Your Surgery

This explains items that are in your surgical folder. 

SURGERY AT ARIZONA ORTHOPEDICS

Thank you for choosing Arizona Orthopedics to be your health care choice. Our goal is to meet all of your expectations and to make your experience a positive one.

After you have had a consult with one of our Orthopedic Surgeons, our surgery scheduler will then give you a surgery date and time. You need to keep that entire day open on your schedule, as times may change.

Our staff will make all the arrangement to schedule your surgery including obtaining prior-authorization from your medical insurance. It is also the patient’s responsibility to verify with their insurance carrier which hospital the carrier is contracted with in Tucson.

We will estimate your portion, if any, of your surgery fee, based on your coverage and you are responsible to pay this portion three days prior to your surgery or your case may be rescheduled.

You will be given a surgery folder with the following material to take home and read:

  1. A Benefits Sheet, explaining that our office will check your insurance benefits for surgery, for the physician’s fees only. (There are separate fees from the facility and the anesthesiologist as well as the surgeon’s fee.)
  2. Surgical Pre-Admission Assessment Clinic packet. If you are 60 years of age or older or you have medical problems, you will need a “medical clearance”. Our office will direct you to the hospital’s pre-operative staff who will conduct the evaluation.  At this appointment you will have a medical evaluation and a cardiac risk assessment to make sure you are safe for surgery.
  3. Home Medication Form. You will need to provide a listing of all medications you are currently taking, including prescription, over-the-counter and also any vitamins or herbal supplements.

If you are having total joint replacement surgery, this folder will also contain two packets of antimicrobial soap with instructions and a Coumaden information sheet.

SCHEDULING

The staff at Arizona Orthopedics will do all the work to schedule your surgery. We will obtain pre-authorization from your insurance company, coordinate preoperative blood work and medical clearance if necessary and give you several choices of days when your surgery can take place. If you have any questions or concerns, please feel free to contact the scheduling team at (520) 881-2600.

BEFORE SURGERY

  1. If you are over 60 yrs. old, you will need medical clearance from your Primary Care Physician. Please make that appointment as soon as possible. Your PCP will fax us the information requested in the Medical Clearance letter.
  2. You will receive a call from the hospital pre-admissions nurse before surgery. She will obtain information that will put you into the computer. If you don’t hear from her by the day before surgery, call her at 873-3859. She may have been unable to reach you.
  3. Discontinue the use of aspirin products or anti-inflammatory drugs such as, but not limited to Ibuprofen, Naprosyn, Aleve & Diclofenac one week before surgery. If you are taking Celebrex, Bextra or a prescribed pain medication, you may continue taking them. If you are on a blood thinner please let the doctor know, as blood work may be necessary in addition to discontinuance of the drug.
  4. If you are having a total joint replacement and it has been decided that you need to pre-donate blood, please wait until you are given a positive date for your surgery and then call the American Red Cross at 520-917-2810 to make an appointment for your donation. The ARC address is 4601 E. Broadway in Tucson. We will fax them an order for the blood collection. When the pre-admission nurse calls, please let her know that you have pre-donated.
  5. If you are having knee surgery, you will need a pair of crutches. Please practice with the crutches before surgery and bring them with you to the hospital but leave them in the car. If you cannot borrow crutches, let us know so that we may give you a prescription to obtain them prior to surgery. If you feel unstable using crutches, a walker may be of more help to you.
  6. If you are having an ACL reconstruction, a CPM (Continuous Passive Motion) machine will be delivered to your home before surgery and you will be instructed in its use. This will aid you in regaining your range of motion. 

DAY OF SURGERY INSTRUCTIONS

For your safety and comfort please follow these instructions:

  1. DO NOT eat or drink anything after midnight on the day of surgery. The only exception is: If you are taking medication for high blood pressure, heart, seizure, respiratory or psychotic problems, please take your morning dose with a small amount of water. If you are diabetic, do not take any oral diabetic medications and if you are Insulin controlled, do not take any Regular or 70/30 Insulin. If you are on a long acting Insulin, take ½ of your morning dose and notify your admissions nurse that you have done so.
  2. Please be at St. Joseph’s Hospital 350 N. Wilmot or the surgery center, two (2) hours before your scheduled surgical time. If you are scheduled in the afternoon, please be available by phone, as you may be moved up due to changes in the morning schedule.
  3. Leave jewelry and all other valuables at home. Bring a case for your glasses and hearing aids. Do not wear contact lenses or make-up.
  4. Wear comfortable clothing. If you are being admitted after surgery, bring a robe, slippers and toiletries in a small bag. If possible, leave them in the car to be brought to your room by family/friends after surgery.
  5. If you were given a Medication Profile Sheet, bring it with you. On it, please list all prescribed, across-the-counter and herbal medications. Also bring any prescribed inhalers or nitroglycerine pills if you use them.
  6. Enter the hospital grounds by turning east off Wilmot at the Carondelet stoplight. You will find the OUT PATIENT ENTRANCE on the south side of the hospital. A blue metal roof covers the entrance. Regardless of whether you will be staying after surgery or going home, you will register at the OUTPATIENT admissions. Enter the sliding electric doors and sign in at the register in front of you. Take a seat and an admissions clerk will call you. Any additional laboratory tests ordered will be done at this same location.

Approximately 30 minutes before surgery, you will be taken to the pre-operative room where you will meet your anesthesiologist. Once again, confirmation of your identity, your understanding of the surgical procedure and the correct surgical site are reviewed.

Arrange for a responsible adult to drive you to and from the hospital. You will not be permitted to drive yourself after surgery.

If you become ill or must reschedule your surgery for any reason, notify your physician immediately .

If you have any questions or concerns please contact us immediately at (520) 881-2600.