Admission Instructions

 

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.

 

On the NIGHT BEFORE & DAY OF Surgery

  •  If you are unwell, develop a cold, fever before surgery, please inform your doctor right away.

  • 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.

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

  • Bring a responsible family 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.

  • Bring your NHIF Card or other proof of medical insurance on admission

  • Bring your ID or Passport as proof of your identification.

  • Bring all your X-rays, CT-scan or MRI with you.

  • 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 staying for more than one night, bring only essential personal care items. PLEASE LIMIT BELONGINGS TO ONE SMALL BAG.

  •  The anaesthesiologist  will ask you questions about your health before your surgery Its importanta you inform them about all your health problems. If needed, they may order additional tests.

 

 

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 may paint your leg 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 gum after midnight the night before operation. An empty stomach will help prevent vomiting.

  • If you have other problems that make you more likely to be sick, the anaesthesiologist may order special medicine for you

  • Your surgery may be cancelled if you do not follow these guidelines.

 

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.

 

Your arrival

You will arrive at the hospital admitting area 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 8 am. 

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

 

Anaesthesia:  

 

There are 2 types of Anaesthesia:-

General Anaesthesia:  

Here you are ‘asleep’ or unconscious. Anaesthetic drugs are usually given through I.V drip or through a mask which covers your mouth and nose..

Regional/ Local Anaesthesia:

‘Freezing’ or ‘Local anaesthetic’ (Like what dentists use) is injected near nerves to numb a part of your body. You may remain awake or you may have drugs to make you feel sleepy. Tell your anaesthesiologist how sleepy you wish to me. We always test to make sure that the operation will not hurt. The area will be covered with a sterile sheet to help protect you from infection so you will not be able to watch the operation.

 

In the operating room:

 

You will be positioned on a flat table so you are safe and comfortable. Equipment will be put on you so your heart activity, blood pressure and oxygen level can be checked. Your anaesthesiologist will make sure you are as comfortable as possible at the end of your surgery. Special pain control methods may be necessary and usually will be discussed with you before your operation. 

 

After your anaesthetic:

When your operation is finished, your anaesthesiologist will take you to the recovery room. While you are waking up, the nurses will check your heart, breathing and blood pressure. They will remind you to breathe deeply and may give you oxygen.

If you need anything for pain or nausea, they will give it to you. Your anaesthesiologist is responsible for your care in the recovery room.

 

How safe is Anaesthesia?

 

A general anaesthetic can cause sleep, nausea, vomiting, sore throat, hoarseness, sore muscles and headache. It is possible that your teeth may be damaged if there is a problem keeping your breathing passage clear. Regional anaesthetics occasionally cause headache and rarely can cause low blood pressure or trouble breathing. Your anaesthesiologist is trained to manage these situations and will be with you throughout your operation. Overall, the chance of a serious injury or death from an anaesthetic is less than 1 in 10,000. It is safer than driving in a car.

 

On Discharge

 

Same Day As Surgery( Day Case):

  • You will go home as soon as the doctor and nurses have found that you are able.

  • A responsible adult MUST accompany you home after surgery. (You cannot go home alone or unaccompanied in a taxi.) We recommend you have someone stay with you for the first 24 hours that you are home.  

  • For 24 hours after an anesthetic, do not do anything that needs coordination or judgment. This includes driving a car and making important decisions.

  • Do not drink alcohol. Alcohol may add to the anesthetic effects.

 

Discharged After One Or More Nights In Hospital:

  • You will be informed the day before discharge.

  • Prepare to clear your bill with the billing office the day before to avoid delays.

  • You will be given further instructions to follow on discharge.

 

When you are home

·     Please follow the instructions given to you.

·     Get any prescribed medications and take as directed.

·     Pain medications should be stored safely in your house

·     Keep appointments for follow-up care with your doctor.

·    

 

Contact your doctor for any problems after surgery.

 

 

source: http://vch.eduhealth.ca, http://www.uhs.nhs.uk 

© 2019  Machakos Orthopaedics