34 South Bedford Road

Mount Kisco, NY  10549

914-244-6789



About the Center

    Home

    Credentials

    Amenities

    Tour of the Facility


Patient Information

    Surgical Services

    Anesthesia Services

    Advance Notification to Patients

    Before the Day of Surgery

    Be Prepared for Your Surgery!

    On the Day of Surgery

    After the Day of Surgery

    Pediatric Patients

    Safety Tips for Patients

   

Medical Staff

    Physician Directory by Name

    Physician Directory by Specialty

    Information for Surgeons


Insurance and Billing

    Participating Insurance Plans

    Fees

    Billing and Payment Information


Directions

    Map and Driving Directions


Contact Us

    Directory

    Employment Opportunities

Be Prepared for Your Surgery!

WARNING


  1. DIET INSTRUCTIONS

  2.     The patient’s surgery may be delayed or canceled if the patient does not follow the diet instructions exactly as written below.


  3. RESPONSIBLE ADULT

  4.        The patient’s surgery may be canceled if the patient does not have a responsible adult to escort him/her home after receiving sedation or general anesthesia.

  5.         The responsible adult must be at least 18 years of age and willing to assume responsibility for your care.  The responsible adult is usually a family member or friend.  A taxi driver does not qualify as a responsible adult because he/she cannot assume responsibility for your care.


  6. FINANCIAL OBLIGATION

  7.        The patient’s surgery may be canceled if the patient’s financial obligation (i.e., deductible, coinsurance and/or copayment) is not met before the surgical procedure.




Diet

    Patients may vomit stomach contents while under sedation or general anesthesia.  If the vomit goes into the lungs, patients may have serious breathing problems during and after surgery.  On very rare occasions, patients have died from this complication, which is known as an aspiration.


    This is the reason it is critically important for you to have an empty stomach before you receive any type of sedation or general anesthesia for your surgical procedure!


    Therefore, the patient must follow one of the two Diet Instruction options described below.  If you do not follow one set of these instructions, your surgery may need to be delayed or rescheduled to another day!


    The vast majority of our patients are healthy or have only a few medical problems and may easily follow “Option #1:  Simple Diet Instructions.”  However, some patients (e.g., pediatric patients or patients with multiple medical problem like diabetes) may require more specific directions as described in “Option #2:  More Complicated Diet Instructions” below.


    If you have any questions regarding your diet on the day of surgery, please contact us.


   Option #1:  Simple Diet Instructions


     

DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT!

 


        That’s it.  Those are the simplest and safest instructions for patients to follow. 


        So, that means nothing goes in your mouth after midnight--no water, no gum, no candy.  Nothing.  You may brush your teeth, but do not swallow the water.


        There is one exception to this rule.  Some patients may be instructed by their Primary Care Physician, surgeon, anesthesiologist or the ASCW Preadmission Nurse to take specific prescribed medications with a sip of water early on the morning of surgery. 



    Option #2:  More Complicated Diet Instructions

        These Diet Instructions are for the few patients who are not able to tolerate fasting before surgery.  The American Society of Anesthesiologists recommends:




Adults and children age 3 and older

    Solid Foods

  1. The patient must not eat any solid food after midnight.


    Clear Liquids

  1. The patient may drink clear liquids after midnight until 2 hours before the patient is scheduled to arrive at the Center.

  2. Clear liquids include

  3. water

  4. ginger ale

  5. apple juice (without pulp)

  6. black coffee or tea (without milk or cream)






Children younger than 3 years of age

    Solid Foods

  1. The patient may follow his/her regular normal diet until 6 hours before the patient is scheduled to arrive at the Center.

   

    Breast Milk

  1. The patient drink breast milk until 4 hours before the patient is scheduled to arrive at the Center.


    Clear Liquids

  1. The patient may drink clear liquids after midnight until 2 hours before the patient is scheduled to arrive at the Center.

  2. Clear liquids include

  3. water

  4. ginger ale

  5. apple juice (without pulp)





Smoking

        Smoking is harmful to your health and the health of others in your household.  Patients and other household members should not smoke 24-48 hours before surgery to decrease the chance of breathing complications during and after sedation or general anesthesia.

        In particular, pediatric patients have a higher incidence of breathing complications during and after general anesthesia if they are exposed to second hand smoke.



Responsible Adult

        All patients must have a responsible adult (at least 18 years of age) to escort them home after surgery.  Your surgery may be canceled if you do not have a responsible adult to escort you home after receiving sedation or general anesthesia.

        It is also strongly recommended that each patient have a responsible adult to remain with them for the first 24 hours after surgery.  Postop complications are rare but they are more easily addressed if you have someone to assist you during your time of need.



Medications

        In general, patients are encouraged to take their usual prescription medications on the morning of surgery but there are some exceptions.  Please follow the directions of your Primary Care Physician, surgeon, anesthesiologist or the ASCW Preadmission Nurse.  Please contact the Center if you have any questions regarding your medications on the day of surgery.

    Pills

         Patients may take prescribed medications on the morning of surgery with a small sip of water.  However, patients who take diabetes pills, blood thinning pills or water pills should consult their physician before surgery.

    Inhalers

        Patients should continue to use their inhalers as prescribed.

    Insulin

        Patients should consult with their Primary Care Physician to regulate their insulin dosage during the preop fast.

    Urgent Medications

        Patients should bring their “urgent medications” (e.g., insulin, inhalers, nitroglycerin) with them to the Center.



Items to Bring With You

  1. Valid insurance card and photo ID

  2. All fees not covered by your insurance must be paid in full prior to your surgery.  Please refer to the Billing and Payment Information page.

  3. Urgent medications

  4. If your child is the patient, please bring a favorite soft toy or blanket.



Items to Leave at Home

  1. Please leave your wallet (except for your insurance card, credit card and photo ID), jewelry and other valuables at home for safekeeping.   The ASCW cannot assume responsibility for lost items.

  2. Please leave children who are not patients in the care of a responsible adult at home. 



What to Wear

  1. Please wear loose and comfortable clothing.



What Not to Wear

  1. Please remove all jewelry including rings, ear rings and body piercings.  The metal in jewelry may burn the skin if electrocautery is used during your surgery.

  2. Please do not wear contact lenses.

  3. Please do not wear make up.

  4. Please do not wear dark fingernail polish.  Fingernail polish may interfere with our ability to monitor the amount of oxygen in your bloodstream.



Arrival Time   

        Please allow enough travel time to arrive at the Center at the designated arrival time—which is usually one hour before the scheduled start time of your surgery.



Not Feeling Well?

        If you are not feeling well on the day before or the day of surgery, please contact your surgeon’s office. 



Click here to download this information as a PDF for easier printing