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Preparing you for after your surgery

After your surgery:

You will wake up in the Post Anesthesia Care Unit (PACU) also known as the Recovery Room.

Your PACU Registered Nurse will check your blood pressure, pulse and operative site frequently. You will be asked to rate your level of Pain on a 0-10 scale. The Registered Nurse will provide you with pain medication. This scale rating will help the Registered Nurses to know how well medications are working and if changes are needed.

If you feel nausea, or that your pain is not manageable inform your Registered Nurse.

You will have oxygen on until you no longer need it.

You will stay in the Recovery Room until the Registered Nurse assesses that you are ready to go to either the Day Surgery Unit or an inpatient bed. You will then be transferred on your stretcher/bed.

After your surgery you will be encouraged to move as much as possible.

You will be asked to begin your deep breathing and coughing and leg exercises:

Take a deep breath in through your nose and blow out through your mouth. Repeat this 3 times. On the third breath, cough 2-3 times. This is done every 2 hours for the first day and then every 4 hours for the next 1-2 days.

Leg exercises will help to prevent complications:
a. Point your toes towards your head, then towards the foot of the bed.
b. Make your feet go around in circles 5 times. This is done 4-5 times a day until you are walking.

Day Surgery post operative:

Your Care Partner will be contacted by the Day Surgery staff and may come into the Day Surgery Unit.
You will be given something to drink and assessed for pain and nausea. The Registered Nurse will give you medication for pain and nausea as needed.

The Registered Nurses will get you out of bed and walk with you.

Your intravenous will be removed and you will be assisted to dress; your Care Partner may help you to dress.

Your post operative instructions will be reviewed with you and your Care Partner. If you are given a prescription, please ensure that it is filled as soon as possible.

The person driving you home will be asked to bring the vehicle to the West Entrance. You will be accompanied to that entrance in a wheelchair and assisted into the vehicle as needed.

Inpatient unit:

You will be transferred from the Recovery Room to your assigned inpatient bed. A summary of your surgery and recovery will be provided to the receiving Nurse who will be caring for you.

Your Care Partner/family member may be waiting for you in your room.

Your Nurse will complete an assessment including your temperature, pulse, respirations and blood pressure. Your pain and nausea will be assessed. The Nurse will give you medication for pain and nausea as needed.

You will be instructed to continue with your deep breathing coughing and leg exercises. The Nurse will assist you in getting up out of bed.
Your post operative teaching instructions will be reviewed with you and your Care Partner prior to going home.


"Preparing you for your surgery" booklet 

American College of Surgeons National Surgical Quality Improvement Program - Ontario

Queensway Carleton Hospital has voluntarily joined the ranks of hospitals around the world that are setting new standards in the quality of surgical care by participating in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)- a nationally validated outcomes based approach to measure and improve the quality of outcomes and compare our results with other hospitals.
We have a Surgical Clinical Reviewer reviewing our surgical charts to see where we are great and also to see where we can improve. We compare ourselves to other hospitals in an anonymous de-identified manner to uncover new ways to help our patient gets the best results from surgical treatment.
What can this mean for you as a patient?
You may receive a phone call from our reviewer as she follows up with some of our patients for the first 30 days after surgery. If you are seen for post operative follow up care outside of QCH we may not know where to potentially improve our care and processes.
Questions? Do not hesitate to call QCH ASC-NSQIP office at 613-721-2000 ext. 2898

Managing your pain:

Pain Management After Surgery Patient Information Booklet
Patient Information about Patient Controlled Anesthesia (PCA)
If you have a drainage system inserted during your surgery, your Surgeon may wish to leave it in for a few days after your go home. This information on care of your drainage system will help you and your Care Partner.

Discharge from Hospital:

Discharge time is expected to be at 10:00 AM, but may be later depending upon your surgery. You must make arrangements for your drive home before you are admitted to the Hospital.
Hospital fees for patients with valid Canadian Provincial or Federal Health Insurance

Helpful post-operative instructions sheets:

Air cast instructions
Care of your cast

Care of urinary drainage system
Care of a surgical drainage system
Foot dressings

Hand dressings
Walking with a cane