What to expect Pre-Surgery
- After meeting with your breast surgery team, you along with team will determine a date for surgery. The nurse will schedule your CT scan as well as a welcome visit with the staff from 2nd Maria, Ambulatory surgery / pre-op (ASU), OR, and Recovery.
- A Pre-Admission Testing Nurse will contact you before surgery and will provide you with instructions and any tests or lab work that needs to be performed prior to surgery.
- The day before surgery, you will come in for markings. This will also allow you to ask questions before seeing your doctor the morning of surgery.
- Please arrive 2 hours prior to surgery and check in at outpatient services. Have a photo ID and any insurance information available.
- You and your family will then be escorted to the preoperative area where a registered nurse will begin the preparation for surgery.
- During this time you will have the opportunity to meet members from your anesthesia care team and ask any final questions of your surgeon.
- Prior to your surgery, a fully qualified and specially trained operating room (OR) Registered Nurse will meet you and your loved ones. He or She will go over what to expect and review all pertinent information with you necessary for surgery.
- Your family members will be asked for contact information so that the OR nurse can provide updates by phone throughout your procedure.
What to expect in the OR and Recovery
- The OR is designed with your safety in mind. Our goals are to keep you as comfortable and relaxed as possible.
- Upon entering, warm blankets are provided and preparations for your surgery are continued.
- Compression stockings that were applied in ASU, will be inflated with air pressure. The stockings will continuously massage your legs during the procedure.
- You may notice bright lights and equipment. All of these things are necessary to ensure your safety and perform the procedure.
- After you are settled on the OR table, you will meet the other staff that will provide your care while in surgery. Each member of this team is dedicated and committed to your care. The OR staff is specially trained and primarily consists of the Plastics Coordinator and two scrub techs.
- As you begin to go to sleep, the OR nurse that you met in the preoperative area will be at your side. The nurse will continue to stay with you throughout the case to maintain safe, quality patient care.
- At the conclusion of the procedure, you will be transported to the PACU (Post Anesthesia Care Unit) and a complete report will be provided to the nurse responsible for your care in the immediate post-operative period.
- In the PACU you will be closely monitored by a specially trained Registered Nurse for at least six hours. Once you are awake and stabilized, your family will be permitted to visit you in the PACU.
- Towards the end of your time period in recovery, your nurse from 2nd Maria will come and receive report and get better acquainted with you while continuing your continuity and quality care.
- When you are ready to leave the PACU, you will be transported to 2nd Maria.
Thank you very much for allowing us to take care of your loved one.
- During your loved one’s stay, we encourage you to stay to help her through this process.
- Once she is ready for surgery, we will get the best numbers to reach you during the procedure. You may wait in the waiting room or if the room is ready someone may guide you there.
- While she is in recovery, the OR nurse will provide you with updates regularly.
- Once surgery is completed, the doctor will come and speak with you as well.
- After she is more awake, the PACU staff will allow you to stay with her for awhile.
- Once she is in her room, there will be accommodations for you to stay there as well.
What to expect during your stay
First and foremost, we wanted to say Thank You for choosing St. Francis Hospital to provide your care. Our promise to you is to make sure that we go above and beyond your expectations by providing quality, compassionate care. I know that you are overwhelmed at this stage, but know that we are here for you.
- Your next three to five days are spent on either the 2nd Maria or 1st St. Ann nursing unit. During your first 48 hours after surgery you will receive one-to-one nursing care. Your nurses have been specially trained to make sure all of your needs are met.
- On your first night we will carefully monitor your surgical sites and pay special attention to make sure you are as comfortable as possible.
- The doctor will be in close contact with your healthcare team throughout your stay. He will visit you daily and continue to monitor your progress once you go home.
- On Day Two, your IV will be removed and you will get to advance your diet as tolerated. The nurse will assist you out of the bed to the bathroom and the sink to bathe. You will be able to sit in a chair for a while. You may also ambulate with assistance in the halls.
- Each day you begin to do a little more on your own. Your strength slowly regains. It is not uncommon to feel tired or fatigued from doing light activities such as ambulating. This is all a normal process of healing.
Usually by Day Three, we are doing a dry run to go home. You are getting up to shower and doing a little more walking in the hallway.
- Don’t worry; it is not uncommon to get discouraged during this process. If you have any questions or concerns, please let the staff help you. Through active communication, we can ensure the most optimum care. Pain management is available, and our goal is to keep you comfortable. A pain pump is placed during surgery and will help with the discomfort.
- Throughout your stay we are educating you on what to expect and your responsibility once you are home. On Day Three, this education is reinforced and the caregiver may even assist with many of the activities. Our promise to you is to make sure that you are well informed and all of your questions have been answered before you go home.
- Once you get home, you may call 2nd Maria or the Doctor’s office to answer any additional questions.
- Once you feel stronger we would love to see how you are doing. We try our best to coincide your doctor appointments for little visits to our floor. Once you come to St. Francis, you become family and we look forward to seeing you and your progress!
Just remember that you have made an excellent decision and although there is a small journey to recovery, it will be well worth it in the end. At St. Francis we take pride in providing holistic care and look forward to helping you through your journey.