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Washington Regional Medical Center Walker Heart Institute Senior Health Women and Children's Health Total Joint Center

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Pre-Admission Surgical Screening

WHAT IS PASS?
Washington Regional is pleased to offer the PASS Program.  PASS is a Pre-Admission Surgical Screening designed to ensure the best possible surgical experience for YOU, our patient. All surgical patients are encouraged to undergo PASS prior to their scheduled date of surgery.

The program will identify, through diagnostic tests ordered by your physician, any changes in your health status that may affect your ability to have surgery. By working together with you and your physician, we will conduct a complete health history and nursing assessment, and provide educational services five days to two weeks before your surgery date. The screening allows our team an appropriate time frame to evaluate and/or correct any issues that may prevent delays or possible cancellation of your surgery.

GENERAL INFORMATION

  • Our hours are 8 a.m. to 5 p.m. Monday – Friday.
  • We are located on Level One through the Walker Heart Institute entrance.
  • Our nurses will gather information regarding your health, answer your questions and address your concerns.
  • By keeping your PASS appointment and following your physician’s orders, our WRMC team will give you the “PASSED” stamp of approval that you are prepared for surgery.

HOW PASS WORKS

  • Your physician’s office schedules your surgery and PASS appointment, or you will be contacted by one of our nursing staff.
  • Your physician orders tests if indicated, for example: lab work, EKG, or Chest X-ray.
  • If no testing is required, we will conduct the PASS interview over the telephone.
  • Information is sent from your physician’s office to WRMC. A chart is then prepared in anticipation of your arrival at our department.

WHAT WE NEED FROM YOU

  • Please be on time for your scheduled PASS appointment. If you are unable to keep your appointment, it may be necessary to re-schedule your surgery date.
  • All prescription medication in original bottles.
  • A list of your allergies.
  • Social Security number.
  • Name and phone number of family physician.
  • Insurance, Medicare or Medicaid cards. In the event no insurance is available, we will arrange for you to speak with our financial assistance office about payment assistance options.
  • Living Will or Advance Directive.

THE DAY BEFORE YOUR SURGICAL PROCEDURE

  • Eat normally the day and evening before surgery; however, DO NOT EAT ANY FOOD, DRINK ANY LIQUIDS (INCLUDING WATER), CHEW GUM, EAT CANDY OR MINTS AFTER 12 MIDNIGHT. Surgery may be cancelled if you do so. (Certain patients may be instructed to take some or all of their routine prescribed medications with a sip of water on the morning of surgery).
  • DO NOT DRINK ALCOHOLIC BEVERAGES 24 HOURS BEFORE OR AFTER SURGERY.  SMOKING BEFORE SURGERY IS DISCOURAGED.
  • Please bathe or shower the evening or morning before surgery.
  • Please arrange in advance for someone to drive you home following surgery. Every patient must be accompanied by a responsible adult. For your protection, you will not be permitted to drive yourself home. No exceptions will be made. Surgical outpatients are required to have a responsible adult with them for 24 hours after discharge.
  • If you should become ill prior to surgery, please call your doctor or the surgical services nurse at (479) 463-2100 and other arrangements will be made.

THE DAY OF SURGERY

  • Report to the Surgery Registration desk located on Level Two.  You will need to arrive 3 (three) hours before your scheduled surgery time. This will allow time for additional tests, anesthesia evaluation, etc.
  • Do not wear heavy makeup, body lotion, nail polish and REMOVE ALL JEWELRY. Leave valuables at home. If you wear contact lenses, bring a container in which to put them.
  • Dress in comfortable, loose fitting clothing. Hospital gowns will be provided for you. ORTHOPEDIC PATIENTS having knee surgery should bring shorts, jogging pants or pajamas, and crutches plus immobilizer if you already have them.
  • Waiting areas are provided for family members, and a hospital volunteer is available to assist your family while waiting. Our coffee shop is located on Level Two and a cafeteria is located on the ground level. Because young children often have a difficult time waiting quietly, it can cause increased anxiety for adults in the surgical waiting area. If possible, we encourage you not to bring young children to the waiting area.

PREPARATION FOR YOUR SURGICAL PROCEDURE

  • After registration you will be taken to the surgical area where a nurse will complete the final health assessment and any diagnostic testing, start an IV and answer any questions you may have regarding your procedure. You will be in this area approximately one to two hours. Your family (limit of 2) will be permitted in this area until you are transferred to the Pre-Anesthesia holding area.
  • When it is time for your surgical procedure you will be transported to the Pre-Anesthesia holding area. Here you will meet your anesthesiologist and the team of nurses that will be caring for you during your surgery. No family members will be permitted in this area unless the patient is a minor. You will be in this area 30 minutes to one hour.
  • From the Pre-Anesthesia area you will then be transported to the Operating Room Suite where your surgery will be performed.
  • Once your surgery is completed, you will be transported to the Post-Anesthesia Care Unit (PACU or Recovery). Here your vital signs, pain, breathing, etc. will be monitored. You will be in this area 30 minutes to 2 (two) hours, depending on your needs.
  • After recovery, you will be transported back to the surgical area or to a nursing unit, depending on your doctor’s order. If you return to the surgical area, you will be permitted to go home when you have met discharge criteria, i.e., pain controlled, minimal nausea and/or vomiting and vital signs stable.
  • You will be discharged from the surgical area by wheelchair to the hospital entrance. Remember, you will not be allowed to drive yourself home. Please make arrangements in advance for someone to drive you home.

AFTER SURGERY

  • You can expect to be able to speak with your surgeon ______________________________________________________________ .
  • Be sure to follow your doctor’s orders regarding rest, medication and diet. Surgery and, more particularly, general anesthesia can leave you feeling tired and with a depressed appetite. Unless you are given directions, drink clear liquids for the first three to four hours after surgery. It is normal to feel light-headed and sleepy after surgery. Therefore, you should not drive or operate machinery for at least 24 hours.
  • If you develop difficulty breathing, excessive bleeding, fever over 101 degrees Fahrenheit, or any other post-operative problem after leaving the hospital, you should call your doctor immediately.
  • Parents or guardians of children should observe their child continuously upon returning home and should call the doctor immediately or the WRMC Emergency Department (713-1000) if any problems develop.

 



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 Washington Regional
 3215 N. North Hills Blvd.
 Fayetteville, AR 72703
 (479) 463-1000

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