Microsoft word - patient guidelines for procedures at sc.doc

Pain Specialty Consultants,P.A.
Patient Guidelines for Procedures at Surgery Center/ Hospitals
Your safety and well-being is our utmost priority. To ensure this please read this carefully and follow these
instructions. Any deviation from these may result in cancellation of your procedure and inconvenience to
all. Please inform us at least 48 hours in advance if you are unable to keep your appointment.
Before the Procedure: You are responsible for the following:
1. Most places require that you arrive at least 1 hour before the time of the 2. Illnesses: If you have a fever or are developing any symptoms of illness like sore
throat, cough, sputum, nausea, vomiting, diarrhea, headaches, and urinary tract infection please call and reschedule your appointment. No procedure will be done under these circumstances. 3. Injuries: Please let us know of any new injury that you have not informed the 4. Transportation: You should have a drive back home. No exceptions will be
5. Diet: Please do not eat or drink at least 8 hours before the procedure. You may take some of your prescribed medications with sips of water. You should continue to take your heart pills, blood pressure pills with sips of water 6. Medications: a) Please check with your family physician and make sure that you are permitted to stop Aspirin, Coumadin, Persantin and Plavix at least 7 days
before the procedure. Discontinue all anti-inflammatory agents (example—
Lodine, Advil, Naprosyn, Motrin, Relafen, Celebrex, Arthrotec, Mobic, for at
least for 5 days before the procedure. b) Please check with your family physician
and stop Glucophage at least 24 hours before the procedure. You should not
resume this for the next 48 hours. If you are on some other medication for your
Diabetes please check with us as to when to take it. Also if you are on insulin
please check with us. d)Please stop herbal supplements and Vitamins about 7 days
prior to the procedure e) Please check with the physician if you have any doubt
about any medication. f) You may continue to take plain Tylenol if needed.
7. Please inform the physician if a) you are pregnant b) allergic to Iodine or sea
food c) If you or anyone in the family has had a problem with any anesthetic
including local anesthetics like Novacaine d) if you are allergic to latex or tape.
e) If you or any family member has any bleeding problems.
8. Please read the consent carefully and sign it. Make sure to understand the discharge instructions before the procedure. 9. Please wear light and inexpensive clothing for the procedure. Your clothes may get stained. Please do not bring any valuables to the office. We cannot assume any responsibility of this nature. 10. The following may be expected on the day of the procedure a) IV in the hand for possible medication injection. b) You may be hooked up to monitors to check heart rate, blood pressure, respirations, Oxygen saturation c) Use of X-rays to optimize medication delivery to the target site. d) Monitoring in the recovery room to make sure that it is safe for you to go home.

Source: http://www.texaspainphysician.com/binary/org/SJM_PSP_265/doc/Pre_Procedure_Instructions.pdf