BEFORE SURGERY

Preparing for Your Procedure

Once your physician has scheduled you for an outpatient surgery or procedure, you may be required to pre-register and complete preliminary lab work, an EKG or X-rays. If lab work is required, your physician’s office will make an appointment for you. Pre-admission hours are 8 a.m. to 4 p.m. Monday through Friday.

Advance Directives

You have the right under state law to accept or refuse medical treatment and the right to make advance directives. Advance directives are written instructions that state your choices about medical treatment or name someone to make decisions about your medical treatment if you are unable to make these decisions yourself. They are signed in advance to let your doctor and other health care providers know your wishes relating to medical treatment. If you would like more information about advance directives, please see the receptionist. If you have started an advance directive and would like it honored while being treated in our facility, please bring a copy for your chart. Learn more about living wills and advanced directives.

What to Bring the Day of Surgery


  • Insurance card
  • Photo identification
  • A list of all medicines you take and the dosages; include any over-the-counter medicine, vitamins and natural/herbal supplements
  • A list of all past surgeries and hospital stays with dates
  • An advance directive, if you have one
  • A parent or legal guardian must sign an operative consent form for a patient that is unmarried, under age 18 or judged incompetent; the legally authorized representative must provide lawful documentation before he/she can sign the consent form

The responsible person accompanying the patient should remain in the Good Shepherd Ambulatory Surgical Center during the patient’s entire stay. For more information, call 903.315.5333.

Medication Instructions

Take all routine medications as prescribed by your physician except, at least five days before your surgery, DO NOT take the following:

  • Herbs, supplements or diet aids
  • Vitamin E
  • Aspirin
  • Anti-inflammatory drugs

The evening before your surgery you may eat normally unless otherwise directed by your physician. Limit your alcohol intake. Do not eat or drink anything after midnight the night before your surgery or procedure including water, mints, gum or tobacco. You may brush your teeth, but do not swallow the water. Parents or legal guardians of pediatric patients should bring a bottle or sippy cup for them to have in the recovery room. 

DAY OF SURGERY

Instructions and Preparation

The morning of your procedure, take all medications as instructed by your doctor and any heart, blood pressure, asthma or seizure medications with a sip of water, if normally taken in the morning. If you take insulin, check with your medical doctor for dosages for the day of surgery.
 
Plan to arrive one to two hours prior to your surgery (if your surgery is scheduled for 6:30 or 7 a.m., come to the center at 5:45 a.m.). Your physician or a Good Shepherd Ambulatory Surgical Center nurse will designate your arrival time.
 
Wear comfortable clothing that is easy to slip back into after surgery. Remember you may be a bit drowsy while getting dressed, and you may have limited movement from the surgery or your bandages. Depending on your surgery site, you may keep your underwear and socks on in the operating room, as well as a pull-over sports bra with no fasteners or underwire. Do not wear blue jeans or tight-fitting pants for knee, leg or foot surgeries. Do not wear a pullover shirt for eye, head, neck or shoulder surgeries. Do not wear make-up for any facial or eye surgeries.
 
Leave all valuables and personal belongings (watches, rings, body piercing jewelry, etc.) at home. You may wear dentures, glasses or contact lenses. It is best to wear your glasses, but if you wear contacts, bring a case to put them in. A friend or family member should keep glasses or contacts during your surgery or procedure. Dentures will be removed for general anesthesia. Good Shepherd Ambulatory Surgical Center is not responsible for lost or missing items.

AFTER SURGERY

Instructions for Recovery

The normal recovery time is 30 minutes to three hours, or when your physician discharges you. Your self-report of pain is the single most reliable way for the nurse to know about your pain, so you will be asked to rate your pain on a 0-10 scale. Children and impaired patients will have alternative pain rating scales.
 
Your physician and nurse will advise you of any special instructions you should follow once you are home. All patients must be accompanied by a responsible adult when discharged. We advise you to arrange for someone to stay with you during the first 24 hours after your procedure. Do not drive a car, operate heavy equipment or drink alcohol for 24 hours after your procedure. If you have any questions or concerns after leaving our facility, please call your doctor, local hospital or go to the emergency room.