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Preparing for Surgery

Informed Consent

  • When you are evaluated for your surgery in the clinic, the surgeon will explain the procedure and have you sign a consent form.
  • If the surgeon feels you will benefit from an evaluation with the anesthesiologist ahead of time, it will be arranged before your surgery. Otherwise, you will meet the anesthesiologist in the holding area just before surgery.

Pre-Admission Testing

  • When you are evaluated for your surgery in the clinic, the surgeon will explain the procedure and have you sign a consent form.
  • If the surgeon feels you will benefit from an evaluation with the anesthesiologist ahead of time, it will be arranged before your surgery. Otherwise, you will meet the anesthesiologist in the holding area just before surgery.

Pre-Operative Testing

  • A pre-operative examination with additional tests may be necessary. You will receive a letter with instructions of where to go and what to do to prepare you for surgery.
  • Your surgery may require blood replacement through intravenous transfusion. If you wish to donate your own blood (autologous blood donation), you will be contacted about arrangements for the donation. Autologist blood donations are drawn approximately 3 weeks before your surgery.

Pre-Operative Home Evaluations

  • Some orthopaedic procedures require you to make changes in your home. These changes are meant to make your home a safe environment when you return home from the hospital.
  • A physical therapist will visit you prior to surgery and make suggestions based on your needs. The physical therapist will also instruct you on exercises to help speed your recovery.

Advance Directives

  • Advance Directives tell us your decision regarding your acceptance or refusal of life sustaining medical treatment.
  • You will be given a packet when you arrive in the Ambulatory Surgical Unit and questioned about your decision.
  • If you have advance directives, please give a copy to your nurse on the day of surgery.
  • Packets may be obtained during your initial clinic visit.

24 Hours Before Surgery

  • The nurse from the Ambulatory Surgery Unit (ASU) will contact you between the hours of 2 and 5 p.m. the day before surgery.
  • The nurse will advise you of the following:
    • What time to arrive at the hospital
    • When to stop eating and drinking
    • What medicines may be taken
    • What paper work to bring with you
  • You will be asked for identification when you arrive.

Smoking and Alcohol

  • Johns Hopkins Bayview is a smoke-free facility.
  • There should be no smoking or drinking of alcohol at least 24 hours before surgery.
  • If you require assistance with abstaining, please advise your surgeon.
  • Smoking and alcohol can delay the healing process.

Cellular Phones

  • Please remember that the use of cellular phones is prohibited inside the hospital due to the interference they cause with the electronic equipment we use.

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