Welcome from the Pediatric Orthopaedic Surgery Service at UCSF Benioff Children’s Hospital.
ON THE DAY OF OPERATION
1. ¬†Arrive at hospital 2 hours prior to your scheduled start time.
2. ¬†Report to the Admitting Department.
Pediatric Patients – report to:
1975 4th Street – Benioff Children’s Hospital
Check in at Admitting located next to Security, 1st floor
3.¬† Following registration, you will be directed to the Surgical Waiting Area:
Pediatric Surgical Waiting
2nd Floor, Benioff Children’s Hospital
- You will receive updates on how the patient is doing during the procedure.¬† If you leave this area, make arrangements with the receptionist so that you can be reached.¬† One parent or legal guardian must remain in hospital and readily accessibly at all times.
4.¬† When it is time for the operation, both you and your child will be escorted to the induction room.¬† Here you will meet with:
- The Surgeon and the Resident (a physician in training).¬† The doctor is assisted when he/she performs operation by a resident surgeon, usually a senior who has 4 years’ experience beyond receiving his/her medical degree.¬† The surgeon is committed to providing his/her patients with the highest standard of care, and is involved in every aspect of this care.¬† We are committed to the education of our country’s future physicians (as we were educated by others).¬† The resident will perform only those tasks that he/she can do as well as the surgeon.¬† Conversely, the resident will not perform tasks that are beyond his/her skill level.¬† The surgeon supervises every aspect of care that the resident provides.
- The Anesthesiology Team:¬† The faculty Anesthesiologists who work with me have received sub-specialty training in children specifically.
- Nursing Staff who will care for your child before and during the operation.
1.¬† When the operation is complete, you/your child will be taken to the Post Anesthesia Care Unit (“PACU”).¬† When the nurses in the PACU determine that the patient is stabilized (e.g. is awake and alert, is receiving appropriate pain medications and fluids, has good blood pressure and breathing, etc.) you will be contacted to come visit your child.
2.¬† Post-operative care varies depending upon the nature of your child’s operation and state of health.¬† Once your child is stable, he/she will be transferred to one of three places.
a.¬† Discharged to home if this is a same day procedure.
b.¬† Pediatric ward at UCSF Benioff Children’s Hospital.
c.¬† Pediatric Intensive Care Unit (“PICU”) on the 4th floor of UCSF Benioff Children’s Hospital.
INPATIENT HOSPITAL STAY
The principal issues of concern include the following:
1.¬† Pain relief.¬† Initially we may enlist the Acute Pain Service, which is run by the Anesthesiology staff.¬† We believe in doing everything we can to prevent children from suffering, including keeping their pain at the safest minimum level while balancing the fact that pain medications depress alertness, breathing and gut function.¬† Please be patient:¬† orthopaedic operations hurt, and occasionally it takes time to catch up with the pain.¬† Your child will be transitioned from intravenous to oral pain medications when he/she can tolerate it.
2.¬† Mobility.¬† A physical and/or occupational therapist, the residents and/or the surgeon will assist your child to get moving – walking, with/without assistive device, or wheelchair.¬† It is important for family to be available for the physical therapist visits:¬† remember, you are your child’s best therapist.¬† You will learn how to get in and out of bed, how to get on and off the toilet, etc.
3.¬† Eating.¬† For children with isolated musculoskeletal problems, we advance the diet as tolerated.¬† For children with multisystem involvement, we may supplement postoperative nutrition, including high calorie milkshakes, tube feeding, etc.
4.¬† Bathroom:¬† The nursing staff will help with this.¬† A catheter may be placed in the bladder after complex operations so that your child does not have to get out of bed to urinate in the first 24-72 hours.¬† Bowel movements usually area delated for patients undergoing complex operations – due to a combination of reduced movility, pain medications and the overall stress of complex surgery.
5.¬† Discharge planning:¬† This is the time to arrange special equipment at home, to sort out transportation issues, to plan for school accommodations, etc.¬† Please schedule your follow up appointment before leaving the hospital.¬† This visit should be scheduled for 7-14 days after your operation.¬† The appointment line is 415/353-2967.
ACCOMMODATIONS FOR PARENTS DURING HOSPITALIZATION
Bedside accommodations are available and there is some flexibility for both parents.¬† If you have an extended stay and require a hotel room in San Francisco, our social worker will provide a list of locations in the vicinity of the hospital.
A NOTE TO PARENTS
Typically, the first 24-72 hours after an orthopaedic operation are rough, both on your child – who has gone through a lot – and on you – because you are so emotionally involved and because you become sleep-deprived.¬† We will follow up with you during the week after our discharge to see how well your child’s transition to home has been, as well as to make sure everyone understands the postoperative plan.
Remember that we fundamentally believe in the concept of a team approach to pediatric orthopaedic surgery, and the team includes you.¬† We encourage you to take an active role so that we can all deliver the best care possible to your child.
IMPORTANT PHONE NUMBERS:
Pediatric Orthopaedics Appointment Line:¬† 415/353-2967
Pediatric Orthopaedics Nursing Line:¬† 415-353-2913
After hours, on-call Orthopaedist:¬† 415-353-3000
Social Worker:¬† 415-353-2655
There are several public parking garages in Mission Bay, including:
- 1625 Owens Street Garage – Located next to the Mission Bay Conference Center
- 1630 Third Street Garage – located just north of 16th Street
- Fourth Street Surface Lot – 4th Street, just north of 16th Street
Food and Beverage:
Within the hospital, a coffee shop is located on the first floor between the Gateway Medical Building (“M” Building) and the Women’s Hospital / Bakar Cancer Hospital (“A” building).¬† There is a cafeteria located in the Children’s Hospital (“C” building) as well as a Peet’s Coffee.¬† Several food trucks are parked on Nelson Rising Lane at 4th Street on Thursdays from 11 am – 2 pm.¬† Many other restaurants can be found nearby along Gene Friend Way on the plaza including Caffe Terzetto, Peasant Pies, Publico and Subway.
Gateway Medical Building1825 4th Steet (5th Floor is our Pediatric orthopaedic outpatient clinic)
Betty Irene Moore Women’s Hospital and Bakar Cancer Hospital1855 4th Street
Benioff Children’s Hospital
1975 4th Street
1500 Owens Street