Before Surgery
“Operation Preparation” is a program for children and their parents that is designed to help you overcome fears or concerns about the hospital and surgery. This includes a brief tour with an opportunity for children to see and touch some of the medical equipment. Please call the Child Life Department at 330-746-8106 to sign up for the tour.
Pre-surgical appointment
- You may be scheduled for a pre-surgical preparation appointment within 30 days of your child's surgery in the perioperative surgical home located in the Leonard J. Fisher Family Building (Building A).
- Your child's vital signs (heart and breathing rate, temperature and blood pressure) will be checked, blood work drawn and a history and physical completed. This will expedite check-in on the day of surgery and prevent delays.
- A child life specialist may also meet with you and your child to explain the surgery environment and procedures.
Verification and instructions
- Our admitting department will call you 10 to 14 days before surgery to verify patient and insurance information.
- As early as two weeks before your scheduled surgery, you will receive a call from a nurse screener. He or she will ask you questions about your child’s health history, and this information will be reviewed by appropriate staff members.
- A surgery staff member will call you 1 to 2 business days (Monday-Friday, excluding holidays) before surgery to provide final instructions and confirm surgery time. If you haven't received a call by the last business day before surgery, call 330-746-8110 after 2 p.m.
Medication, vitamins and herbal supplements
- Heart, asthma or seizure medications should be given the morning of surgery with the smallest amount of water possible.
- Avoid vitamins, herbal products and ibuprofen (i.e., Advil, Motrin, Pediaprofen, etc.) for 10 days before your child's scheduled surgery date.
- For products with aspirin (i.e., Aspirin, Pepto-Bismol, etc.) or Lovenox, follow the instructions from the doctor who ordered that medication.
- Tylenol or other products with acetaminophen can be given until the night before surgery, unless otherwise instructed by your surgeon/physician.
- Contact your endocrinologist for instructions on taking insulin. You should stop taking Metformin, Diabinase, Glucatrol and Glucophage 24 hours before surgery.
Skin conditions and illness
- Contact us if your child has a rash, cuts or bruises in the surgery area, or has poison ivy, chicken pox or another illness causing a rash.
- Contact us if your child is sick or hospitalized within 2 weeks of the surgery date.
Eating and Drinking Restrictions
Day of Surgery
Before you arrive
- Have your child bathe or shower and wash his hair. Follow any special soap/scrub instructions from your surgeon/physician.
- Children may brush their teeth if they are able to do so without swallowing water.
- Remove all make-up, nail polish, jewelry, piercings and hair accessories with metal (including hair extensions).
- Bring a box or case to store contacts and removable orthodontic appliances if you cannot leave them at home.
- Your child should wear loose, comfortable clothing.
- Have your child bring a favorite comfort item to take into surgery. To help prevent infection, wash this item before bringing it to the hospital.
Once you arrive at the hospital
- You must arrive at the hospital 90 minutes before the scheduled surgery start time.
- Register at the desk in the Registration Department which is located in Building B on the first floor. Please bring your insurance card and photo ID. Upon entering the building, you’ll be screened, which includes someone taking your temperature and asking a number of screening questions related to COVID-19.
- Upon arrival, a urine specimen will be collected on all females who have begun menstruation or spotting.
- The anesthesiologist will evaluate your child before the operation to ensure a safe anesthetic during surgery. The type of anesthesia and method of delivery are based on your child's age, type and length of surgery, general health and other factors.
- Due to visitor restrictions, only one adult is permitted in the pre- and post-operative areas. Child care is not provided.
- A legal guardian must accompany your child to the hospital on surgery day.
After surgery
- The surgeon will speak to you privately about the procedure.
- Your child will be taken to the post-recovery area where 2 visitors older than 18 years will be allowed.
- A parent, legal guardian or other adult must be available to drive the child home.
Changes in behavior
You may notice a change in your child's behavior before or after surgery. Clinginess is a common post-hospital behavior, but children are resilient and they'll typically work through it. If disruptive behaviors last longer than 6 weeks, talk to your child's doctor.
Encourage your child to play "doctor" and "hospital," draw pictures of their experience, and/or journal about their experience. These types of activities will help lead them to a healthy recovery.