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Fit for Surgery Plus

Fit for Surgery at Franciscan Health Indianapolis and Carmel is a program to enhance the readiness for surgery and minimize complications after surgery. There are some things you can do so you can have better outcomes from your surgery.

Fit for Surgery Plus

Tobacco

  • Smoking cigarettes or using other tobacco products can increase your risk of heart attack, infection and death. You may also heal more slowly after your surgery.
  • The sooner you stop tobacco use before surgery, the better.
  • Ask how we can help you quit with free counseling and samples.
  • Our Aspire tobacco cessation program is here to help you quit tobacco use.

Medication Management

  • Stop taking all herbal and vitamin supplements two weeks before your surgery.
  • Do not take aspirin or NSAID medications (such as Ibuprofen®, Advil®, Motrin®, Aleve®, Celebrex® or Mobic®), unless your physician instructed otherwise.
  • If you are an insulin-dependent diabetic, do not take insulin the day of your surgery, unless instructed otherwise by your doctor.
  • All patients with diabetes should continue to check glucose as usual. Patients should travel to and from the surgical facility with a form of hypoglycemic treatment (i.e. Sprite or 7-Up) and drink 4

    ounces if you have symptoms or if blood sugar falls below 70 mg/dL. Patients may resume normal 

    insulin and oral diabetes regimen when eating. Patients may arrive at the surgical center earlier than 

    their scheduled time if symptoms persist.

  • Please take only the medications that you have been instructed to take on the day of surgery.
  • If you use any inhalers, please bring the inhaler(s) with you to the hospital.

Exercise and Deep Breathing

  • If you exercise regularly before your surgery, it can shorten your hospital stay, reduce your chance of getting an infection and improve your mental health.
  • Walking daily is a good way to improve your health. Start slowly and work up to 30 minutes of brisk walking every day.
  • Deep breathing can reduce your chance of getting pneumonia.
  • Practice deep breathing by taking 8-10 deep breaths and coughing hard three times, several times a day.
  • If given an Incentive Spirometer at your pre-admit testing visit, use 10 times, several times a day.

Bathing and Showering

You play an important role in your health. Because skin is not sterile, you can reduce the number of germs on your skin by carefully washing the night before and on the day of surgery for a total of two showers or baths.

  • Shower from the neck down with a chlorhexidine gluconate (CHG) soap for three consecutive nights before your surgery. CHG shower solution will be provided to you at your pre-operative testing visit. If you are allergic to chlorhexidine, use an antibacterial soap (such as DIAL®) for your shower.
  • Turn off the water before applying CHG soap to avoid rinsing it off.
  • You can use your normal shampoo product.
  • Pay close attention to the area(s) where your surgery will be performed and avoid eyes, ears and genital areas.
  • Do not shave the areas where your surgery will be performed.
  • Rinse your body thoroughly, then avoid sleeping with pets.
  • Do not use lotion, cream or powder. 
  • Dress in clean clothes and sleep on clean sheets after you begin your shower routine.

MRSA Testing and Treatment

If your doctor decides you are at high risk for a germ called MRSA, you will be tested for the germ.

If the test shows you do have MRSA, you may be given medicine to use inside your nose and a body wash to use on your skin before you have your surgery.

Fluids to Drink

Patients who are able to drink before surgery experience less nausea, less thirst, more comfort and more satisfaction.*

1. The afternoon before surgery: Drink 20 oz. of Regular Gatorade™

2. The evening before your surgery: Drink 20 oz. of Gatorade™

3. The morning of your surgery:

  • Drink 20 oz. of Gatorade™ - NO LATER THAN 3 HOURS PRIOR TO YOUR SURGERY.
  • If you drink anything after the three-hour cut-off, there is a chance that your surgery could be delayed or cancelled. Fluids are important, but they should not be consumed within the last three hours before your surgery.

* This does not apply to patients under the age of 18 and patients with the following known conditions: diabetes, severe GERD or diagnosed gastroparesis, ileum or bowel obstruction, problems swallowing, pregnancy, BMI greater than 40 and a known history of having a “difficult airway.”

Day of Surgery

Day of Surgery

As your surgery day approaches, you might have questions and feel overwhelmed. Know what to expect before your surgery. If you have any concerns or questions, please ask. We take your safety very seriously and have adopted these practices as a part of our culture of safety.

Please click on the topics at left.

Diet

Please do not eat or drink anything – not even water or gum – after midnight the night before your surgery, unless you have been instructed otherwise by a member of the hospital's healthcare team.

Illness

If you develop a cold, persistent cough, flu symptoms or fever, please contact your surgeon before coming to the hospital.

If you are unable to reach the surgeon, please call the Indianapolis surgery department at (317) 528-5856.  Let them know what campus (Indianapolis, Carmel or Mooresville) you are scheduled to have your surgery at, and they will assist you in reaching the surgeon.

What to Wear

  • Please wear comfortable clothing; avoiding jeans or other tight-fitting clothes. Following some procedures, you may have a cast or large dressing. After abdominal or laparoscopic surgery, your abdomen might feel tender and distended with air. Please bring clothes that will fit comfortably after the procedure.
  • You cannot wear makeup or jewelry, including wedding bands and piercings, during surgery. All jewelry must be removed before surgery, including wedding bands and body piercings. Patient lockers are available for clothing.
  • You may wear your dentures, but make sure you do not use adhesive to secure your dentures the morning of surgery.
  • Glasses and contact lenses must be removed before surgery. Please remember to bring your case and leave them with a family member before your surgery.

Valuables, Jewelry and Piercings

You cannot wear makeup or jewelry, including wedding bands and piercings, during surgery. All jewelry must be removed before surgery, including wedding bands and body piercings. Patient lockers are available for clothing.

Please do not bring valuables or jewelry to the hospital.

CPAP

If you use a CPAP at home, please bring your machine, tubing and mask to the hospital. These may be used on the day of your surgery and throughout your hospital stay, as needed.

Arrival and Parking

Your scheduled surgery time or arrival time may change. You will be notified by the surgery department, or by your surgeon’s office, of any changes made to your surgery time or to your arrival time. We know your time is valuable. Should a delay occur on the day of your surgery, we will make every effort to keep you and your family informed.

General Surgery - Indianapolis

Arrive at Zone 2, Outpatient Center (Entrance 6) and check in at the surgery and endoscopy reception desk.

Free valet parking is available here from 7 a.m. to 6 p.m., Monday through Friday. Our security officers will be happy to pick up your keys from the valet station if you are leaving after 6 p.m.

Another option is our shuttle service, which operates daily, from 5 a.m. to 9 p.m. Call (317) 416-8725 and tell them which parking lot you are in, and they will pick you up shortly.

Cardiac Surgery - Indianapolis

Arrive at Zone 1, Heart Center (Entrance 1) and check in at the reception desk.

Our free shuttle service operates daily from 5 a.m. to 9 p.m. Call (317) 416-8725 and tell them which parking lot you are in, and they will pick you up shortly.

General/Orthopedic Surgery - Carmel

Park in the main parking lot and check in at the registration desk.

Safety

Here's how we work with you to ensure your safety:

  • Check your identity – We will ask you to state your name and date of birth many times and will check your arm band many times as well. We want to ensure everything is correct.
  • You might be asked other questions repeatedly, such as :
    • When was that last time you had something to eat or drink?
    • What are your allergies?
    • What are your medications?
    • What procedure are you having performed?
  • Wash our hands – We will use hand hygiene before and after we touch you or your bed linens. Do not hesitate to remind a caregiver to wash their hands if you have concerns.
  • Monitor your vital signs – We will watch your temperature, heart rate and blood pressure closely during surgery. We want to make sure you do not develop a fever or have any type of reaction. In addition, a special monitor is used to ensure you remain asleep through the procedure.
  • Mark your surgical site – Your doctor will write the word “yes” with a marker near the area where the incision will be made.
  • Perform a “safety check” and “time out” before starting your procedure – The pre-op nurse and surgical nurse will perform a safety check before you go back to surgery. You will be asked to participate as we go over your information again. The surgical team will also take a “time out” before starting your procedure to review and verify any important information the team needs to know.
  • Administer antibiotics – We may give you antibiotics before surgery to prevent infection, depending on your condition and procedure.
  • Prevent blood clots – Also depending on your condition and procedure, your doctor may order stockings or special air sleeves to be places on your legs during surgery and while you are in the hospital.  These lower your risk of blood clots by helping to keep blood flowing. Additional clot-preventing medications may be ordered.

Family

Your family will be taken to the family lounge/surgery waiting room. The pre-op nurse will give you a card to fill out with the contact information needed to keep your family informed throughout the day. Please give the card to the Patient Representative in the family lounge.

Pre-Admission Questions 

If you have any questions before surgery, please call pre-admit testing at:

Indianapolis:  (317) 528-5515

Heart Center: (317) 528-3543

Carmel:(317) 705-4690 or 705-4692

Day of Surgery Questions

For questions on the day of surgery, please call:

Indianapolis: (317) 528-5283

Heart Center: (317) 528-1529

Carmel: (317) 705-4613

 

After Surgery

Discharge Instructions

Discharge Instructions

Before going home, you will be given specific verbal and written instructions about your care regarding:

  • Activity
  • Diet
  • Pain control
  • Medication
  • Avoiding constipation after surgery
  • Returning to work:  You may need a written statement from your surgeon.
  • Follow up care as directed by your surgeon.
  • When your surgeon gives you permission to shower, do not use fragrance soaps or body washes. An antibacterial soap is recommended.
  • Wash your hands frequently, especially before touching your dressing or surgical area.

In addition:

  • You will need a licensed, responsible adult to drive you home. You won’t be allowed to take a cab home after surgery.
  • Don’t drive, operate machinery or power equipment while under the influence of anesthesia or narcotics. If you were given a general anesthetic or sedation, you can’t drive a motor vehicle for a minimum of 24 hours after anesthetic/sedation.

Download printable instructions.

 

Notify Your Physician if You Develop

Notify your surgeon if you develop:

  • Any signs of infection:
    • A fever greater than 101 degrees or chilling
    • Foul odor or drainage from the surgical site
    • Redness or excessive swelling
  • Persistent nausea or vomiting
  • Persistent diarrhea or constipation
  • Excessive bleeding or swelling
  • Excessive pain not relieved by pain medication
  • Breathing problems (shortness of breath)
  • Difficulty urinating
  • Any unusual symptoms or concerns you may have
     

After surgery, if you have any questions about any of your discharge instructions, call your surgeon for further instructions.

Pain Management

How to Treat Your Pain

Your healthcare professional can work with you to find out what works best. Medication comes in pills, liquids, suppositories, intravenous medications and skin patches. Sometimes pain can be relieved in other ways, such as:

  • Physical therapy
  • Exercise
  • Hypnosis
  • Heat or cold
  • Massage
  • Healing touch
  • Prayer and meditation – Our Spiritual Care Services staff is available to assist you.
  • Acupuncture – Which uses small needles to block pain
  • Taking your mind off the pain with movies, games and conversation

Side Effects

Some medicines have side effects, including constipation, nausea, vomiting, itching and sleepiness. Call your surgeon as soon as possible to report bad side effects. The doctor may be able to prescribe something to treat the side effects or find another pain medication for you.

All medicines, including pain medicines, should be included on your medication card. Many pills should not be crushed or broken, so talk to your surgeon or pharmacist about other options if it is hard for you to swallow pills.

Surgery Locations

Franciscan Health Ambulatory Surgery Department Indianapolis, Indianapolis, IN

Contact:
8111 S. Emerson Ave.
Indianapolis, IN 46237
(317) 528-8288

Franciscan Health Carmel, Carmel, IN

Contact:
12188-B North Meridian Street
Carmel, IN 46032-4840
(317) 705-4500

Franciscan Health Perioperative Services Indianapolis, Indianapolis, IN

Contact:
8111 S. Emerson Ave.
Indianapolis, IN 46237
(317) 528-5283

Office Hours:
Monday 8:00 am - 4:00 pm
Tuesday 8:00 am - 4:00 pm
Wednesday 8:00 am - 4:00 pm
Thursday 8:00 am - 4:00 pm
Friday 8:00 am - 4:00 pm

Staff Recognition

Your Anesthesiologists

Michael J. Need, MD Anesthesiology

Michael J. Need, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Jaemy M. Hwang, MD Anesthesiology

Jaemy M. Hwang, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Raymond U. Tapnio, MD Anesthesiology

Raymond U. Tapnio, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Wade L. Wrightson, MD Anesthesiology

Wade L. Wrightson, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Maggie M. Lasley, MD Anesthesiology

Maggie M. Lasley, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Tracy W. Dallman, MD Anesthesiology

Tracy W. Dallman, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Roger F. West, MD Anesthesiology

Roger F. West, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Bradley S. DeStefano, MD Anesthesiology

Bradley S. DeStefano, MD

Specialties: Anesthesiology

Location: Center for Orthopaedic Surgery & Sports Medicine

Patrick J. Lotti, MD Anesthesiology

Patrick J. Lotti, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

John V. Hasewinkel, MD Anesthesiology

John V. Hasewinkel, MD

Specialties: Anesthesiology

Location: Wishard Anesthesia

J M. Murrell, MD Anesthesiology

J M. Murrell, MD

Specialties: Anesthesiology

Location: Pioneer Anesthesia Consultants, LLC

Mary M. Williams, MD Anesthesiology

Mary M. Williams, MD

Specialties: Anesthesiology

Location: Mary Williams, MD

David C. Rissing, MD Anesthesiology

David C. Rissing, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Gregory J. Kerr, MD Anesthesiology

Gregory J. Kerr, MD

Specialties: Anesthesiology

Location: Pioneer Anesthesia Consultants, LLC

Shana M. Henne, MD Anesthesiology

Shana M. Henne, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Pruthvish G. Pandya, MD Anesthesiology

Pruthvish G. Pandya, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Ebrahim Zolali-Meybodi, MD Anesthesiology

Ebrahim Zolali-Meybodi, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

James Q. Mitchell, MD Anesthesiology

James Q. Mitchell, MD

Specialties: Anesthesiology

Location: Eskenazi Health Anesthesia

Robert C. Stump, MD Anesthesiology

Robert C. Stump, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Jason D. Thorp, MD Anesthesiology

Jason D. Thorp, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

David M. Ratzman, MD Anesthesiology

David M. Ratzman, MD

Specialties: Anesthesiology

Location: Anesthesia Pain Consultants of Indiana

Derron K. Wilson, MD Anesthesiology

Derron K. Wilson, MD

Specialties: Anesthesiology

Location: Goodman Campbell Brain and Spine

Stephen M. Brown, MD Anesthesiology

Stephen M. Brown, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Amanda O'mara, MD Anesthesiology

Amanda O'mara, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Steven W. Carr, MD Anesthesiology

Steven W. Carr, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Timothy J. Henriksen, MD Anesthesiology

Timothy J. Henriksen, MD

Specialties: Anesthesiology

Location: Timothy J. Henriksen, M.D.

Adam R. Walthall, MD Anesthesiology

Adam R. Walthall, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Heather N. Berke, DO Anesthesiology

Heather N. Berke, DO

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Angela M. Rearick, MD Anesthesiology

Angela M. Rearick, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Michael B. Harwood, MD Anesthesiology

Michael B. Harwood, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Ross R. Haynes, MD Anesthesiology

Ross R. Haynes, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Brian A. Robinson, MD Anesthesiology

Brian A. Robinson, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Russell W. Sinn, MD Anesthesiology

Russell W. Sinn, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Kurt M. Terrell, MD Anesthesiology

Kurt M. Terrell, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Kerry M. Ettensohn, MD Anesthesiology

Kerry M. Ettensohn, MD

Specialties: Anesthesiology

Location: Southeast Anesthesiologists

Christopher A. Prater, MD Anesthesiology

Christopher A. Prater, MD

Specialties: Anesthesiology

Location: Pioneer Anesthesia Consultants, LLC

Helmut Falk, DO Anesthesiology

Helmut Falk, DO

Specialties: Anesthesiology

Location: Pioneer Anesthesia Consultants, LLC

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