Preparing for Procedure

Preparing for surgery, whether for an adult or child, can be a very stressful time. The staff at Baystate New England Orthopedic Surgery Center are focused on your safety and care.

Pre-Registration

Once your surgery has been scheduled:

You will be provided a link via text to opt into text messaging. You will then be able to complete an online health questionnaire about your past medical and surgical history along with entering a list of the medications that you take daily including over-the-counter medications and herbal supplements. If you do not complete this online, one of our Registered Nurses will contact you to review these items and enter them into our system. It is especially important to know your blood pressure, diabetic, and heart medications. The nurse will then review instructions about taking medications prior to your procedure and other important information you may need to know for your surgery.

Depending on your age and medical history, you may need to have a few minor tests prior to your surgery to further assure the safest of outcomes for you. You will receive instructions for any tests from your surgeon’s office. The results from these tests will automatically be forwarded to your surgeon and our surgery center.

*Prior to the day of surgery, if there are any changes in your physical condition, please notify your surgeon’s office. The doctor may choose to postpone your surgery.

If you are having any anesthesia or sedation, you must have a responsible caregiver accompany you and stay at the surgery center, drive you home after your surgery, and stay with you overnight.

The Day Before Surgery

You will receive a text message or a call from a nurse from Baystate New England Orthopedic Surgery Center with your arrival time 24 hours prior to surgery. This is the time you should arrive at the center to complete your registration paperwork, interview with peri-operative staff, physicians, and anesthesia to prepare you for the operating room.

Because preparing for surgery is very important and to assure your safety with the best possible experience, we have listed some important rules for you to follow. Ignoring these may cause your surgery to be delayed or cancelled.

If You Are Having Anesthesia / Sedation:

  • Do not eat or drink anything 8 hours prior to your scheduled arrival time unless otherwise instructed. To be safe, most patient stop after 12:00 midnight the night before surgery (this includes chewing gum, lozenges, hard candy and chewing tobacco).

  • Do not drink alcoholic beverages, smoke or vape 24 hours prior to surgery. Do not use recreational drugs (this includes marijuana) for 48 hrs. prior to surgery. Failure to follow these instructions may result in the cancellation of your surgery.

  • You must have a responsible adult drive you home and remain with you during the first 24 hour after surgery. Most patients are ready to go home 45 minutes after surgery. The person taking you home must pick you up as soon as you are ready to be discharged. Caregivers are asked to remain in the building while the patient is in surgery. If your caregiver must step out, please ask them to tell the receptionist.

  • Please make arrangements for childcare, while you are at the center. To allow you the ability to focus on your surgery and recovery, children under the age of 13 are not allowed into the pre-operative and recovery room areas.

  • If you are diabetic, you will be given instructions as to the dose and time to take your medication prior to arriving at the center.

  • If you take chronic pain medication, blood pressure or heart medications, except diuretics, please continue to take as you normally would.

  • If you routinely take a medication that thins the blood, you must speak with your surgeon about when to stop this drug and if you may need any blood tests before surgery (i.e. aspirin, Coumadin, Plavix, Naprosyn, Motrin, Predaxa).

  • Bring a complete list of all medications you take with dosage and frequency. If you have any questions, contact us at (413) 286-1020 and ask to speak with a pre admission testing registered nurse.

  • If anything has changed with your health (for example, if you have a cold, fever, or respiratory infection, covid or covid like symptoms, rash), please call the surgeons office before coming for your surgery. If symptoms occur after business hours the day prior to surgery, leave a message at Baystate New England Orthopedic Surgery Center (413) 286-1020.

The Day of Surgery

If you are delayed in arriving, please call the surgery center as soon as possible at (413) 286-1020.

On the day of surgery, we ask that you

  • Bathe before you arrive for surgery. Remove all make-up. DO NOT use lotions, oils, or perfume / cologne.

  • Do NOT shave the operative area.

  • Do NOT bring valuables with you on the day of surgery.

  • Do NOT wear jewelry of any kind.

  • You will be asked to remove dentures and glasses when getting ready for surgery, so please bring a case with you. If you wear contacts, please remove them and wear your glasses.

  • Bring a list of all current medications (including vitamins and herbals), the dosage and how often you take them.

  • Wear loose, comfortable clothing that is big enough to accommodate a large bandage, brace or sling after surgery. Please wear comfortable slip-on, flat shoes.

  • Shoulder and neck surgery patients please bring an oversized easy to button-up shirt.

  • Bring a picture ID, insurance cards, and any copay.

  • If you have a Massachusetts Health Care Proxy form, please bring it on the day of surgery so a copy can be placed in your medical record.

  • Bring any orthopedic device provided to you ( i.e. sling, surgical shoe, braces, crutches, walkers).

Visitors

  • One caregiver (over the age of 16) may remain with you prior to your procedure in the pre-operative area and in the recovery room following the procedure.

  • If your child is having surgery, both parents / legally designated caregiver are allowed to be in the pre-operative and recovery room areas. A parent / legally designated caregiver must stay at the center during the surgery. Please leave all other children at home if possible.

  • Your anesthesiologist, surgeon, and operating room nurse will visit you in pre-op. They will re-verify information and answer any questions you may have. You will be in the pre-operative area for about one to two hours depending on the procedure.

  • After your surgery, you will be taken directly to the recovery room where you will again be monitored by nurses.

The Recovery Room

Your caregiver will be allowed in the Recovery Room with you when it is appropriate. For the privacy of you and other patients, limited visitors are allowed in the recovery area. You will be offered crackers and a light beverage. The length of time you will be in the Recovery Room is dependent on the type of procedure and anesthesia you had, your pain level, and your ability to tolerate fluids.

Once you are awake and alert, the nurse will review with you and your caregiver the discharge instructions written by your physician which you are to follow at home. You will be given a copy of your discharge instructions to take home with you.

Please note: Everyone reacts to surgery differently. In some cases, the patient may need to be admitted to the hospital following the surgery for specific medical reasons. If the need arises, be assured that this decision will be made in conjunction with anesthesia personnel and your surgeon. You would be admitted to Baystate Medical Center.

When You Go Home

If you have had anesthesia / sedation please follow these discharge instructions upon arrival home:

  • You must have your care-giver stay with you for the first 24 hours. You may be drowsy or dizzy and unsteady on your feet.

  • Rest and relax. You have just had surgery. Follow your doctor’s recommendations for resuming your normal activities.

  • Eat a light meal when you get hungry. Eating too much, or heavy foods, may cause you to become nauseated.

  • Remember to follow your doctor’s instructions on resuming any previous medications you had been on, as well as taking any pain medication prescribed for you.

  • Do NOT drive, drink alcoholic beverages, operate heavy machinery or power tools for at least 24 hours after your surgery.

  • If you feel you are experiencing any problems after your discharge, call your doctor’s office immediately. If your doctor is not available call the Emergency Room at your local hospital or 9-1-1 if it is an extreme emergency.

You will receive a phone call from a member of our nursing staff on the following business day to check on your progress.

If Your Child is Having Surgery

Baystate New England Orthopedic Surgery Center is a child-friendly facility. Our surgeons perform several different types of children’s surgeries each year. Our nursing staff has had many years of experience in caring for children and understands the impact surgery has on them. You and your child are welcome to take a tour of our center the day before your child’s surgery to relieve any uneasiness the child may have. Please contact our center in advance to arrange this opportunity.

Children over the age of 2 years may have nothing to eat or drink after midnight unless otherwise instructed.

  • If your child is under 18 years old, a parent, or legal guardian must accompany the child, sign all consent forms, and remain in the building for the duration of the surgery. Legal guardians must bring guardianship paperwork.

  • Parent / legally designated caregiver will be asked to wear an identifying bracelet with the same information contained on the child’s bracelet. You may remove these once you are discharged from the facility.

  • Parent / legally designated caregiver shall remain in the pre-operative area with the child until the time of surgery.

  • Parent / legally designated caregiver shall NOT leave the facility while the child is having surgery.

  • Parent / legally designated caregiver may be with the child during the recovery process as soon as Anesthesia / Recovery Room nurse determines it is appropriate.

  • If possible, arrangements should be made for the care of siblings. The child having surgery will need your full attention.

  • Encourage your child to bring a favorite toy or blanket.

  • If your child uses diapers, a pacifier, a bottle, or a “sippy” cup, please bring them along.