Patient Information and Forms

WHAT TO EXPECT

Please complete your medication list and surgical history on pages 9-10 of our SURGERY GUIDE and bring this guide with you to your pre-admission appointment. If you do not require a pre-admission appointment, bring the completed guide with you on the day of your surgery.

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Arrival
Our surgery center is located at 8207 W Amarillo Blvd, Amarillo, TX 79124. It is a gray building with red accents.

Directions
If heading East on Amarillo Blvd, we are located between Soncy and Coulter. The AUA Building is on the South side of the street right before the exit for Coulter.

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Pre-Admit Appointment
If you are scheduled for a pre-admit appointment plan to spend about 60 minutes at this appointment. A registered nurse will ask you questions about your health history, medications you are currently taking, and relevant information about the day of the procedure. If your physician has ordered any labs or an electrocardiogram (EKG), these too will be taken at that time. Any questions you may have will also be gladly addressed during this visit.

For additional instructions on PROSTATE BIOPSIES ONLY, see below.

Medications to Hold – 7 Days prior to surgery
ADVIL, ALEVE, ANACIN, ANAPROX, ANTIARTHRITICS, ARIXTRA, ASPIRIN, BEXTRA, BRILINTA, BUFFERIN, CELEBREX, COUMADIN, GARLIC TABLETS, GINKGO BILOBA, GINSENG, EFFIENT, IBUPROFEN, MOTRIN, MELOXICAM, MOBIC, MULTI VITAMIN, NAPROSYN, NAPROXEN, PENTOXIFYLLINE, PERSANTINE, PLETAL, PRADAXA, RUFEN, SUPPLEMENTS, TICLID, TRENTAL, ALL VITAMINS AND SUPPLEMENTS, ALL NSAIDS

The Night Before The Surgery
FOR YOUR SAFETY DO NOT EAT OR DRINK AFTER MIDNIGHT. This includes candy, gum, ice chips, and sip(s) of water. To minimize infection do not shave or wax near your surgical area. See above for medication instructions.

The Morning of The Surgery
On the morning of the procedure you may brush your teeth but do not swallow any water. Do not eat or drink. Do not chew gum, eat candy, or consume mints. Do not smoke or use chewing tobacco. With the exception of the medications listed above, hold your medications for only the day of your procedure.

The Day Of The Surgery
Wear comfortable clothes. Bring a picture ID and insurance card(s). Do not wear or bring jewelry. If you wear glasses, contact lens, hearing aids, or dentures, bring a case to store them in while in surgery. You will not be able to drive yourself home after surgery. Arrange for someone to drive you home and help you get settled.

Medicine – The Day of Surgery
ORAL DIABETES MEDICATIONS: Stop oral diabetes medicine the day of your surgery.

INSULIN: Use only half your insulin dose the day of your surgery. If your surgery is scheduled for the afternoon, please check your blood sugar around noon. If your result is less than 60, please call the surgical center at (806) 350-7388 and ask to speak to a registered nurse about your result.

BETA BLOCKERS: If part of your daily medications is a beta blocker, take your beta blocker the day of your procedure with only a small sip of water. Examples of beta blockers are:
betaxolol (Kerlone), betaxolol (Betoptic S), bisoprolol fumarate (Zebeta), carvedilol (Coreg), smolol (Brevibloc), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), nebivolol (Bystolic), penbutolol (Levatol), pindolol, propranolol (Hemangeol, Inderal LA Inderal XL, InnoPran XL), sotalol (Betapace, Sorine), timolol, timolol ophthalmic solution (Timoptic, Betimol, Istalol)

ALL OTHER MEDICATIONS: Until the day of your procedure, continue to take all your medications as prescribed by your physician. With the exception of the listed medications on this page, do not take your medications for ONLY the day of your procedure.

What To Expect When You Get Here
When you arrive at our facility, you will first check in at registration. A staff member will ask your name, and ask to see a picture ID and insurance card(s). At this time we will go over some basic information, Disclosure of Ownership, Patient Bill of Rights, Policy on Advanced Directives, and HIPAA Privacy Policy. You will verify and sign that your demographic information is correct and that you have been made aware of these documents. A copy of Disclosure of Ownership, the Patient Bill of Rights, and the policy on Advanced Directives is provided in our SURGERY GUIDE. After registering you will be asked to wait in the waiting area until we are able to take you back and prepare you for your surgery. At that time a nurse will escort you to the pre-op holding area. For just a short period of time, your family member(s) will be asked to wait in the waiting area. In the pre-op holding, you will be asked to undress and place on a gown. A registered nurse will confirm your identification, take vital signs, do a physical assessment, review your chart, have you sign consents, and start an IV. After this is done, you may have a family member(s) come sit with you while you wait for your surgery. During this time, if you have any questions or concerns regarding your surgery, we will be glad to address them.

Anesthesia
Your anesthesia provider will come speak to you while you are in the pre-op holding area. During this time, they will review your chart, ask you questions about your medical history, and answer any questions you may have about your surgery. Please fill out the top half of the form on page 9 and page 10 of our SURGERY GUIDE for your anesthesia provider.

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After Your Surgery
Immediately following your surgery, you will be taken to our post anesthesia area. There you will be carefully monitored by a qualified registered nurse. During this time you will be placed on a monitor that allows us to observe your post-operative vital signs. When you come out of surgery you will feel sleepy but that feeling should not last long. Most patients require some pain medication after surgery, which is arranged by your physician or anesthesiologist. It is important to let us know about your pain so you can be made as comfortable as possible.
Within a short period of time, your family member(s) will be allowed to come to your bedside and stay with you throughout the rest of your stay at our facility. The medical staff will discharge you when they have determined you are stable enough to go home. Discharge instructions and a medication reconciliation sheet will be given to you and your driver. A follow up appointment will also be set up if your physician needs to see you again. If applicable, any special instructions concerning catheters or dressings will also be given at this time.

ONLY FOR PATIENTS HAVING PROSTATE PROCEDURES INCLUDING UROLIFT

Prior to the Prostate Procedure

  • Use one fleet enema the night before the procedure and one fleet enema 1 to 2 hours before leaving your home to come to your appointment.
  • If ordered, take your prescribed antibiotic EXACTLY as ordered by your physician.

Medications To Hold – 7 Days Prior to Surgery
ADVIL, ALEVE, ANACIN, ANAPROX, ANTIARTHRITICS, ARIXTRA, ASPIRIN, BEXTRA, BRILINTA, BUFFERIN, CELEBREX, COUMADIN, GARLIC TABLETS, GINKGO BILOBA, GINSENG, EFFIENT, ELIQUIS, IBUPROFEN, MOBIC, MOTRIN, MULTI VITAMIN, NAPROSYN, NAPROXEN, PENTOXIFYLLINE, PERSANTINE, PLAVIX, PLETAL, PRADAXA, RUFEN, SUPPLEMENTS, TICLID, TRENTAL, XARELTO, ALL VITAMINS AND SUPPLEMENTS, ALL NSAIDS

If you are not sure if a product contains aspirin, call your pharmacist.

*Stop Eliquis and Xarelto 48 hours prior to prior to your procedure
*Stop Plavix for 5 days prior to your procedure