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The Surgical Suite at The Hand Surgery and Rehab Center is a specialized operative environment tailored to the needs of upper extremity surgery. The Ambulatory Surgery Center of HSRC is AAAHC accredited and specializes in hand surgery. We maintain the highest standards of ambulatory surgical care as regulated by the Accreditation Association for Ambulatory Healthcare (AAAHC).
Accreditation is a voluntary process through which an organization is able to measure the quality of its services and performance against nationally recognized standards. The accreditation process involves self-assessment by our organization, as well as a thorough review by the Accreditation Association's expert surveyors, who themselves have extensive experience in the ambulatory health care environment.
The Accreditation certificate is a symbol that we are committed to providing high-quality health care and have demonstrated that committment by measuring up to the Accreditation Association's high standards
We endeavor to make your surgical experience as pleasant and stress-free as possible. You will find our Registered Nurses and support staff to be talented and helpful. As an outpatient facility, there is no need for an overnight stay and our schedulers attempt to keep your waiting time to a minimum. Your family member or friend who may accompany you can expect a post-operative visit from the surgeon describing your operative and expected post-operative care.
At the Hand Surgery and Rehabilitation Center, a surgical coordinator will schedule your surgery. Please review the following tips to avoid any delays in your procedure.
- Provide the Surgical Coordinator with a telephone number for confirming your surgery date and time.
- Notify us as soon as possible if you have a cold, persistent cough, sore throat or fever that has developed within one week before surgery.
- Notify us if you suspect you are pregnant.
- Call (856) 983-HAND extension 111, for questions regarding precertification of your surgical procedure.
- Contact your insurance company if precertification is also required for other procedures, such as lab work, EKG's or MRI's.
- For additional questions, please contact the Surgical Coordinator at (856) 983-HAND extension 108.
The need for pre-operative testing is based upon age and medical condition. Results of tests are needed at least one week prior to surgery. We will assist in arranging pre-operative testing.
- A written release from a family doctor or referring physician is required if there are any other medical conditions that could complicate recovery.
Day Before Surgery
We will call you the day before surgery to review pre-operative instructions and confirm arrival times. It is important to remember:
- Do not eat or drink anything after midnight the evening before surgery.
- Make arrangements for a family member or friend to stay with you at the Hand Surgery Center on the day of surgery. You will not be permitted to drive yourself home.
- As required by law, patients under 18 years of age must have a parent or legal guardian remain at the Center throughout the surgical procedure and recovery time.
Day of Surgery
The following rules are important to follow on the day of your surgery. These rules are for your safety, comfort and convenience.
- Do not eat or drink anything, including water. (Take important medications with only a sip of water.)
- Arrive at the scheduled time.
- Leave piercings, jewelry, money, credit cards and other valuables at home.
- Do not wear nail polish.
- Check in with the Operating Room Receptionist and complete the questionnaire concerning health status.
- Wear loose clothing that can be both removed and put on easily. We will secure your clothes in a private locker and provide a patient gown for you to wear. After changing, the anesthesiologist will meet with you to discuss your anesthesia.
- A family member or friend must remain at the surgery center during the procedure. That person will be responsible for driving you home.
After surgery you will be attended by a Recovery Room Nurse. The surgeon will speak with a family member or close friend regarding the results of the surgery. A summary of your surgeon's instructions concerning medications, bandages and a date for a follow-up visit will be provided at discharge. For your comfort and safety for the next 24 hours after surgery:
- Be sure to resume taking any prescription drugs that you are required to take in addition to medicines prescribed by your surgeon.
- Be sure to have a responsible adult stay with you for the first 24 hours.
- Do not drink alcoholic beverages.
- Do not drive a vehicle.
- Do not operate heavy equipment.
- Do not sign important documents or make significant decisions.
Types of Anesthesia
Axillary Blocks are used when a surgical procedure lasts longer than 30 minutes. An intravenous line (IV) will be placed in the non-operative hand and a sedative will be given to help you relax. The hand or arm requiring surgery will be injected in the armpit area with a medication that will make your arm numb. During the surgical procedure, you will be relaxed, sleeping or dozing. You should not experience any pain. However, if there is any discomfort, you will be able to receive additional sedation.
An intravenous line (IV) will be placed in the non-operative hand and a sedative will be injected through the IV to help you relax. After you are sedated, the surgeon will inject the precise area that he will be working on with a medication that will numb just that area. If you experience any pain or discomfort during the surgery, the surgeon will inject more medication. You will be very comfortable during the surgery and you may sleep or doze.
Straight local sedation is used for patients who do not want to be sedated. The surgeon will inject the area where the surgery will be performed with a medication that will make the area numb. You will be able to feel the sensation of touch and pressure, but you will not feel pain. You will be completely aware of your surroundings and be able to eat, drink, drive yourself and leave immediately after the surgery.
General anesthesia may be recommended on occasion. A medication will be injected into an intravenous line (IV) or administered by a breathing mask. General anesthesia allows you to sleep during the operation so that you do not experience any pain or discomfort. You will feel drowsy and need assistance for about a day following your surgery.