Pre-preparation for surgery
- Discuss the RISKS OF SURGERY with an attending physician during your office appointment.
- Set up a surgery date with your doctor’s Practice Assistant in the clinic office.
1-2 months before surgery date:
- Make an appointment with your primary care physician to obtain pre-operative medical clearance, if it’s requested by attending physician (Use forms provided).
- If you plan to be discharged to nursing/rehabilitation facilities in your area, visit the site and check if they take your health insurance. Please note, most patients go home after the surgery.
1 month before surgery date:
- Receive a letter from your doctor’s Practice Assistant with Required pre-surgical appointments (including PREPARE (anesthesia) appointment and Preoperative education class).
- Obtain and fax all prior medical records and operative notes from prior surgeries to your doctor’s office at (415) 353-2956, if requested.
- Start taking Slow Fe, which is iron (Can be purchased at any drug store). Take it once to twice daily.
- If blood donation has been recommended for your surgery, your doctor’s Practice Assistant will give you the blood order form. The UCSF Blood bank is a drop-in clinic. Blood donation can be done at a local Red Cross facility as well.
- Donate the first unit of blood 4 weeks before your surgery (no earlier than 35 days before surgery).
2-3 weeks before surgery date:
- Donate the second unit of blood 3 weeks before your surgery.
- Attend the required PREPARE (Anesthesia) appointment. Meet with the anesthesiologist or nurse practitioner for your pre-surgical interview, which will include reviewing your medical history, a physical examination, taking a blood sample for testing, possible chest x-ray and/or EKG, and signing surgical and blood transfusion consent forms. BRING A MEDICATION LIST OR ALL YOUR MEDICATION BOTTLES WITH YOU.
- Attend the recommended preoperative education class given by Sue Klarquist, Nurse Practitioner.
- Bring your family/care giver to this class.
- Discuss any questions you have with Sue, the NP.
- You will receive prescriptions for Lovenox/Colace (take after surgery) at this visit.
- Bring these prescriptions ASAP to your local pharmacy.
- Organize a friend/family member to pick you up from the hospital on the day of your discharge.
- Organize friends/family/neighbors to check in on your after your surgery or to be available to help, if needed.
- If you have chosen to donate blood for your surgery, this is the time to donate the last unit.
- The more that you know about your surgery, and plan for your recovery, the more smoothly the experience will flow.
2 weeks before surgery date:
- STOP taking the following medications 14 days before your surgery with the approval of your rheumatologist.
1 week before surgery date:
- STOP taking the following medications 7 days before your surgery.
- Motion, Ibuprofen, Advil
- Alleve, Naprosyn, Feldene, Dislofenac
- Vitamin E (MVI w/ Vit. E ok)
- Garlic/ Ginko biloba/ ginseng
- Fish Oil
- Any “anti-inflammatory” medication or “NSAIDS”
- STOP taking the following anticoagulant medications after checking with your internist/cardiologist. These medications may thin your blood, and therefore, may increase the amount of blood loss during your surgery.
- Any “blood thinners”
- YOU MAY USE ANY TYLENOL (Acetaminophen) PRODUCT or Celebrex until the day of surgery.
1-3 days before surgery date:
- The prepare clinic staff will tell you what time to arrive at the hospital and the time of your surgery. If you have not heard from UCSF by 3pm prior to your day of surgery, please call (415) 353-1099.
- Dr. Bozic’s Practice Assistant will be calling you the business day prior to surgery to confirm your time of arrival for your surgery.
Day before surgery date:
- Have a light meal for dinner with no alcohol. Have NOTHING TO EAT OR DRINK AFTER 12 MIDNIGHT.
- Anti-bacterial soap wash night before surgery or the morning of surgery (you will be given a packet at your PREPARE appointment).
Morning of surgery:
- You may take your routine medication, as instructed by PREPARE staff, with a small sip of water.
- You may also take Tylenol or your routine Narcotic pain medication with a small sip of water.