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Patients

Quality Improvement

Simi Surgery Center is committed to providing the highest quality care and services possible. We are participants in HCA's national quality improvement measurement program, Best Demonstrated Practices, which measures data on a monthly basis, compares to other surgical centers nationwide, then reports back to us where we stand in comparison.

Another organization is the Federated Ambulatory Surgery Center Association. This organization is nationally recognized. They also gather data, compare and share results with their members nationwide. Some of the data measured relates to Patient Satisfaction, Prevention of Medication Errors, Post Operative Infections, On-time Scheduling, Hospital Admissions, and Post Operative Telephone Calls. These programs are ongoing and we feel very important in assessing how we are doing.

Forms

Click on the forms listed below to download a Acrobat PDF.

Pre-Op Instructions:

  • Do not eat or drink anything after midnight
  • Please take all pain and blood pressure medications with a very small sip of water in the morning
  • Please bring a list of current medications and print & fill out the Pre-Anesthesia Questionnaire form. Please click here for the form.
  • Please bring socks and eyeglasses with you. No Contacts.
  • Please drink plenty of water up till midnight.
  • Must have an adult to drive you home.
  • Please bring insurance cards and driver’s license with you.
  • Wear comfortable clothing. Please leave all valuables at home. Remove jewelry- wedding bands okay.

In addition for a colonoscopy:

  • No eating solid foods the day before your procedure except for liquids. Some examples are chicken broth, jello except red or orange.
  • Abide by prep instructions. If you have any questions or concerns please contact your physician immediately.

Preparing for Surgery

  • Please talk to your physician about any daily medications you are currently taking. Especially for heart, diabetes or blood pressure problems; be sure to mention any over-the-counter drugs such as Aspirin, Bufferin, Nuprin, Advil, Motrin, or Vitamin E.
  • Please inform the pre-op nurse of any meds you are taking.
  • Please fill out the Pre-Anesthesia Questionnaire Form.
  • In addition for a colonoscopy: No eating solid foods the day before your procedure except for liquids. Some examples are chicken broth, jello except red or orange.
  • Abide by prep instructions. If you have any questions or concerns please contact your physician immediately.

The night before your surgery

  • For your safety, please do not eat or drink anything after midnight 12:00am (including water) the night before your surgery, unless instructed by your physician. This includes hard candy, gum, or prescription medications, (unless ordered by your physician).
  • Bathe or shower the night before and the morning of surgery to minimize the chance of infection. Teeth may be brushed but DO NOT swallow water.
  • Refrain from smoking after midnight on the day before your surgery.

When to notify your physician:

  • If for any reason you cannot keep your scheduled appointment for surgery, or you notice the following: you suspect that you are pregnant or experience any change in your health such as a cough, fever, or a cold, contact your physician immediately.
  • Bring your insurance card and claim forms with you. Bring you driver's licensce or picture i.d. with you.
  • Arrange for cash or a check to be held by friends or family waiting for you in case a prescription needs to be filled at a nearby pharmacy before you are discharged.
  • Arrange for care of your children for 24 hours following surgery, as you could feel drowsy for that period of time.
  • Leave your valuables, including your jewelry and watches at home.
  • Do not wear contact lenses or make-up. Bring glasses so you are able to sign financial forms and consents.
  • If your child is scheduled for surgery, we encourage you to bring his or her favorite toy for extra comfort.
  • Children may be brought in wearing their pajamas. Bring socks.
  • Please bring an empty bottle or sippy cup if your child can't drink from a cup.
  • Please leave children not having surgery at home.
  • If you are on medication, please bring your prescription with you along with the dosages. Or you can complete our Medication Reconcilation form by downloading and printing to bring with you.
  • Please bring with you any forms from your physician.

When you arrive at Simi Surgery Center

  • Please plan to arrive promptly at the time given to you by one of the nurses. We will be giving you a call the day before your procedure between the hours of 1-4 pm.
  • After you have registered at the reception desk, one of our nurses will spend time with you to answer any questions you might have and help prepare you for surgery.
  • Your nurse will escort you to a private dressing area where you will be asked to put on a special gown, cap and paper slippers.
  • Your clothing and other personal belongings will be placed in a bag and transferred to the Recovery Room prior to your discharge.
  • You will be asked to sign a consent form for your procedure.

The Procedure Itself

Anesthesia:

  • Anesthesia services are provided by anesthesiologists highly qualified in all aspects of outpatient anesthesia.
  • Your anesthesiologist will evaluate you before surgery and answer any questions you may have.
  • Be sure to talk to your anestheologist about any medications you are currently taking, even the over-the-counter drugs.
  • The appropriate type of anesthesia will be determined by your surgeon in consultation with the anesthesiologist.

Our Anesthesiologists are board certified specializing in outpatient and pediatric anesthesia.

Anesthesia Guidelines:

  • All patients must have a pre-anesthetic evaluation.
  • Class I and II patients are admitted to the surgery center and Class III patients are admitted at the discretion of the Medical Director and the surgeon.

After Surgery

What happens right after my surgery?
While in the operating room, you will be transferred to a special bed. In the recovery area, nurses check your blood pressure, pulse and respiration rate. Medications for pain or nausea may be administered. Since many patients feel slightly disoriented after surgery, your nurse will first assure you that the surgery is complete and that you are safe in the recovery room. She will then encourage you to wake up, move your arms and legs and offer refreshments such as water or fruit juice.

As soon as you are comfortable, your family member or friend may join you. It is important to communicate with your nurse and let them know if you need pain medication or have special concerns.

For your safety and well being, you must have an adult family member or friend drive you home after surgery. We cannot permit you to leave unescorted.

The medical staff will discharge you when they are assured 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 12-24 hours.

Your Recovery at Home

What happens when I'm discharged?
Once you feel alert and comfortable, you will be asked to get dressed. Before being escorted to your car, we review your home-care instructions with you and give you a copy for easy reference. You will also be given any prescriptions recommended by your physician. While you rest in the recovery room, we will be happy to direct your friend or family member to a pharmacy to fill your prescription.

What should I do when I get home?
To hasten your recovery, we recommend that you rest comfortably as soon as you get home. Patients typically feel sleepy most of the day. You may begin your regular diet and resume normal activities when you and your physician determine you are ready. The next business day after your procedure, a nurse will call to find out how you are doing.

Dizziness and nausea are normal after receiving anesthetic; therefore, you should wait 24 hours after returning home before:

  • Driving or operating equipment
  • Signing important papers
  • Making significant decisions
  • Drinking alcoholic beverages
  • Taking any medication not prescribed or acknowledged by your surgeon.

Financial
We will make every effort to verify insurance benefits and obtain authorizations as a courtesy to our patients so it is important that you provide us with complete and accurate information prior to the scheduled date of your procedure.

We do ask for payment of deductibles and co-payments at the time of service. A member of our staff will call to discuss your co-payment and make financial arrangements. We do accept all major credit cards and personal checks. Under certain circumstances of financial hardship, 90 day payment arrangements may be made in advance.

Transportation
For your safety and protection, you will not be allowed to drive a motor vehicle. Please arrange for a responsible person to drive you home. 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.

When to notify your physician:
If for any reason you cannot keep your scheduled appointment for surgery, or you notice the following: you suspect that you are pregnant or experience any changes in your health such as a cough, fever, or a cold, contact your physician immediately.

 
 

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