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Inpatient unit

Preoperative procedures

On the recommandation from your cardiologist, the medical and surgical staff decided to make you benefit or not from intervention in cardiac surgery.

The service coordinator has contacted you to let you know the date of the operation but also to inform you of the tests that remain to be done.

An interview with an anesthesiologist about ten days before the foreseen surgery, is a plus.

The day before the surgery, according to the preoperative exams, you will be invited in the morning or at about 2 p.m.

After completing the paperwork for admission on the ground floor, you will be welcomed by the Help Administrative Nurse in your hospital unit, Unit 61 or 62. She will take you to your room, should it be free. She will also give you some short information about your schedule for the day, about visiting hours, about how to handle the phone and the bell. Most importantly, she will recommend not to keep any valuables in the unit.

You will then be seen by the head nurse, who will ask you a series of questions to organize your entire stay and facilitate individualized care based on your strengths and weaknesses. Following the interview, she may appeal to the social worker, physician, psychologist, dietician or anyone else relevant to your hospitalization.

A further blood test will be carried out. For any operation we check up the thyroid test, a recent biology, cardiac enzymes the day before for coronary intervention, glycated hemoglobin for diabetics, viral serology to identify potential HIV risks or hepatitis infection for the surgeon or yourself, and finally, we take a tube of compatibility to order units of red blood cells that will be available in the operating room.

Transfusion policy today does not allow family gifts or pre-donated blood. We avoid any transfusion to the maximum, it will be done only when absolutely necessary.

During the interview, the nurse will explain once again how to prepare for intervention.

She will emphatize the importance of a preoperative shower that must be conducted with isobétadine soap. She will recommend that you lather the product to get the maximum bactericidal effect. The entire body should be soaped. Feel free to ask for help to any body part that you could not reach.

The nurse will then answer any questions you may have and give you the handout for the shower and the product, a thermometer, a bath mouth with isobétadine if necessary, a red bag with your name where you store what is strictly necessary to your toilet on the first day in intensive care and a plastic box containing the thermometer and nasal drops.

Your input weight will be controlled to adjust your treatment after surgery.

The Help Administrative Nurse will then send you to various examinations to close your balance sheet.

From 2 pm onwards you will be very busy between shaving the surgical area, shower, changing the bedding, cleansing enema to help you the first days of bowel function resumption, control of your vital signs, of you will receive a visit from the surgeon, the anesthesiologist, the physiotherapist, maybe the social worker, the psychologist and the dietician.

You will be very busy!

At 10 pm, you will relax at last. The night nurse will give you your sleeping pill, will ask you to fast from midnight and will agree with you on the waking time if you are operated on at 7am.

At 7 am or on call in the morning if you are scheduled second in the operative program, the nurse will send you to shower and change the bedding.

You can go to the bathroom.

She will remind you to wash your teeth, to lock any hearing aids or dental care, your ring, all your personal belongings, etc…

It is strongly recommended not to keep any valuables (mobile phones, money, jewelry, computer etc …) in the unit. You should avoid bringing these items during your hospital stay or you should make sure your relatives take them before you leave for the operating theater.

The nurse will help you prepare your red bag containing your toiletries as well as the plastic box containing your thermometer, nasal drops, your regular medications if they are special.

Finally, she will administer the premedication prescribed by the anesthesiologist and control your vital signs one last time. You will give her your key to keep it safe.

The stretcher-bearer will pick you up and take you to the operating theater.