What to Expect
You will receive your pre-procedure instructions from your physician’s office. It is very important that you follow these instructions carefully. If you have any questions, please do not hesitate to call your physician’s office.
You will also receive a call from one of our pre-evaluation nurses to obtain health-related information and answer questions. This interview will be pre-arranged at a convenient time that meets your needs. This interview is a mandatory part of your surgical experience and must be completed as scheduled prior to the day of surgery.
Upon arrival, please check in at the Hillside Surgery Center. We are located at Hillside Medical Park; use Entrance B to park. Note the green awning for entrance into the Surgery Center. You will enter our waiting room/reception area. Someone at the desk will help you to check in and complete registration if necessary. Please have your photo ID ready and a copy of your insurance card ready. You will receive your identification band. If the patient is a minor, the parent/guardian will also receive an identification band matching the patients. For minor patients, the parent/guardian must stay on the premise at all times the patient is in our care. From there a nurse will get you prepared for surgery/procedure i.e. review of your health history, home medications, gown, slippers, vital signs, intravenous line (if applicable) and medications as ordered.
The anesthesia provider will speak with you (if applicable) about anesthesia options that will work best for your surgery/procedure and according to your past health history. The anesthesia provider will obtain your signature on an Anesthesia consent agreeing to that intended plan of care.
Your physician/surgeon will speak with you before surgery to review the planned surgery/procedure, obtain your signature on the Surgical/Procedural Consent Form, mark the surgical site, and answer any questions you may have.
The operating room nurse will introduce him/herself to you and your visitor, verify consent and review the surgical site with you including laterality. Your understanding of this is very important; please ask questions. The nurse and anesthesia provider (if applicable) will bring you into the operating room. The nurse will then explain items such as body position, safety precautions, monitoring devices and comfort measures. After the surgery is performed you will be transported to the recovery area.
We understand you have many choices in health care and appreciate you chose us to assist with your health care needs. We strive to ensure you are happy and safe throughout your stay with us. Part of these efforts include National Safety Initiatives which include something called “Sign Ins, Time Outs and Sign outs” while you are in the Operating Room. As experienced staff we are always adapting and improving our already safe and efficient practices. We don’t anticipate any issues arising in the process but will be prepared to handle them if they arise.
Your post-operative care begins when you are admitted to the PACU (Post-Anesthesia Care Unit) and extends through your discharge from this facility.
Your time spent in the ASC after surgery/procedure varies with your age, physical health, type of procedure, anesthesia used and post-operative events.
A nurse in the PACU area will be taking care of you during your post-operative phase. The nurse will monitor your vital signs closely and provide for individual needs and comfort.
Pain management for you is important. You will be asked to help us accomplish this by using a pain scale of 0 to 10 with zero being the least severe and 10 being the most severe. This will help us to know what and how much medication you may need.
Education for home care is essential to a positive outcome. Please expect that your visitor will be requested at your bedside to review the home care plan. The instructions will include: wound care, diet, activities, use of pain management measures, medications, follow-up visits with your surgeon/provider and any other special instructions and precautions.
After all discharge criteria have been met, you will be discharged with a responsible adult.
Plan for someone to stay with you for the first 24 hours after your surgical/procedure or until the following morning.
One to three business days after surgery you will receive a follow up phone call by a nurse from the Surgery Center to see how you are doing. Please be honest and share your experience with us – positive or negative this is how can implement change as needed.
Frequently Asked Questions
Any pre-operative testing required will be determined by your surgeon, anesthesia provider or as instructed by the pre-operative nurse and will be arranged prior to the date of surgery/procedure. This can be at a location of your convenience but we do ask that if tests are performed outside of LRGHealthcare facilities you request a copy of results to be sent to Hillside Surgery Center, 14 Maple Street, Gilford NH 03249.
The pre-operative nurse will ask you if there is a chance you may be pregnant. This is important, because anesthesia and medications may be harmful to your developing baby.
A patient’s response to the anesthesia drugs may vary based on drug and alcohol usage so please be honest with use in order to help us take better care of you.
Smoking may interfere with the anesthetic and frequently produces nausea during the recovery period.
Return to work will be determined by your surgeon.
Return to exercise will be determined by your surgeon based on your surgery/procedure.
For safety and sterility reasons, the surgical center does not allow family members or others not on the surgical team to observe surgeries.
The operating room temperature is kept low for the maintenance of our equipment and to maintain sterility of our supplies. You will be kept warm throughout your procedure with blankets.
The surgical center is fully equipped with state-of-the-art emergency equipment and supplies. The surgical center utilizes the same Anesthesia providers as our affiliated hospital, LRGHealthcare. The recovery room nurses are trained in critical care, and are ACLS & PALS (Advanced cardiac/life support) certified. In the event of an emergency, the patient is stabilized and then transferred via ambulance to the hospital of the physician’s choice.
Patients are often comfortable when leaving the surgery center and do not think they will need anything as strong as a prescription pain pill. Your pain will be better controlled when you take your pain medication as prescribed. It is much easier to keep your pain under control than try to alleviate it with more medication once you are very uncomfortable. We recommend that you fill your prescription.