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Two Weeks Before Surgery

Two Weeks Before Surgery

Two Weeks Before Surgery

We need this information to prepare for your visit...

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One Week Before Surgery

One Week Before Surgery

Please call the Pre-Admit department five to seven days prior...

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One Day Before Surgery

One Day Before Surgery

The physicians and staff of 7STAR Hospital ask that each patient reviews the...

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Day of Surgery

Day of Surgery

f you are under the age of 19, your parent or guardian MUST be...

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Insurance Information

We need this information to prepare for your visit and to obtain your contact information. Our representative will advise you about co-payments and/or deductible for your visit depending on your insurance carrier. If you do not have insurance or have any specific questions about your payment options, you may be referred to one of our financial counselors.

Medications

Blood Thinning Agents
Your physician should have instructed you to discontinue Warfarin, Plavix or any other blood thinning agent one week prior to surgery. Discuss this with your physician to be sure that it is safe to do so. If it is not safe for you to discontinue this type of medication, have your physician contact the surgeon as soon as possible.

Diet Medications
You must discontinue using diet medications and herbal diet products at least one week prior to your surgery. Diet medications could interact with medications given during your surgery. Failure to discontinue diet medications may result in your surgery being cancelled.

Primary Care Physician
Physical and Tests

Call your primary care physician to schedule an appointment if you have been directed to have a physical or test done prior to surgery. Both must be completed within two weeks of your actual surgery day.

Please give your primary care physician the Nebraska Orthopaedic Hospital Pre-operative History and Physical Form and request all results to be faxed to (402) 609-2320 at least two days prior to surgery.

Preparing for Surgery
Information to have available for your pre-screening interview includes:

If a pre-operative physical is required by your surgeon (all inpatients will need one), please schedule this physical 10-14 days before your procedure, but no more than 14 days before your surgery. If this is not possible we ask that the physical be completed a minimum of 5 days before your surgery date.

Doctor's name(s), phone number(s) and the date of your last doctor visit, so the Pre-Admit nurse can obtain test results from their office if needed.

Any cardiopulmonary exams deemed necessary will need to be done at least five days before your surgery (if your primary care physician or anesthesiology requests this). Examples: Stress test, Echocardiogram, Pulmonary Function testing, or any heart, lung or kidney testing.

Aside from blood tests that are ordered from your doctor, you may be asked to provide a urine specimen for testing 5 to 7 days prior to surgery to make sure there is no infection. Urine specimens must be free from infection in order for you to be able to have your surgery as scheduled.

A complete list of your medications (including any supplements you take). We will need to know: name, dosage, how often you take each medication and the time of day that your medication is taken. Please use the original bottles to obtain this information.

Allergies/sensitivities and types of reactions.

Medical and surgical history (exact dates of your surgeries are not needed unless your surgery has been within the past year).

Problems you or your family members may have with anesthesia.

If you have ever been diagnosed with MRSA (methicillin-resistant staphylococcus aureus), VRE (vancomycin-resistant enterococcus) or C. Difficile.

Only take medications as directed by your surgeon and primary care physician.

Common medications that are sometimes directed to avoid are insulin or oral diabetic drugs, diuretics (water pills), tranquilizers, or pain medications. Aspirin, ibuprofen, diet medications and blood thinners are usually halted seven days prior to surgery. But we advise you to check with your physician and surgeon to get the appropriate list of medications you should discontinue before your surgery.

Bring all your medications in the original bottles including eye-drops, inhalers, and any herbals or supplements. This will help us verify that we have all of your medication information correct for your hospital stay.

Lightly wash your entire body (from the neck down) with a special CHG soap such as Exidine or Hibiclens according to your surgeon's directions. Your surgeon may provide you with the soap, a special nylon sponge and bathing instructions.
Do not wear makeup including eye makeup.

Bring a copy of your Advance Directive (if you have one) and you insurance card and photo ID.

Bring any needed personal items and wear comfortable, loose-fitting clothing and good walking shoes.

Bring/wear appropriate clothing for your surgery:

  • Arm/wrist/shoulder surgery: all shirts must button up the front.
  • Hip and knee replacement: shorts, t-shirts, and athletic pants with the snaps on the side work very well. Bring three pairs of shorts and pants. You need slippers for sitting up in the chair and comfortable walking shoes to use during your physical therapy.
  • Knee and ankle surgery: athletic pants with the snaps of the side work very well or loose fitting pants and shorts that can slip over a bulky dressing.
  • Wear eyeglasses instead of contact lenses and bring a container for your glasses.

    Bring your CPAP machine if you use one for sleep apnea. It is very common for patients with sleep apnea to spend the first post-operative night at the hospital. Even if you are not scheduled to stay overnight with us, please bring it with you. We will want to monitor your breathing using your normal equipment.

    Arrive at the hospital two hours before your surgery and check in at the front desk. However, patients scheduled for a 7 a.m. surgery should arrive at 5:30 a.m.

    During your hospitalization or at discharge, vaccines for influenza and pneumonia are available to eligible patients. You may also request to receive a Tetanus, Diphtheria and Pertussis vaccine (Tdap). The number of cases of pertussis, commonly known as whooping cough, has increased in recent years, even reaching epidemic levels in some states. It is recommended that adults receive the vaccine at any time of the year regardless of when the last tetanus vaccine was received. If you are interested in having these vaccinations during your hospital stay, please let us know and we will discuss with your physician to learn if you are eligible.

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