The American Society of Anesthesiology (ASA) guidelines for preoperativefasting are available atd)Do not wear makeup or nail polish.e)Wear comfortable, loose clothing and low-heeled shoes.f)Leave valuables or jewelry at home.g)Brush your teeth in morning and rinse, but do not swallow any liquid.h)Shower the night before or day of the surgery.i)Follow health care provider's instructions for taking medications. j)Have a responsible adult accompany you and drive you home have someonestay with you for 24 hours after the surgery.
PATIENT EDUCATION GUIDELINESOutpatient Postanesthesia and Postsurgery Instructions and Information
Although you will be awake and alert in the Recovery Room, small amounts of anesthetic will remain in your body for at least 24 hours and you may feeltired and sleepy for the remainder of the day. Once you are home, take it easy and rest as much as possible. It is advisable to have someone with youat home for the remainder of the day.
Eat lightly for the first 12 to 24 hours, then resume a well-balanced, normaldiet. Drink plenty of fluids. Alcoholic beverages are to be avoided for 24 hoursafter your anesthesia or intravenous sedation.
Nausea or vomiting may occur in the first 24 hours. Lie down on your side and breathe deeply. Prolonged nausea, vomiting, or pain should be reported to your surgeon.
Medications, unless prescribed by your physician, should be avoided for 24hours. Check with your surgeon or anesthesiologist for specific instructions if you have been taking a daily medication.
Your surgeon will discuss your postsurgery instructions with you and prescribemedication for you as indicated. You will also receive additional instructionsspecific to your surgical procedure before leaving the hospital.
Your family will be waiting for you in the hospital's waiting room area near theOutpatient Surgery Department. Your surgeon will speak to them in this areabefore your discharge.
Do not operate a motor vehicle or any mechanical or electrical equipment for 24 hours after your anesthesia.
Do not make any important decisions or sign legal documents for 24 hoursafter your anesthesia.
Prolonged fasting before surgery may result in undue thirst, hunger,irritability, headache; and even dehydration, hypovolemia, and hypoglycemia.Make sure that patients understand preoperative fasting instructions per institution protocol. Nothing by mouth after midnight may not be necessary for surgeries scheduled later in the morning or afternoon.
1)Administer preprocedure medication; check vital signs.2)Escort the patient to surgery after the patient has urinated.3)Review the patient's chart for witnessed and informed consent, laterality (if applicable), lab work, and history and physical.4)Verify correct person, correct site, and correct procedure.
1)Check vital signs.2)Administer oxygen if necessary; check temperature.3)Change the patient's position and progress activity head of bed elevated,dangling, ambulating. Watch for dizziness or nausea.4)Ascertain, using the following criteria that the patient has recovered adequatelyto be discharged:a)Vital signs stable for at least 1 hourb)Stands without dizziness and nausea; begins to walkc)Comfortable and free of excessive pain or bleedingd)Able to drink fluids and void