Day Surgery Center
What to Expect When Having a Surgical Procedure at Catawba Valley Medical Center
Thank you for choosing Catawba Valley Medical Center for your surgical
needs. We are committed to providing exceptional care throughout your
stay. Your safety is our top priority. Reading the following information
prior to your procedure ensures that we work as partners in your health
- Normal hours of operation for Day Surgery are 6am to 7:30pm, Monday - Friday,
excluding major holidays.
- The phone number for the Day Surgery Department is 828.326.3898.
- After 7:30pm, please contact the Administrator on Duty at 828.326.3720.
Pre-procedure Testing and Interview
One of our highly skilled Registered Nurses will contact you 1-3 days prior
to your procedure date to obtain information about your health history
and current medications. We will provide your Day Surgery arrival time
and tentative procedure time during this phone interview. If your arrival
time changes after that initial phone call from our pre-anesthesia testing
department, you will be notified the business day before your surgery/procedure.
It is very important that we have a working telephone number to contact
you in case there is a change with your Day Surgery arrival time.
- Normal hours of operation for our Pre-Anesthesia testing department are
8am to 5pm, Monday - Friday, excluding major holidays.
- The phone number for the Pre-Anesthesia Department is 828.326.3404.
Selected patients may require an in-person anesthesia evaluation. Regardless
whether we obtain your health history over the telephone or you have an
in-person evaluation prior to your procedure, EVERY patient undergoing
anesthesia is assessed on the day of surgery by highly qualified anesthesia
providers such as a Certified Registered Nurse Anesthetist (CRNA) or an
Anesthesiologist prior to undergoing anesthesia.
Why Do I Need Pre-procedure Testing and Interview?
Anesthesia is safer today than ever before. However, certain conditions
increase your risk of experiencing a complication with anesthesia and
thus require an in-person evaluation. Our goal is to identify any potential
risks before you receive anesthesia or sedation, discuss these risks with
you, and work with you to develop the safest anesthetic plan.
Pre-procedure interview includes:
- Review of you medical history, including previous surgeries, hospital admissions
- Review of your medications taken daily or as needed. (This includes over
the counter medications, vitamins, herbs, inhalers, eye drops, topical
ointments, CPAP and oxygen)
- Blood work, x-rays and electrocardiogram as ordered by your provider.
Bring your medications and important documents with you: Living Will, Healthcare Power of Attorney,
Advanced Directive, etc.
- Depending on your surgery and medical history you may meet with an anesthesiologist
at your interview.
Instructions given to you at your pre-procedure interview:
- Date and tentative time of surgery.
When you to stop eating or drinking prior to your arrival at the hospital.
Normally you may consume clear liquids up to 2 hours prior to your arrival time. This is for your safety in an effort to prevent stomach contents from
accidentally entering your lungs during sedation or anesthesia. If you
do not follow instructions your procedure
may be delayed or cancelled for your safety.
Clear liquids include: Black coffee (NO CREAM or MILK), carbonated beverages, clear tea (NO CREAM
or MILK), or fruit juice WITHOUT pulp (apple juice and cranberry juice are OK).
NO Alcohol, candy, breath mints, chewing gum or TOBACCO should be consumed
prior to your procedure.
- What medications to take the day of surgery.
- How to clean your skin prior to surgery.
- Do not wear make-up, finger nail polish, lotion or powders.
- Do not use tobacco products, alcohol, recreational drugs or herbal remedies
prior to surgery.
- You must have a responsible adult to drive you home and stay with you for
the first 24 hours after surgery.
- If you develop a cough, cold, fever or flu-like symptoms before surgery,
please contact the doctor performing your procedure.
- Leave valuables at home.
- Wear hearing aids, dentures, and glasses and bring cases for them if you
have them. You will not be able to wear contacts during surgery so please
leave them at home. Bring walkers and/or canes with you.
If you use a breathing machine (CPAP/BIPAP) we will discuss this with you and provide instructions during
Day Surgery (Prior to Surgery)
What to expect the day of surgery:
- Bring an updated list of all medications you take (herbal remedies and
over-the-counter medications included). Please list the medication name,
dose, and the number of times taken each day exactly as it reads on the
- Insurance card and photo identification. Payment may be required prior
- Enter the hospital main drive from Fairgrove Church Road. Drive toward
the hospital to the Stop sign, turn right. At the next Stop sign, turn
left. The Day Surgery entrance will be on your left. Park in the “D”
parking area for convenient access to the Day Surgery entrance. Once you
enter the building, take the gold colored elevator (on your left as you
enter the building) up one floor to the Day Surgery lobby.
- Upon arrival to Day Surgery, please check in with the receptionist at the
- You may provide a cell phone number for text message updates or we will
provide a pager to communicate with you or your support person while in
the waiting area.
- You will be taken to the pre-operative area and provided with a personal
belongings bag and asked to change into a hospital gown.
- A registered nurse will perform an assessment and will ask you a series
of questions that are important for your safety.
- To ensure your privacy we ask that you only have 2 visitors with you in
your day surgery room.
- The nurse will start an IV. Depending upon your procedure, you may be asked
to cleanse your entire body with special cloths to prevent surgical site
- You will meet some members of your surgical team in Day Surgery. This includes:
your anesthesiologist, certified registered nurse anesthetist (CRNA),
pre-operative registered nurse and operating room registered nurse.
- We are affiliated with various institutions of higher learning in an effort
to facilitate clinical education of the next generation of healthcare
providers. In accordance with these affiliations, students supervised
by our licensed staff or physicians may participate in the delivery of
your medical treatment. Please let us know if you have any questions or
concerns about any member of your healthcare team.
Once your pre-operative admission is completed you will be taken to operating room.
Note: All patients arrive 1.5 to 2 hours before their scheduled surgery time.
Please know that we value your time, however, there are occasions where
your surgery may be delayed due to unforeseen circumstances. If this happens
we will keep you informed of delays. If you believe you are waiting too
long or have questions about your care, please SPEAK UP to a hospital
Post Anesthesia Care Unit (PACU)/Recovery Room
- On arrival to the PACU you will be monitored closely by a registered nurse.
- After surgery, some pain is expected. The registered nurse will ask you
regularly about pain to ensure your comfort. Please rate your pain on
a scale from 0-10. 0=no pain, 1-3= mild pain, 4-6= moderate pain, and
7-10=severe pain. We offer multiple interventions to ensure your comfort.
We will also ask if you are having any nausea. If you experience pain,
nausea or have any other concerns please do not wait on staff to ask,
SPEAK UP immediately to allow us the best opportunity to give you excellent care!
- The type of anesthesia you receive will determine how long you stay in
the PACU. The PACU nurse will observe you until you sufficiently arouse
from anesthesia. Sometimes patients stay longer than expected in PACU,
do not be alarmed: a longer stay is sometimes necessary to ensure your
comfort and safety.
- Depending on your surgery and your physician’s orders, you will either
return to Day Surgery for discharge or go to a hospital room once you
are ready to be transferred from PACU.
Please call the Pre-Anesthesia Testing Clinic at 828.326.3404 or the Day
Surgery Nurses Station at 828.326.3898 if you have additional questions.