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Day of Surgery

What you need to know for the Day of Surgery:

Check-in – When you arrive at our center we ask that you check-in at the registration desk to verify personal, escort and insurance information.

Following Admission – After checking in at our center, you will meet with the nurse who will do a health interview and prepare you for surgery. You and your family or escort may stay with you until it is time for your surgery. An anesthesiologist will discuss your anesthesia with you and answer any questions. At the appropriate time you will be escorted to the operating room. During surgery your escort may stay in a waiting area and will rejoin you in the Phase II recovery area after your surgery.

Food and Drink
If you are arriving BEFORE noon:
Do Not eat or drink anything -- including water, ice chips, gum, cough drops, mints -- Nothing at all.

If you are arriving AFTER noon:
You may eat a very lite breakfast 9 hours prior to your arrival time. You may have clear, non-alcoholic liquids up to 6 hours before your arrival time.

Do not drink alcohol for at least 12 hours before your arrival.

No smoking after midnight the night before your surgery.

Makeup, Nail Polish, Jewelry (including body jewelry)
Please remove all these items before surgery.

Wear loose, casual, comfortable clothing to fit over dressings.  For shoulder surgeries, wear an oversize button-up shirt.

Please leave all valuables at home.


  • If you are diabetic we ask that you hold off on all your oral medication the morning of your procedure and any short acting insulin and may take half of your long acting insulin dose.
  • If you take any blood thinners (PLAVIX, COUMADIN, NSAIDS) these need to be discontinued one week prior to surgery as ordered by your surgeon. DO NOT STOP PLAVIX OR COUMADIN
  • Antacids (oral meds only)- follow normal regimen0
  • Nicotine, Lidocaine, and any Pain Patches- Leave the patch on
  • Diet Medications-Notify the anesthesiologist if the patient is currently taking any
  • Glucophage- HOLD the evening prior to and the morning of surgery
  • Please bring inhalers to the surgery center the morning of surgery
  • Cardiac/HTN- follow normal regimen
  • Do not take ACE inhibitors the morning of surgery (Aceon, Accupril, Accuretic, Altace, Benazepril, Capoten, Capozide ,Captopril,  Enalapril,  Fosinopril, Lexxel, Lisinopril, Lotensin, Lotrel, Mavik, Monopril, monopril HCT, Perindopril, prinivil, Quinapril, Ramipril, Tarka, Trandolipril, Uniiretic, Univasc, Vaseretic, Vasotec, Zestoretic, Zestril, Atacand, Atacand HCT, Avalide, Avapro, Azor, Benicar, Benicar HCT, Candesartan, Cozaar, Diovan, Diovan HCT, Eprosartan, Exforge, Exforge HCT, Hyzaar, Irbesartan, Losartan, Micardis, Micardis HCT, Olmesartan, Telmisartan, Teveten, Teveten HCT, Valsartan)

Notify The Center & Your Surgeon If:

  • You have an elevated temperature, cough, cold, vomiting or diarrhea and/or currently taking antibiotics between your last visit to the surgeon and the day of your surgery.
  • You suspect you may be pregnant.
  • You have any new cuts, scrapes, rash, or bruising on or near the operative site between your last visit to the surgeon and the day of your surgery

What You Need The Day Of The Surgery:

Information and Items To Bring With You:
Insurance cards, photo ID, Medicare or Medical Assistance information, Co-payment, Phone numbers and addresses, and a Current List of ALL Medication you take.
If you wear Dentures or Hearing Aids bring them with you. 
If you were given a brace, walking shoe, or sling bring them with you.  If you were given an ambulatory aid i.e. crutches, bring them with you but leave them in the car for after your procedure.

You must plan to have someone drive you home.  Do not plan to use taxis or other public transportation. YOU CAN NOT DRIVE YOURSELF HOME!

A friend, relative or dedicated caregiver MUST stay with you for 24 hours.

Legal Guardian
A legal guardian must be in the center AT ALL TIMES for children and dependent adults.

Care For Children
If you have young children at home for whom you normally care for, plan for someone else to care for them for at least the first 24 hours following your surgery.

If the patient cannot read, speak English or use sign language, and interpreter is required.  If you need assistance arranging for an interpreter, please contact the Scheduling department 530-241-5499 as soon as possible.

Once you are in stable condition, you will be discharged.  Most patients are discharged within a half hour to two hours after surgery.  It is normal to experience sleepiness and dizziness for 12 to 24 hours after surgery.