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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
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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.
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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.
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Bring your insurance cards
and referral form (if required by your
insurance company).
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Wear loose, comfortable
clothing and leave all jewelry and valuables at
home. Storage for clothing will be provided.
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Do not wear contact lenses,
make-up or dark fingernail polish.
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Do not bring money, jewelry,
credit cards or other valuables.
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If your child is having
surgery, please bring a favorite toy or
blanket.
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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:
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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
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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. [back
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