(315) 432-5960

PATIENT INFORMATION

ADULT SURGERY

CHECKLIST BEFORE LEAVING HOME
• Wear comfortable, loose fitting clothing.
• Please leave all jewelry and valuables at home. Remove any earrings or body piercings, and do not wear makeup.
• Bring cases for eyeglasses, contacts and dentures as well as a pillow for comfort and support on the ride home.
• Bring insurance identification cards, driver’s license, and any deposit that was requested by our billing department.
• Bring your medication list as well as any inhalers or insulin that you are prescribed. Please also bring your CPAP machine, if you have one.
• Please shower or bathe the night before, or morning of, your surgery.
• Make sure you have a responsible adult for your ride home and to care for you at home for at least 24 hours after surgery.
• DO NOT eat or drink anything after midnight the night before your scheduled surgery.
WHY MUST I REFRAIN FROM EATING OR DRINKING BEFORE SURGERY?
You CANNOT eat or drink after midnight, including water, candies, chewing gum, and chewing tobacco. This is to prevent risk of aspirating or choking on stomach contents during your surgery. This complication is very serious and could be fatal. You can brush your teeth and take any prescribed oral medications with a sip of water.
WHO MAY ACCOMPANY ME AND CAN I DRIVE HOME?
You are welcome to bring two people with you to the center.
• If you will be under anesthesia or sedation you CANNOT drive and must be accompanied home by a responsible adult for 24 hours after your surgery. This policy is for your safety and is strictly adhered to.
• Your responsible adult will be allowed to be with you after we get you prepped for surgery, and up until you leave for the OR.
• They can join you once again when you are awake and comfortable after your surgery.
• We will discuss your discharge instructions with them prior to going home.
WHO IS THE PRE-ADMISSION TESTING (PAT) NURSE?
A PAT nurse is who will be calling you days before your surgery to gather your health history.
• You will be asked about any previous anesthetic, any medical conditions or allergies you may have and any medications you may be taking.
• Depending on your medical history, the anesthesiologist may require preoperative lab tests including EKG and blood work, or require you to visit your specialist (e.g. cardiologist).
• The PAT nurse will give you specific instructions regarding your medications and specific instructions for your surgery during phone interview.
WHAT IS THE PREP AREA?
• After checking in, the prep nurse will escort you to the prep area before the start of the procedure. You will be asked to change into a hospital gown.
• At this time, the nurse will check your vital signs including temperature, heart rate, blood pressure and oxygenation. The prep nurse will start your IV and complete the preoperative checklist.
• The surgeon and anesthesia team will see you and explain your plan of care. This includes but is not limited to type of anesthesia and procedure to be performed.
• Please feel free to ask any questions or concerns regarding your care.
WHAT IS THE ANESTHESIOLOGIST?
Anesthesiologists are physicians who have specialized training to provide pain control, pain relief, and care for the general well-being of the patient in the operating room.
• The anesthesiologist will review your medical record (EKG, blood work or clearances) prior to your surgery date.
• You will see the anesthesiologist and the Certified Registered Nurse Anesthetist (CRNA) on the day of surgery, before entering the operating room.
• They will discuss what type of anesthesia you will have its possible side effects.
WHAT IS A CIRCULATING NURSE?
The circulating nurse is a perioperative nurse who will assist in managing the nursing care of a patient during surgery.
• The circulating nurse observes for breaches in surgical asepsis and coordinates the needs of the surgical team.
• They will verify your identity and necessary consent forms.
• They will review the site and nature of the procedure with the surgical team involved in your care.
WHAT IS PHASE 1 RECOVERY?
• Phase 1 is where you will be taken to recover from anesthesia after your surgery.
• It can take 60 minutes or longer to recover after surgery.
• Your comfort and pain management is important to us. Our main goal is to ensure your pain is tolerable before discharge.
• We will use a combination of modalities to help you be more comfortable, choosing from oral medications, intravenous (IV) medications, nerve blocks, and injection of local anesthetic during and after surgery.
WHAT IS PHASE 2 RECOVERY?

• Phase 2 is the pre-discharge phase.
• We will provide you with a light snack and beverage as tolerated.
• Your responsible adult can join you in Phase 2, unless you prefer to be alone for a while, and that will be honored.
• Your discharge time will depend on the amount of time you need to recover.
• Your nurse will go over your discharge instructions with you and your responsible adult. You will receive a written copy of these instructions. Please follow them carefully.
• One of our nurses will call you the next business day after your surgery to make sure that you are recovering comfortably.

PEDIATRIC SURGERY

CHECKLIST BEFORE LEAVING HOME
• Wear comfortable, loose fitting clothing.
• Bring insurance card, parent’s ID, and any deposit that was requested by our billing department.
• Legal guardianship papers, if you are not the parent.
• A favorite bottle or sippy cup, toys or blanket.
• You may bring formula or milk for your child to drink after their procedure.
PEDIATRIC FEEDING INSTRUCTIONS

Your child’s surgery may be cancelled if these instructions are not followed.
WHO IS THE PRE-ADMISSION TESTING (PAT) NURSE?
• A PAT nurse is who will be calling you days before your surgery to gather your child’s health history.
• You will be asked about any previous anesthetic, any medical conditions or allergies you child may have, or any medications your child may be taking.
• Depending on your child’s medical history, the anesthesiologist may require preoperative tests including blood work or require you to visit your specialist.
• The PAT nurse will give you specific instructions in preparation for your child’s surgery.
WHAT IS THE PREP AREA?
• After checking in, the prep nurse will escort you to the prep area before the start of the procedure.
• Your child will be asked to change into a hospital gown. At this time the nurse will check his or her vital signs including temperature, heart rate, blood pressure and oxygenation.
• The surgeon and anesthesia team will see you and your child at this time and explain what the plan of care is for your child. This includes but is not limited to type of anesthesia and procedure to be performed.
• At this time please feel free to ask any questions or concerns regarding your child’s care.
• One parent/legal guardian must be present at all times, in the waiting room, during surgery.
WHAT IS AN ANESTHESIOLOGIST?
• Anesthesiologists are physicians who have specialized training to provide pain control, pain relief, and care for the general well-being of the patient in the operating room.
• The anesthesiologist will review your child’s medical record (blood work or clearance) prior to your child’s surgery date.
• You will be given the opportunity to meet with our anesthesia team and together you will discuss the plan of care for your child (e.g. type of anesthesia and pain management).
• If you and your anesthesiologist have chosen sedation or general anesthesia, please be aware every child wakes up differently from anesthesia. Occasionally children wake up emotional, restless, irritable, disoriented or difficult to console. This is usually a side effect of the medications used during anesthesia and not related to pain. However, the comfort of your child is of the utmost importance and pain management medication/techniques are available if needed.
WHAT IS A CIRCULATING NURSE?
The circulating nurse is a perioperative nurse who will assist in managing the nursing care of a patient during surgery.
• The circulating nurse will meet you and your child in prep area before the start of the procedure.
• The circulating nurse will review your child’s information with you, and may ask some of the same questions as the prep nurse as this is a safety check.
• The circulating nurse will stay with your child throughout the surgery.
WHAT IS THE PACU?
• Post procedure, your surgeon will meet with you to discuss the operation and answer any questions you may have.
• After your child leaves the operating room, your child will be transferred to the recovery room where a specialized nurse will continuously monitor him/her until they are safe to discharge to home. This process typically takes 1-2 hours.
• Sometimes a child requires extra oxygen to help him/her wake up. On occasion a small mask might be placed over the child’s face to administer the oxygen.
• Be assured that you will be reunited with your child in the recovery room as soon as safely possible. You are encouraged to bring your child’s favorite soft toy, pillow or blanket into the recovery room if you think it will be a comfort to your child.
• When your child is fully awake and able to tolerate food, he/she will be provided a light snack.
• Parents of infants are encouraged to give formula or breastmilk at that time. The surgery center does not provide formula. Please bring this with you to your appointment.

 

 

PATIENT FORMS

Prior to surgery, please read through the following forms:
Patients Rights & Responsibilities
Notice of Privacy Practices
Notice of Nondiscrimination

HEALTH INSURANCE

The following is a list of the Insurance Companies we participate with:

Aetna
CDPHP
Cigna
EmblemHealth (GHI / HIP)
Empire Plan
Excellus (Blue Cross / Blue Shield)
Fidelis
HealthNOW
Humana
Lifetime Benefit Solutions (RMSCO)
Martin’s Point
Medicare Part B
Molina
MVP
New York State Medicaid
New York State No Fault (Auto)
TotalCare
Tricare
UMR
United Healthcare
Univera
VA Community Care
Wellcare
Workers’ Compensation Plans
If you have questions about whether or not we participate with your health plan, please contact our billing department at (315) 432-5973.

CONTRACTED PROVIDERS

The physician services provided at the surgery center are not included in your facility (surgery center) charges and will be billed separately by your physician. Physicians who provide services at Upstate Orthopedics Ambulatory Surgery Center may or may not participate in the same health plans as the surgery center.

In addition to the facility and your physician, it may be necessary for other contracted providers to provide specialized services for you during your visit. These services may include anesthesia, laboratory/pathology services, and/or DME supplies.

The following is a list of other providers who my provide other services during your visit which they will bill separately:

University Pathologists Laboratories, LLP
Upstate Medical Anesthesiology Group

HOSPITAL AFFILIATIONS

Upstate Orthopedics Ambulatory Surgery Center maintains an affiliation with Upstate University Hospital.

PAY YOUR BILL ONLINE.

You can now pay your Upstate Orthopedics Ambulatory Surgery Center bill online by credit card, debit card, or electronic check. Please click the link below and you will be redirected to a secure, third party site to enter your payment information. You can reach our billing department directly at (315) 432-5960.

Phone: (315) 432-5960    |    6620 Fly Road, Suite 300, East Syracuse, NY 13057    |    Pay Bill    |    Employment    |    Notice of Privacy Practices    |    Notice of Non-Discrimination
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