1. Push F7 on the keyboard to deny Nurses Station viewing for 20 minutes. 2. Push F8 on the keyboard to resume Nurses Station viewing.

13 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco Patient visitor information During patient surgery, family and guests may wait in the lobby. Complimentary coffee and pastries are available in the lobby. There are no established visiting hours, but consideration must be given to the patients and their need for rest during their time of recovery. Out of courtesy for the patients, please limit cell phone use in patient care areas. Visitors under the age of 12 must be supervised by an adult. Parents of patients under age 18 must remain in the building. Children of adult patients are not allowed to stay overnight. Vending machines are located in the Imaging Services waiting area. Carl s Café is open to visitors for breakfast from 6:30 a.m. - 10:00 a.m. and for lunch from 11:00 a.m. - 2:00 p.m. Dinner is served from 5:00 p.m. - 8:30 p.m. Meals may be purchased with cash, debit card or credit card. 12 PATIENT VISITOR INFORMATION Helpful phone numbers Baylor Scott & White Medical Center Frisco Administration Bariatric Coordinator Business Office Dine on Demand Emergency Department Human Resources Imaging Services Joint Replacement Center Laboratory Medical Records Medical Staff Nursing Administration Pastoral Care Physician Referral BAYLOR Public Relations Respiratory Therapy Scheduling Security Escort Sinus Center Sleep Lab Urgent Care Center Women s Services/Obstetrics HELPFUL PHONE NUMBERS

14 Baylor Scott & White Medical Center Frisco PATIENT AND FAMILY GUIDE 13 Patient medication list Date Name PATIENT MEDICATION LIST Signature Medication Allergies Please provide information regarding all medications, herbal supplements, and vitamins that you are currently taking or are prescribed by your physician. Please bring in the medication bottles so that we may have an accurate and current record. DEFINITIONS Dosage: Amount of medication prescribed (number of mg, units, grains, teaspoons, drops, etc.) Time of day taken: Time medication should be taken (6a, 2p,10p, before meals, bedtime, etc.) When last taken: Place the date and time you last took the medicine in this column. MEDICATION ROUTE TAKEN (MOUTH, IV, ETC.) DOSAGE FREQUENCY TAKEN LAST TAKEN

15 PATIENT AND FAMILY SURGERY GUIDE Baylor Scott & White Medical Center Frisco 14 NOTES & QUESTIONS Questions? Please ask if you need further assistance while you are with us.

16 Legacy Dr. Dallas Pkwy. Warren Pkwy. Preston Rd. Hillcrest Rd. North Central George Bush Tollway Warren Parkway, Frisco TX (Just west of Dallas North Tollway) Complimentary valet service available Monday Friday, 6:00 a.m. - 6:00 p.m., Registration desk open 5:30 a.m. - 6:30 p.m. Concierge can direct you to destinations throughout the hospital For more information, visit us at BaylorHealth.com/Frisco or call BAYLOR. Baylor Scott & White Medical Center Frisco is a hospital in which physicians have an ownership or investment interest. The list of physician owners or investors is available to you upon request. We are fully licensed by the state of Texas and are Medicare certified. Our facility is also accredited by The Joint Commission. We are an affiliate of United Surgical Partners International, and partnered with local physicians. Physicians are members of the medical staff and are neither employees nor agents of Baylor Scott & White Medical Center Frisco, United Surgical Partners International, Baylor Scott & White Health, or any of their subsidiaries or affiliates Baylor Scott & White Health BSWMCF_3_2016 SC

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