Department of Orthopaedic Surgery

The Department of Orthopaedic Surgery offers services and programs through the following Divisions. Use these links to directly access all our Department sites.

 

Pediatric Orthopaedics

Preparing for Pediatric Surgery: For Parents and Patients


Dear Parents and Patients,
Welcome from the Pædiatric Orthopædic Surgery Service at UCSF Children’s Hospital.

To download this information in pdf format, please click here 

here.

DAY of OPERATION

  1. Arrive at hospital 2 hours prior to your scheduled start time.
  2. Report to the Admitting Department, room M-140 on the first floor of UCSF Medical Center (505 Parnassus Ave.), to the left of the main entrance.
  3. Following registration and admission, you will be directed to the Surgical Waiting Area, which is located immediately to the right of the main entrance in room M-104J. You will receive updates on how your child 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 accessible at all times.
  4. When it is time for the operation, both you and your child will be escorted to the induction room (M-406). Here you will meet with:

Me and the resident (a physician in training). I am assisted when I perform operations by a resident surgeon, usually a senior who has had 4 years’ experience beyond receiving his/her M.D. I am committed to providing my patients with the highest standard of care, and am involved in every aspect of this care. I also am committed to the education of our country’s future physicians (as others educated me). The resident assists in the outpatient clinic, in surgery and afterward on the hospital ward. The resident will perform only those tasks that he/she can do as well as me. Conversely, the resident will not perform tasks that are beyond his/her skill level. I supervise every aspect of care that the resident provides.
The Anæsthesiology Team. The faculty Anæsthesiologists who work with me have received sub-speciality training in children specifically.
Nursing staff who will care for your child before and during the operation.

AFTER OPERATION

  1. When the operation is complete, your child will be taken to the Post Anæsthesia Care Unit (“PACU”, M-405). This is across the hall from the Induction Room. I shall see you either in the Surgical Waiting Area or in the Induction Room. When the nurses in the PACU determine that your child 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. Pædiatric ward (6 Long) on the 6th floor of Moffitt-Long Hospital.
    c. Pædiatric Intensive Care Unit (“PICU”, M-618) on the 6th floor of Moffitt-Long Hospital.

INPATIENT HOSPITAL STAY

On 6 Long, the principal issues of concern include the following:

  1. Pain relief (analgesia). Initially we may enlist the Acute Pain Service, which is run by the Anæsthesiology 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: orthopædic 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 I will assist your child to get moving – walking, with/without assistive device, or wheel-chair. 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 hr. Bowel movements usually are delayed for patients undergoing complex operations – due to a combination of reduced mobility, 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

PICU. There are no bedside accommodations for parents in the PICU. There is a dormitory-style room available for one parent if needed. Your nurse will explain the procedure for securing a bed.

6 Long. Bedside accommodations are available and there is more 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 24-48 hr. after an orthopædic 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 your discharge to see how well your child’s transition to home has been, as well as to make sure every one understands the postoperative plan.

Remember that we fundamentally believe in the concept of a team approach to pædiatric orthopædic surgery, and the team includes you. We encourage you to take an active rôle so that we can all deliver the best care possible to your child.

IMPORTANT PHONE NUMBERS
Pædiatric Orthopædics Appointment Line: (415) 353-2967
Pædiatric Orthopædics Nursing Line: (415) 353-2913
Hospital Admitting Department: (415) 353-1553
Ambulatory Care Center (ACC) Surgery Center: (415) 353-2384
Pædiatric ward (6 Long): (415) 353-1921
Social Worker: (415) 353-2655
PREPARE: (415) 353-1099

AMENITIES
Parking Garage
There is public parking in the Millberry Union Public Garage, which is located at 500 Parnassus Avenue between Hillway and 3rd Avenues. There are two entrances to the garage. The first is directly across from Moffitt-Long Hospital (505 Parnassus Avenue). The second is at Irving Street and 2nd Avenue. Once parked in the garage, please note what floor you are on as well as the color. Take the elevator up to BI Level, turn right and walk up the stairs to the street level. Once on street level, you will see the main entrance to the hospital across the street. There is a Greeter on BI level and a map of UCSF to assist you.

Food and Beverage
Within the hospital: the cafeteria and a coffee shop are located on the second floor of the Moffitt wing. Across the street is Millberry Union, which contains a food court with a variety of restaurants and a coffee shop spanning two floors. Heading east on Parnassus Avenue you will find an outdoor coffee cart in front of the 400 building, and another coffee shop in the 350 building. Many other restaurants can be found nearby on Parnassus, Cole and Irving streets.

Other Amenities
On the street level of Millberry Union is a florist. One level down (where you come off the elevator after you park) is a sandwich shop, a gymnasium, a laundry, a pharmacy, two ATMs, and a barber. A gift shop is located on the 1st floor left of the main entrance.