|SCHEDULING YOUR SURGERY|
Preoperative health questionnaire
Preoperative phone call
Changes in your health
Who to Bring:
What to Wear:
What to Bring:
When to Arrive:
|EXPLANATION OF WAITING TIMES BEFORE SURGERY|
Our staff at Advanced Surgery Institute of Santa Rosa recognizes that your time is important and that prolonged waiting before a procedure is both unnerving and inconvenient to you and the people who have accompanied you to our center.
We utilize our computer data and requests of your surgeons/physicians to construct a schedule that attempts to be as close to anticipated reality as humanly possible. However there are many factors outside of our control that can alter the progression of starting times, resulting in delay or change (even forward!) in the time of your procedure. Example of these factors are:
1. Prolongation of a surgery before your procedure, whether at our center or another facility where your surgeon might be working.
2. Prolongation of office duties, delaying your surgeon’s arrival.
3. Emergency procedures that your attending surgeon must address.
4. Late arrivals of patients who were scheduled to arrive before you.
Whenever there is a change in your anticipated procedure starting time, our staff will try to keep you informed and provide updates to the best of our ability. If your surgeon is involved in an emergency procedure or another surgery, we may not be able to provide you with frequent updates. Nevertheless, always feel free to ask one of our staff and we will do the best we can to provide you with reliable information.
Why do we ask you to come in prior to your surgery time?
We certainly hope that we will minimize your waiting time and provide your services as close to the scheduled time as possible. However, we hope that you will understand that delivery of the best care to each patient does not always conform to our computer’s plan! And if you do encounter a delay, please let us know what we can do to make your wait more comfortable.
Ann Hurd, RN
– Call your physician immediately if you notice a change in your health between the time you saw your surgeon and the day of your procedure. – Eat a light dinner the evening before your surgery. DO NOT EAT ANYTHING AFTER MIDNIGHT. FOLLOW THE EATING, DRINKING, AND MEDICATION INSTRUCTIONS provided by your physician.
– Wear loose, comfortable clothing.
– HAVE A RESPONSIBLE ADULT ACCOMPANY YOU TO THE CENTER AND DRIVE YOU HOME FOLLOWING YOUR SURGERY.
YOUR SURGERY CANNOT PROCEED WITHOUT YOUR COMPANION.
– Bring your driver’s license.
|FOLLOWING YOUR SURGERY|
When surgery is completed, you will be taken to the recovery room until you feel able to sit up and dress. The length of time you will need to rest before leaving will depend on the nature of your surgery.
We permit a family member or friend to join you in our recovery room when possible. In order to prevent overcrowding we must limit visitors to one person at peak times. Therefore we ask that you not bring children or others who cannot remain unattended in the waiting room.
Before You Leave:
Please be certain you understand your physician’s instructions. You will receive instruction from our nurses regarding medication, diet, and rest requirements. The day of surgery and perhaps at the time of discharge, you may feel sleepy, tired and dizzy. Our advice is to go home and rest for the remainder of the day. For your own safety, it is important that you do not drive, operate machinery, drink alcohol or make any important decisions for at least 24 hours after leaving Advanced Surgery Institute. For this reason, we require that you be accompanied upon departure.
You should plan to have a responsible adult stay with you the night after surgery. If you experience difficulties or complications once you return home, please contact your surgeon immediately. If you cannot reach your surgeon and your condition requires immediate attention, you must call 911 or be driven to the nearest emergency room. You may also call the staff at the Advanced Surgery Institute any time between 7.00 a.m. to 5:00 p.m. Monday through Friday. For your safety, please do not wait to call for assistance if you have a medical need outside our normal hours of operation.
|After registering with the front desk, a nurse will escort you to the Pre-operative area. After changing clothes into a patient gown and robe, a short medical history will be taken and reviewed by a physician Anesthesiologist. During that time, the Anesthesiologist will discuss with you the alternative anesthesia methods appropriate to your surgery or procedure. Once a course of action has been agreed upon by you and the Anesthesiologist, the pre-operative nurse will ask for your signature on an Anesthesiology consent form. You are encouraged to read the consent carefully as it confirms your understanding of the procedure and possible risks/complications.Several links are provided below for additional information on ambulatory anesthesia, children and anesthesia, seniors and anesthesia, anesthesia and herbal supplements and pain management. This information is provided through the American Society of Anesthesiologists and the Society of Ambulatory Anesthesiologists. The information contained through these links is in general terms. You are encouraged to discuss any questions or concerns with your physician or anesthesia provider on the day of the procedure.
|Diabetic patients need to pay particular attention to their diet and medication on the day of surgery. Individual management of each diabetic provides the best and safest management. Prior to the day of surgery, patients should contact the physician who manages their diabetes. This will allow a specific plan for their diabetic management on the evening before the day of surgery.In general, the following guidelines are suggested for diabetic patients:
Type 1, juvenile or insulin dependent diabetics:
Patients on insulin pumps should continue using their pumps up to, during and after surgery using a basal rate only Their routine use may be resumed after they commence their usual diet.
Type 2, adult onset diabetes or non-insulin dependent diabetics:
Patients should avoid taking their oral diabetic medication the night before surgery. This medication may be resumed the night after their surgery once they have resumed their diet.
All diabetic patients should continue to monitor their blood sugars before and after their surgery. Blood sugars will be monitored during your stay by the Advanced Surgery Institute staff. Because anesthesia and surgery is a stressful time, blood sugars may fluctuate and require more frequent monitoring during the first few hours after surgery.
Fasting guidelines are the same for diabetic or non-diabetic patients.
If you take medications regularly for heart and lung conditions (such as angina, chest pain, high blood pressure or asthma) or for seizure (epilepsy) control, we recommend that you continue to take them on your usual schedule including the day of surgery. These may be taken with water. However, the preoperative nurse may request that you hold your last dose of certain blood pressure medicines, such as lisinopril and other ACE inhibitor medications. During your preoperative phone call, our nurse will discuss your medications and indicate which ones, if any, to not take on the morning of surgery.
We recommend most adult patients with diabetes not eat anything after midnight before surgery and that they not take insulin or other diabetic medications the morning of surgery. The parents of children with diabetes should contact their physician or an anesthesiologist at Advanced Surgery Institute for individual instructions.
|INSURANCE & BILLING|
|Our staff at Advanced Surgery Institute realize just how confusing, frustrating, and time-consuming medical billing can be. Navigating through insurance company EOB’s (Explanation of Benefits), co-payments, deductibles, physician office statements, and facility fees is not a fun way to spend your day. To make the task easier, we offer this guide to medical billing for the services you have received at Advanced Surgery Institute.You will receive the following categories of statements:
Advanced Surgery Institute Facility Statement
COPAYMENTS & DEDUCTIBLES:
Your insurance may require you to provide co-payments for your procedure and require that your deductible be met before receiving additional benefits. Prior to your surgery, ASI will verify your insurance coverage and contact you to inform you of your co-payment and deductible responsibilities. We require co-payments and payment of deductibles at the time of service. We accept cash, check, all major credit cards and CareCredit.
If you are not covered by insurance, we will require payment in full prior to your procedure. We will contact you prior to your procedure to inform you of the facility fee.
Anesthesia Analgesia Medical Group, INC
1. Anesthesia Analgesia Medical Group INC: (707)524-4690
SURGEON OR TREATING PHYSICIAN:
Your surgeon or treating physician will provide you with their own statement covering their professional services. Please contact the surgeon/physician office to discuss billing issues.
For questions regarding your ASI facility bill, please call our on-site business office at
Our goal is to provide you a personalized, professional service from start to finish.