Medical clearances, signed consents and hospital or surgery center pre-registration and pre-admission are required for all surgeries and involve the following sequential steps. Your OPA surgery scheduler will work with you, your surgeon and others to schedule these visits and the initial post-operative follow up visits for you to help make your experience as effective, easy, timely and efficient as possible. They will also help you understand all pre-operative instructions.
1. History & Physical Clearance Appointment
After your surgery date is determined, a medical clearance appointment will be scheduled for you either with your primary care physician or an OPA orthopedic provider. The purpose of this appointment is to determine whether you are physically able to tolerate surgery and achieve the best possible outcome. This appointment will include a thorough physical exam and may also include lab work, chest x-ray and E.K.G. studies. A written medical clearance based on this work is required by the hospitals, surgery centers, anesthesiologists and OPA surgeons before surgery can be performed.
Please note that insurance companies may not cover the cost of this appointment depending on the terms and conditions of your policy, and may result in additional charges to you when performed outside of OPA’s office.
2. Other Medical Clearance Appointments as Needed
Depending on your medical condition, other special surgery clearance appointments may be needed. These include clearances related to cardiac, pulmonary, diabetic and other conditions.
3. Pre-operative Visit with OPA Surgeon
One of your most important pre-operative visits will be with your OPA surgeon. The purpose of this visit is to review the results from your history and physical appointment(s) and subsequent diagnostic studies, review the surgery plan including pre and post-operative instructions, discuss the risks and possibilities of complications with your surgery and sign the necessary surgery consent forms. This is also an excellent time to make sure all your questions have been answered before your surgery.
Please carefully think through and write down your questions, concerns and expectations to help you prepare for this visit. After this visit, you will receive your Surgery Orders Packet. Among other vital documents, this packet includes written pre-operative and post-operative instructions from your surgeon.
4. Hospital or Surgery Center Pre-registration & Pre-admission
After your visit with your OPA surgeon, we ask that all patients immediately take their Surgery Order Packet directly to the hospital or surgery center where their surgery will be performed. Upon arrival, patients check in with the Admitting Department to pre-register and complete pre-admission paperwork for their surgery procedure. This process typically takes about two hours to complete.
5. The Night Before Surgery
Please read and carefully follow all pre-operative instructions from the surgeon. For example, to avoid complications with anesthesia, surgery patients absolutely must not eat or drink anything, chew gum or continue any medications after midnight. If this is not followed, the surgery will be cancelled and rescheduled for another day.
If patients have prescribed medications, other than pain relief medications, which must be taken in the morning, please check with the anesthesia department associated with the hospital or surgery center to confirm that those medications are approved to be taken after midnight before surgery. Approved medications should be taken as early as possible with a minimal amount of water.
If you have any questions or concerns before any of your appointments or before your surgery date, please contact your surgery scheduler immediately. If your surgeon’s scheduler is not available, please contact any member of the surgeon's care team.