Surgery followed by hospitalization

On this page, you’ll find all the steps, instructions, and documents related to your surgery and hospitalization at the CHUS.
 
  • Read them carefully to be well prepared.  
  • This will help relieve the stress of the intervention and its related procedures.

Parents will find instructions for their child's surgery. 

 

Due to unforeseen circumstances, the time of your surgery could be changed.

It could also be cancelled and postponed to a later date.

We will advise you if this happens.

Weeks prior to surgery
> Preparation clinic

Admission and hospitalization
> Admission process
> Contacting the Reception | Admission Department
 
Day before surgery

>Specific instructions

> Preoperative fasting

Day of the surgery
> Taking medication
> Preparing for your hospitalization
> Steps for the surgery

Returning home
> Being discharged from the hospital
> Preparing for your return home
> Post-operative instructions

>Post-surgery appointment

Parking
Services for hospitalized patients

                                                

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The week prior to surgery                                                                  

1

Confirmation of your operation

The week prior to your intervention, you will receive a call from the reception and admissions department confirming the date of your surgery.

2

Presurgical Preparation Clinic

You will then receive a call from the nurse at the Surgery Preparatory Clinic to set up your appointment at the clinic.

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Presurgical Preparation Clinic

Depending on your case, this step could take place by telephone or require that you go to the CHUS for several hours.


NOTE | If you have questions regarding your surgery and cannot find the answers on this page, write them down, and the Clinic’s staff will answer them. 

Preparation Clinic at the CHUS

What you should expect

What you must do

  • To meet several professionals: nurses, physicians, or other professionals to complete your health check and to determine your needs before, during, and after your surgery. 
  • To have lab tests (blood test) and other examinations (x-rays, electro-cardiograms, etc.).
  • To receive information and recommendations regarding your surgery. 
  • To sign the consent forms for your treatment, surgery, and anaesthesia.
  • To discuss your return home following your surgery.
  • Anticipate 1 to 4 hours for the meeting.
  • Bring money for your meal and parking.
  • Bring an updated list of the medications you are currently taking, which you should request from your pharmacist (including over-the-counter medication and natural products).
  • If you are taking Coumadin, aspirin (Entrophen, etc.) or any other anticoagulant, ask your physician whether you should stop taking it before your surgery.
  • If you are taking natural products, you should stop taking these two weeks before your surgery, with the exception of valerian.
  • Stop all consumption of non-prescribed or illegal drugs at least two weeks before your surgery (they may alter the effects of the anaesthesia).
  • Complete and bring the presurgical preparation questionnaire. 
  • Be accompanied by a family member or friend.
Preparation clinic by telephone

What you should expect

What you must do

  • In some cases, when all the preoperative tests have been completed and no additional examinations are required by your physician, the preoperative evaluation and specific information regarding your surgery will be provided by telephone.
  • Have an updated list of the medications you are currently taking, which you should request from your pharmacist (including over-the-counter medication and natural products).
  • If you received a presurgical preparation questionnaire from your physician, complete it and return it to us as soon as possible.
                                                     
If the surgery is for a child

What you should expect

What you must do

  • A nurse will contact one of the two parents or other designated individual to complete the preoperative assessment.
  • It’s important to prepare the child, several days before the surgery, by explaining though play, the surgery about to take place.  Example: by using a favourite plush toy to mimic the events.

Note: It is wrong to believe that explanations will frighten the child. Anxiety is easily transferred from parent to child.  

Even though it may be difficult for you, remain as calm as possible.

Since you are receiving medical care in a university hospital centre, it is common for resident physicians or other professionals in training to take part in your treatment.
 
These physicians and professionals are supervised by licensed specialized physicians (superiors) or licensed professionals.
You may need to return to the hospital before your surgery if other examinations are needed.

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Admission and hospitalization                                                                                              

 

Admission process

Admitted the day before your surgery?

If you are admitted the day before your surgery, someone from the Reception | Admissions Department will contact you to confirm the time that you need to come to the hospital.

Admitted the same day as your surgery?
  • If you are admitted the same day as your surgery, contact the Reception | Admissions Department (between 1:30 and 3 p.m., Monday to Friday) to find out what time you need to come to the hospital. 
    • If your surgery is scheduled for a Monday, call the Friday before.
In both cases, you must show up at the set time and location indicated according to the instructions provided by the Reception | Admissions Department.
You need to cancel your surgery?

If you need to cancel your surgery for personal reasons, or if you have the flu, a cold, are running a fever, have an infection, or any other change to your state of health, you must inform the Reception | Admissions Department at least 24 hours in advance.

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Contacting the Reception | Admissions Department

Reception | Admissions Department

CHUS – Hôtel-Dieu

 819 346-1110, ext. 21140

CHUS – Hôpital Fleurimont    

 819 346-1110, ext. 14520

Due to unforeseen circumstances, the time of your surgery could be changed.

Your surgery could also be cancelled and postponed to a later date.

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The day before your surgery                                                                                                    

Instructions to follow

General instructions
  • Shave the area of your body where the surgery will be performed according to the instructions provided by the Presurgical Preparation Clinic. Always use an electric razor or a hair-removing cream because a hand razor can cause small lesions and increase the risk of infection.
  • Take a shower or bath using the soap provided by the Presurgical Preparation Clinic or use an unscented soap. 
  • Remove your contact lenses.
  • Do not use perfume or moisturizing cream.
  • Remove all jewellery, including body piercings. 
    • Note: A ring may cause swelling (oedema) of the finger or a burn if electrocautery is used during the operation.

Avoid smoking or drinking alcohol 48 hours before surgery.

Directions for women
  • Remove all makeup.
  • Remove nail polish.
  • If you are menstruating, remove your tampon and replace it with a sanitary napkin before leaving home (to prevent the risk of complications linked to prolonged tampon use).

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Preoperative fasting

N.B. | These instructions apply to all types of anesthesia.
You should follow the instructions below based on your health condition.

  

SITUATION A

If you have one or more of the following conditions:

  • Significant obesity 
  • Diabetes  
  • Pregnancy 
  • Kidney failure
  • Oesophageal disease
  • Hiatal or stomach hernia
  • Gastroesophageal reflux (acid reflux)


You must fast as of midnight, i.e. not drink or eat, nor have candy or chewing gum, as of midnight the day before your surgery (this is very important to prevent complications of a pulmonary nature that could occur during the anesthestic).

SITUATION B

If you do not have any of the conditions listed in Situation A:

  • You must not eat nor have milk, candy, juice or chewing gum as of midnight the day before your surgery.
  • You may, however, drink up to a maximum of 125 ml of the following clear liquids up to three hours before you enter the hospital: black tea, black coffee (no sugar or milk), water.
If the surgery involves a child (under 14 years of age)

The child may have up to a maximum of 125 ml of clear liquid, up to three hours BEFORE entering the hospital. The clear liquids authorized include ONLY the following:

  • water
  • pedialyte
  • sugar water
  • juice with no particles (apple, grape)
  •  

If your child is under one year of age and you are breastfeeding, you can let him or her drink breast milk up to four hours before entering the hospital.

If your child is under one year of age and you are giving him/her infant formula (ex. Similac, Enfalac, etc.), you can give him/ her formula up to six hours before entering the hospital.

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The day of your surgery                                                                                                        

 

Taking medication

The morning of your surgery, even if you have been fasting, take your medications with a little water, especially for heart, lung, pressure, and epilepsy medications and according to the instructions received from the nurse at the Presurgical Preparation Clinic. 

DO NOT take your diabetes medication.

 

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Preparing for hospitalization

To prepare for your hospitalization, visit the section "I am being hospitalized" on the CHUS Web site.

This page contains all pertinent information on:
o Items and documents to bring for your brief stay
o What is or is not provided by the CHUS
o The location of the admissions department at the CHUS - Hôpital Fleurimont and the CHUS - Hôtel-Dieu
o Hospitalization fees
o Payment methods

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Steps for the surgery

Whether you are admitted the day before your surgery or on the morning of it, you will be taken to the care unit to prepare before the operation.

 

Before leaving for the operating room
  • Remove all clothing, including undergarments, and put on the hospital gown, regardless of the type of surgery.
  • Remove dentures, and place them in their case. 
  • Remove glasses or contact lenses, and place them in their case.
  • Inform staff of any hearing aids. You may need to remove and place them in their case. 
  • Urinate before leaving the care unit. 
  • An employee will take you to the operating room on foot, by wheelchair, or on a stretcher depending on your state of health.
If the surgery is for a child
  • A family member or accompanying adult must remain available at the unit at all times to respond to any situation involving the child.
In the operating room
  • Relax while you wait for an operating room staff member to welcome you and verify your name and ID bracelet. 
  • After the surgery, you will wait in the recovery room for about 1 hr. 30 min. to 2 hrs.
Following your surgery
  • Once you return to the unit, a nurse will check your vital signs. 
  • You will be asked to evaluate your pain level on a scale of 0 to 10 according to the instructions received at the Presurgical Preparation Clinic. Don’t hesitate to request a pain reliever. 
  • Practise breathing exercises using the respiratory training device.
  • Ask for help when getting out of bed for the first times.
  • Gradually resume your daily activities.

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Returning home                                                                                                         

 

Being discharged from the hospital

The CHUS requests your cooperation to plan your departure once the physician has authorized your release. This helps reduce wait time for other patients who need a bed. 

Visit the section I am being discharged on the CHUS Web site for information on:

  • The amount of time given to vacate your room.
  • The location of departure lounges in the event that your wait exceeds the allotted time.

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Preparing for your return home

Before being admitted to hospital
  • Plan the help you will need following your surgery.
  • Prepare in advance the first meals you’ll need following your surgery.
  • Adapt your home environment to help you get around when you return.
  • Practise the suggested exercises prior to your surgery to help you be more mobile following surgery. 
  • Make sure to have the information concerning your return date to work, if applicable, according to your employer’s requirements.
Before leaving the hospital
  • Make sure to have your medical insurance card, your hospital card, prescriptions issued by your physician, and other recommendations to follow.
  • Make sure to have the information about your next appointment with your physician and the resources available to help in case of emergency.
  • Enquire as to the location and time to have your stitches or staples removed, if necessary.
Once home
  • Take pain relievers as recommended by your physician. 
  • Take a shower once your bandage has been removed, unless otherwise indicated. 
  • Take a bath only if the wound has closed and completely healed, unless otherwise indicated.
  • Plan for rest periods alternating with more active periods.
If the surgery is for a child
  • If your child has had surgery, keep a closer watch on his or her activities.

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General post-operative instructions

Before leaving the hospital, staff will give you a document on general post-operative instructions. It is important that you read and follow the instructions.

Summary of guide
  • Important safety measures
  • Resuming your medication
  • Pain
  • Your personal hygiene
  • Caring for your operative wound
  • Driving
  • Side effects of anesthesia
  • Nutrition
  • Hydration
  • Rest
  • Resuming physical activities
  • Resuming sexual relations
  • Precautions with sun exposure

 

Download the electronic version of the guide

> General post-operative instructions (French version only) [ PDF ]

 

 

 

 

                                                                                                                   

                                                                              

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Consultation following surgery

When and who to consult following surgery:
 

If you exhibit one of the following symptoms
You must
  • Changes to your wound (redness, pain, heat, unusual swelling or discharge, odour).
  • An increase in temperature (chills to fever of 38.5°C or 101°F and up).
  • More intense pain despite the medication.
  • If you are unable to urinate.
  • Persistent nausea or vomiting, or the appearance of unusual bloating of the abdomen.
  • Follow the physician’s advice as the case may be. 
  • Contact Info-Santé at 811.

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