P A T I E N T   I N F O R M A T I O N

What is 
Ambulatory Surgery?

Benefits of 
Ambulatory Surgery
Why should I have my operation at The ASCW?
For Our Pediatric Patients The Days Before
Your Surgery
The Day of Surgery
Pre-Op Nursing Assessment Anesthesiologist's Evaluation Going Home
How Did We Do? Financial Considerations  
 

What is Ambulatory Surgery?

     Ambulatory surgery, also known as outpatient surgery, allows the patient to go home after an operation rather than being admitted to a hospital. Advances in surgical technology and anesthetic drugs have made ambulatory surgery a very positive experience. In fact, over 65% of all surgical procedures performed in the United States are performed in an ambulatory setting. Many surgeons prefer Ambulatory Surgery Centers because the environment is friendlier for patients and their families than in a hospital setting and the Centers offer more cost-effective medical care. Ambulatory Surgery Centers maintain the same high standards of patient care as hospitals.

 

Benefits of Ambulatory Surgery

     According to a recent study by the U.S. Department of Health and Human Services, patients prefer Ambulatory Surgery Centers to a hospital setting for surgery. Some of the reasons include:

  • Personalized, high-quality patient care

  • Less waiting time

  • Less paperwork to complete

  • More convenient location and parking

  • Patient-friendly environment

  • Less threatening environment, especially for children

  • Cost-effective care

  • State-of-the-art surgical technology

  • Welcomed family involvement

Why Should I have my operation at The Center?

     The Ambulatory Surgery Center of Westchester offers a warm and personalized setting that is convenient and efficient, allowing the patient to quickly return to the comfort of his or her own home. 
We also allow family members to stay with the patient before and after the surgical procedure. This comfortable, family oriented environment is also very suitable for children.

     Parents may stay with their child before and after surgery, and on occasion, may even go in to the operating room until their child has fallen asleep. Parents are encouraged to bring a favorite 
stuffed animal or security blanket for added reassurance.

 

For our Pediatric Patients

     The Ambulatory Surgery Center of Westchester is committed to providing special care for our pediatric patients. The family waiting area features a children's play area with toys, books and video entertainment. Before the child goes into the operating room, parents may be with their child in private cubicles with a selection of videos. 

     For younger patients, parents may, in many cases, accompany their child in to the operating room until he/she has fallen asleep. Parents may also be with their child upon awakening from anesthesia.

 

The Days Before Your Surgery

  • After your surgeon has scheduled your surgery at The Ambulatory Surgery Center of Westchester, you will be contacted by one of our financial coordinators to confirm your insurance information and to pay any deductible and/or co-payments. All fees not covered by insurance must be fully paid one week in advance of your surgery.

  • A nurse will also contact you to review your medical history and answer any questions or concerns you may have regarding 
    your upcoming surgery. If you take medications daily, the nurse will discuss with you which medications you should take on the morning of your surgery.

  • If you would like to speak to an anesthesiologist before
    your surgery, you may call to arrange either a telephone appointment or a visit to the Center. Our board-certified anesthesiologists are happy to address any anesthetic
    concerns you may have.

  • Depending on your health status, you may need to be 
    evaluated by your Primary Care Physician in advance 
    of your surgery or certain laboratory tests (blood work, 
    EKG or X-rays) may be required. All testing should be
     completed at least 5 days prior to your surgery to allow 
    the results to reach us in a timely fashion. Your surgeon's 
    office will discuss this with you.

  • Please call us at 914-244-6789 between noon and 3:00 p.m. the last business day before your surgery to confirm your arrival time and to answer any last minute questions you may have. (We are closed on Saturday and Sunday.) Please notify your surgeon immediately if your condition changes before surgery. This may include catching a cold, exposure to a communicable disease or any other change in your health.

  • Wear loose, comfortable clothing and leave all jewelry and valuables at home. Storage for clothing will be provided.

  • All patients must have a responsible adult to escort them home and remain with them for 24 hours following surgery. Your surgery will be cancelled if you do not have a responsible adult to take you home. We also recommend two adults accompany a child home; one to care for the child and the other to drive the car. 

  • If your surgeon writes a prescription for postop pain medication, you may either have it filled at your local pharmacy in advance of your surgery OR we will call your pharmacy on the day of surgery and you may pick it up after discharge from the Center.

The Day of Surgery

     Your diet on the day of surgery is very important. Please follow the diet instructions above very carefully to avoid having your surgery cancelled. Please call us if you have any questions.

     It is important that you arrive at The Ambulatory Surgery Center of Westchester at the time set by the Center. Remember, you must call us one business day before your surgery between noon and 3:00 p.m. to confirm your arrival time. (We are closed Saturdays, Sundays and holidays).

     Patients need to arrive one hour before the start of their surgery to allow time for preoperative preparations. Please call us if you have any questions.

  • Bring your insurance cards and referral form (if required by your insurance company).

  • Wear loose, comfortable clothing and leave all jewelry and valuables at home. Storage for clothing will be provided.

  • Do not wear contact lenses, make-up or dark fingernail polish.

  • Do not bring money, jewelry, credit cards or other valuables.

  • If your child is having surgery, please bring a favorite toy or blanket.

  • Please do not bring other children to the Center as they are not permitted in the clinical areas and childcare is not available. Parents will be with their children both before and after surgery. 

Pre-Op Nursing Assessment

     On admission, the Preoperative Nurse will review your medical history, discuss preparations for surgery, the surgical procedure, discharge plans and care at home. Please use this opportunity to ask any questions you may have. 

     Be sure to advise the nursing staff of any medical problems you have, and any medications you are taking (including prescriptions, over-the-counter and herbals).

 

Anesthesiologist's Evaluation

     An anesthesiologist will review your medical history and discuss your options for anesthesia on the day of surgery. The type of anesthesia you receive depends on your general health and 
the type of surgical procedure as well as your preferences, when possible. Three types of anesthesia may be used:

  • GENERAL ANESTHESIA: provides loss of consciousness and loss of sensation. 

  • REGIONAL ANESTHESIA: involves the injection of a local anesthetic to provide numbness, loss of pain or loss of sensation to a large region of the body. Sedatives may be given during placement of the block as well as during the 
    surgery for your comfort. Regional anesthetic techniques include:
    Interscalene block for shoulder or arm surgery. Local anesthetic is injected near the nerves in your neck which numbs your shoulder for surgery
    Axillary block for arm or hand surgery. Local anesthetic is injected near the nerves in your armpit which numbs your arm or hand for surgery
    - Ankle block for foot surgery. Local anesthetic is injected near the nerves in your ankle which numbs your foot for surgery

  • MONITORED ANESTHESIA CARE consists of medications 
    to make you drowsy and to relieve pain. These medications supplement local anesthetic injections, which are often 
    given by your surgeon. While you are sedated, your 
    anesthesiologist will monitor you throughout the procedure.

     If your surgeon would like you to be evaluated by an anesthesiologist, or if you would like to speak to an anesthesiologist prior to the day of your surgery, please call the Center at (914) 244-6789 to make arrangements. 

 

Going Home

     Your surgeon and anesthesiologist are responsible for determining when you are ready for discharge. When you are discharged, the nurse will review with you instructions for your care at home. We encourage you to ask questions -- it is crucial for you to clearly understand all post-operative instructions. You will also receive emergency contact numbers in the unlikely event that you require medical assistance after you leave.

     All patients must have a responsible adult to escort them home. Patients should have an adult with them for the first 24 hours after surgery. 

     Do not drive, operate machinery, drink alcoholic beverages, make any important decisions, or take drugs other than those prescribed by your physician for at least the first 24 hours. We recommend two adults to accompany a child home; one to care for the child and the other to drive the car. 

     When you arrive home, rest for the remainder of the day; your body needs time to recover from the stress of surgery. Gradually resume your normal activities.

     Follow the specific instructions provided by your surgeon regarding diet, exercise and resuming regular medication. A nurse will call you the next business day to see how you are doing and answer any questions you may have.

 

How Did We Do?

     The Ambulatory Surgery Center of Westchester was designed to make your outpatient surgery experience comfortable for you and your family members. Our entire staff is dedicated to providing the highest quality care available. 

     As part of our ongoing Quality Improvement Program, all patients are given a Patient Satisfaction Survey. We urge you to please share your comments with us regarding your experience at the Center. Thank you!

 

Financial Considerations

     A Billing Representative from The Ambulatory Surgery Center of Westchester will contact you in advance of your surgery to confirm your insurance information. All fees not covered by insurance must be fully paid in advance of your surgery. For your convenience, we accept VISA, MasterCard and your bank's debit card. If you have any questions about your bill, please call our Billing Representative at 914-244-6776.

 

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THE DAYS BEFORE YOUR SURGERY

Your diet before surgery is VERY IMPORTANT!
Please follow these instructions carefully: 

Adults and children
over 3 years of age:
 

No solid food after midnight.
**
Only clear liquids* after midnight until 2 hours before arrival at the Center.

**************************
Children less than 
3 years of age:

Patient may follow his/her regular diet (i.e., eat solid foods or drink formula or milk) until 6 hours before arrival at the Center.
***
Breast milk is allowed until 
4 hours before arrival. 
***
Clear liquids* are allowed until 2 hours before arrival.

* Clear liquids include water, ginger ale, apple juice (without pulp), or black coffee or black tea (without milk). 

If you drink non-clear liquids, such as orange juice with pulp, milk, coffee with milk or tea with milk, your surgery may need to be cancelled.

 

THE DAY OF SURGERY
Remember:

Please call us at
914-244-6789 between 
noon and 3:00 p.m. one business day before your surgery to confirm your
arrival time. We are closed Saturdays, Sundays and holidays.
****
Please follow the diet instructions very carefully 
****
All patients must have 
a responsible adult to 
escort them home
****
All fees not covered by insurance must be fully paid in advance of your surgery
****
Please do not bring other children to the Center. They are not allowed in the clinical areas and childcare is not available. Parents will be with their children before and after surgery.

 

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The Ambulatory Surgery Center of Westchester
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