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Mishawaka Pre-Surgical Patient Checklist

A surgical procedure has been scheduled for you or someone close to you. The surgical experience requires pre-planning to help ensure the surgery proceeds as scheduled. Please utilize this checklist to help you with your before-surgery preparation. By following this checklist, our goal is to have you as relaxed and ready for surgery as possible.

  • Have any testing done that your surgeon may have ordered including blood tests, x-rays or EKG.
  • Registration will contact patients to pre-register them if possible. 
  • Call the pre-surgical testing team at 574.335.1114 Monday through Friday 8 am to 6 pm to complete your profile. Please have the following information available when you call:
    • The names of your current medications, herbal remedies/supplements, and over the counter (OTC) medications, including dosages and frequency.
    • Your entire medical and surgical history including allergies.
    • The names of any specialists you see and any testing/exams/procedures you have had in the last six months. Our team may need to obtain these records prior to surgery.
  • Confirm you have a responsible adult to be present at discharge and will drive you home.
  • Stock up on food that is easy to prepare, such as soup, crackers, clear soda, and frozen foods.
  • Plan for easy access to your bathroom, if possible.
  • Check with your surgeon’s office or insurance company to be sure you have the referral, pre-certification, or other required approvals.
  • If your surgeon instructs you to donate blood, please do so.
  • Ask your surgeon if any special equipment will be needed when you return home, such as crutches, walker, braces/slings, etc. Obtain these items prior to surgery and have them with you on the day of your procedure.
  • Ask your surgeon to estimate your time off work.
  • Drop off family medical leave papers at your surgeon’s office before your surgery.
  • Do not drink alcohol during the 24 hours before surgery.
  • Do not eat or drink anything (including candy and gum) after midnight the night before your surgery, unless you are told that you can by your doctor or the hospital.
  • You may brush your teeth and rinse your mouth; avoid swallowing the water. If you have been told to take any medications, take them with a sip of water.
  • Check with your surgeon if you are taking any of the medications listed below. You may be instructed by your surgeon to stop taking a medication before surgery.
  • Adipex (Phentermine)
  • Advil
  • Aleve
  • Aggrenox
  • Anaprox
  • Ansaid
  • Aspirin
  • Cataflam
  • Clinoril (Sulindac)
  • Coumadin (Warafin)
  • Dabigatran (Pradaxa)
  • Daypro (Oxaprozin)
  • Diet Aids (OTC
  • Disalcid (Salisalate)
  • Dolobid (Diflunisol)
  • Feldene (Piroxicam)
  • Herbals (All herbals)
  • Ibuprofen
  • Indocin (Indomethicin)
  • Lodin (Etodolac)
  • Lovenox
  • MAO Inhibitors (Azilect, Marplan, 
          Nardil, Parnate, Selegiline)
  • Motrin
  • Naprelan (Naproxen Sodium)  
  • Naprosyn (Naproxen)
  • Orudis (Ketoprofen)
  • Oruvail (Ketoprofen)
  • Plavix
  • Pletal
  • Relafen (Nambumetone)
  • Rivaroxaban (Xarelto)
  • Ticagrelor (Brilinta)
  • Tolectin DS
  • Toradol (Ketoralac)
  • Trilisate
  • Vitamin E
  • Voltaren (Diclofenac Sodium
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Saint Joseph Regional Medical Center  |  5215 Holy Cross Parkway, Mishawaka, IN 46545  |  574-335-5000

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