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Preparation for Surgery 

 

This factsheet will advise you on how to prepare for you admission in hospital. It gives you the necessary information so that you are best prepared.

 

Medical Clearance

Before any surgery, the patients are evaluated to see if they are medically fit to undergo surgery. Seeing the anaesthesiologist at the Machakos Doctors Plaza for Medical clearance ensures it is done in advance in order to avoid delays/ cancellations. Medical clearance is done for patients with any health condition that may be serious to cause problems during anaesthesia.  This done for the following patients:

  • All patients above 50 years of age 

  • Diabetes

  • High blood pressure

  • Thyroid disease

  • Heart disease

  • Taking any blood thinning medication

  • Any other condition that the surgeon identifies that could pose a risk.

If you are unwell, develop a cold, fever, have any problems with your teeth before surgery, please inform your doctor right away.

This is your time to meet with an anaesthesiologist and ask all the questions about your anaesthesia. During the clearance you may be sent for tests to check on your health. Some of the tests are: Blood test for Diabetes, Checking the amount of blood you have, Kidney or Liver function, ECG, Echocardiogram to look at the heart.
 

Other important information needed during medical clearance or before surgery may include:

  • Your previous operations and anesthetic experiences

  • Any difficulties you have had with past anaesthetics

  • Any serious complications of anaesthesia experienced by you or your family members (such as malignant hyperthermia)

  • Any allergies you have (or drug sensitivities)

  • Whether you have any other chronic medical conditions.

  • What medications you are taking, including prescription medications, over the counter medications, and herbal preparations.

  • If you are a woman, whether you are or could be pregnant, or whether you are currently breast feeding

Special measures that may be taken in your case if the risk is higher for surgery (ie. extra monitors, need for stay in intensive care after surgery, etc.) Your doctor will advise further on this.

For patients not needing medical clearance the anaesthesiologist may see you; in the hospital if you are already admitted, or in the operating area on the day of surgery prior to going into the operating room.

 

Directions for medication

Bring all your medications in their labelled containers to the hospital with you. Take your usual medication with a small sip of water as the anaesthesiologist directed you. Special instructions will be given about high blood pressure, diabetic medication, blood thinners and aspirin.

 

If you are on blood thinning medication like Xarelto, Asprin, Warfarin, Clopidogrel or Heparin, they can make you bleed easily during and after your surgery. This medication needs to be stopped well before surgery. Please tell your surgeon or anaesthesiologist during booking of surgery so that they advice you when to stop. 

 

Smoking and Drinking Alcohol:

If you are a smoker it would be advisable to stop smoking 2 weeks before surgery. Do not smoke/ drink alcohol for 24 hours before your surgery. Smoking interferes with wound and fracture healing and can affect your lungs during general anaesthesia.

 

Investigations & X-rays.  

Bring all your X-rays, CT-scan or MRI, any blood tests that have been done with you.

 

Insurance Information

Ensure that your NHIF card payments are up-to date. If you are not sure, please visit your nearest NHIF office to confirm your status.

Prior to surgery, take your filled & signed NHIF/ Insurance preauthorization form, medical report from surgeon and X-Ray report, Copy of ID & NHIF/Insurance card, to Bishop Kioko Catholic Hospital Billing office room 33.

Bring your NHIF Card and other proof of medical insurance, ID/ Passport on admission. 

For children, the original birth certificate and parents ID maybe required during admission if you are on NHIF.

 

What to carry during admission

  • If you use crutches, walking stick or walker, please come with them on admission.

  • Wear glasses and hearing aids if required. 

  • Wear walking shoes and loose fitting clothes that will be comfortable after your surgery. 

  • If you are admitted for more than one night, bring only essential personal care items( Basin, Face towel, bathing soap, tooth brush, toothpaste). PLEASE LIMIT BELONGINGS TO ONE SMALL BAG. 

  •  The hospital only allows fruits, packed juice/ Milk, dry snacks like Cake, biscuits only. They don’t allow cooked food to be carried for the patient during visiting hours. 

 

What time to come for Admission: 

You will arrive at the hospital in time for final preparations for surgery or admission. 

  • For patients having surgery on the same day, you are advised to be in the hospital by 7 am.  

  • For patient having surgery the next day, you need to be in hospital by 12 pm the day before your surgery.


Hygiene Instructions. 

  • Bathe the night before surgery and on the morning of surgery.  Use Dettol/ Savlon with the last rise to disinfect yourself. This reduces the risk of infection.

  • If admitted, the nurses at night will paint your leg/arm with a Brown Disinfectant (Betadine). Please don’t wash this off. 

 

Directions for eating and drinking

  • DO NOT eat food, drink alcohol, eat sweets or chew gumafter midnight the night before operation.

  • An empty stomach will help prevent vomiting. If you have other problems that make you more likely to be feeling like vomiting , the anaesthesiologist may order special medicine for you. Your surgery may be cancelled if you do not follow these guidelines.

 

Other information:

  • Remove all makeup, nail polish, contact lenses, wigs, Hair pins , Piercings and jewellery including your wedding ring if possible before admission. 

  • Bring a responsiblefamily member or friend to hospital with you if you are going home the same day you have your surgery.

  •  If you are unable to speak English, Kiswahili or Kikamba, please come with someone who can help with translation during your admission.

  • If have hearing impairment and communicate with sign language please come with someone who can help interpret for you. 

 

 

source: http://vch.eduhealth.ca    https://www.cas.ca/English/Preoperative-Assessment