Pre-operative assessment
Day surgery at Kingston Hospital
When you have to spend the day at Kingston Hospital for a procedure, we want to make sure that day is as straightforward and stress-free as possible.
Most of the surgery carried out at Kingston Hospital takes place in the Day Surgery Unit (DSU). The DSU is located on the ground floor, next to the car park, and we make it easy to move from reception to the ward area, on to theatre and recovery and back again.
To help you prepare for your day, please check these lists:
What to bring
- your admission letter and contact details for your GP and next of kin
- all medications you are taking
- nightclothes, slippers and flat shoes
- loose, comfortable day clothes
- your glasses, contact lenses and hearing aid/s
- any mobility aids you use
- a hairbrush or comb
- your Blue Badge – if you have one
- books and magazines or other ways to entertain yourself during waiting periods
Please do not bring
- large amounts of cash, jewellery or other valuables
- alcohol
- food
- large bags or suitcases
Please remember to
- tell family and friends where you are going
- remove nail polish and false nails
- arrange for someone to collect you when you are discharged, and arrange any support you will need when you return home.
Food and drink
If your procedure is scheduled for the morning, do not eat anything after midnight. You can drink water, but only until 6am. However, if you are on the afternoon list, you can have a light breakfast before 7am and drink water until 11am.
For full fasting instructions, see our patient leaflet on fasting before surgery. Should you not follow these instructions, it could affect the anaesthetic process and your operation may be cancelled.
When you arrive
Please come to Day Surgery Unit reception, where you will be met and shown to your bed by a nurse. By the bed you will have a chair, a cabinet and a locker.
The nurse will measure your vital signs and complete a pre-operative checklist. You will need to put on a hospital gown, and you may have to wear anti-embolism stockings.
You will be seen by the team performing your operation. They will explain what is going to happen and answer any questions you have.
You will also meet a doctor from the anaesthetic team. They will ask about your health and current medication and discuss the best type of anaesthesia for you and the procedure you are having. If you have any concerns about anaesthesia, this is the time to discuss them.
You may have to wait some time for your operation; this depends how long each procedure on the list before you lasts. Please be patient.
The operating theatre
You can walk into the operating theatre or be wheeled in on a trolley. In the theatre the lights are bright and there will be lots of technology, including the anaesthetic machine and monitoring system. There may also be several people dressed in blue theatre clothes.
This is the team who will be looking after you. They will have discussed all their cases in detail; we use a World Health Organisation checklist to ensure everything runs smoothly.
It is normal to feel nervous, but you will meet the anaesthetists, the nurses and your surgeon. They will help to soothe any jitters you have.
If you are having a general anaesthetic, this is applied by a small plastic tube into one of your veins. If you are having a nerve-blocking procedure to numb the area near your surgery, or combined with a general anaesthetic, the anaesthetist may give you a sedative to help you relax.
Your anaesthetist stays right next to you while the operation is carried out.
The recovery ward
This is where you are taken after the operation to wake up. There are four beds and you have one-to-one nursing care while you are there. A nurse or anaesthetist will ensure your pain is controlled and treat any nausea.
The anaesthetist and recovery nurse ensure all the relevant information about what happened in the theatre is passed on.
Transfer to ward
Once you are awake, we take you back to the ward, where the nurses will continue with your care and monitor your progress.
You will be offered light refreshments, while we prepare pain killers and other medicines for you to take away. You can leave only when you are fully awake, and any pain or nausea is under control. This may take a couple of hours – or even longer.
All our wards contain separate, single-sex bays and bathrooms.
While you are with us, you will be under the care of a team of doctors, nurses and other healthcare professionals.
Every ward has an experienced sister or nurse in charge. Groups of wards are supervised by matrons. Please ask to see your sister, charge nurse or matron if you have any concerns.
All staff wear a badge that carries their name and their job.
Who’s Who
Consultants:
A senior doctor will oversee your diagnosis and treatment. He or she is supported by a team of doctors including registrars and junior doctors.
Nursing staff:
Nursing staff include matrons, Senior Sisters, Charge Nurses, Nursing Assistants, Discharge Coordinators, Practice Development Nurse, Senior Nurse (Director and Deputy Director of Nursing),
Allied health professionals (AHPs)
AHPs include Occupational Therapists, physiotherapists, Speech and Language Therapists, and dieticians.
Students
Kingston Hospital is a teaching hospital, which means students – supervised by qualified staff – may be involved in your care. Please tell the doctor or nurse if you do not want students present during your treatment. Students wear pale blue striped uniforms.
You should be able to leave on the same day as your surgery. You should make your own transport arrangements to get home.
If you think you may need to be escorted home, please tell us in advance.
We will give you confirmation of the arrangements made for you, and telephone numbers you may need if you require further information
We may give you:
- An appointment card if a doctor needs to see you in Outpatients
- Two weeks’ supply of tablets, with a letter to your GP so that they can arrange a repeat prescription
You will have to pay for any medicines prescribed following your procedure. You may prefer to purchase pain killers from your local pharmacy before coming to hospital. If you are exempt from prescription charges, please bring proof.