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Your surgical journey

CUH Fit 4 Surgery Patient Journey

Link: https://youtu.be/N-l3umecZLg

Patient journey: Video transcript

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Welcome to Cambridge University Hospitals NHS Foundation Trust.

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This short video will show you what to expect on the day of your admission.

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On the day before your surgery, you need to make sure that you are fully prepared.

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First of all, it is important to double check

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what time you have been advised to arrive at the hospital.

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This can be found in your admission information.

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Take care following any fasting instructions

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given to you during your pre-assessment appointment.

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When packing your bag, we suggest that you only bring what is necessary,

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leaving all valuables at home to avoid them getting lost or misplaced.

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Don't forget to pack all of your regular medication too.

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Try not to leave too much to prepare on the night

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before your surgery as you may already be feeling anxious.

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It may be better to use this time to focus on your own

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wellbeing with everything prepared.

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Remember to have a good nutritious meal before your fasting period starts.

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On the morning of your

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surgery, have a shower or bath and thoroughly brush your teeth.

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You should also continue with your recommended fasting regime

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unless told otherwise.

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When you arrive at Addenbrooke's, you'll need to check in at the day surgery unit.

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You can bring a friend or family member with you.

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Don't forget to give their details to the reception desk

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as this enables the team to be able to notify them

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as to where they can find you after your operation.

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After you are checked in, you'll be seen by several

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professionals who will complete your pre-op checks.

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You will see a nurse, they will initially check

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that your personal details are all correct before issuing you with an ID wristband.

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If you have any allergies, they will also give you a red wristband.

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Final health checks will also be carried out,

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you will see your surgeon or senior member of their team.

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They will go through their surgery plan and discuss your consent form,

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ensuring that any questions you may have are answered.

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They may also mark the area of the operation with a felt tip pen.

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You will see your anaesthetist who will discuss

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your medical history and any medication you're currently taking.

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With all of your admission

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checks completed, you are ready for theatre.

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A nurse will tell you when it is time to change into your theatre gown,

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compression stockings and non-slip socks.

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Compression stockings

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will help to reduce the chance of blood clots occurring in your legs.

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For your safety, A member of staff

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will transfer you to theatre.

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Your theatre nurse will carry out

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final identification and safety checks.

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The anaesthetist will insert a cannula into your hand

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or forum to administer your anaesthetic.

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Once this is fully taken effect, you will then be taken into the operating theatre

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where your surgery will begin.

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After surgery,

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you may have an oxygen mask and various monitoring equipment attached to you.

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Whilst this may appear to be alarming, don't worry, it's completely normal.

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It is also common after surgery for patients with medical problems

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to be cared for in the high dependency unit or intensive care unit.

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If this applies to you, then you will be informed by your anaesthetist.

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You will stay in the recovery area

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until you are ready to be moved to a ward.

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If at any point you're in pain or feel nauseous,

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please let someone know.

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When you are ready to leave the recovery area.,

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you'll be collected by a nurse and transferred to your allocated ward.

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Your loved ones will have been informed they can visit you here.

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We hope this video has helped you to plan your admission to hospital.

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We wish you all the best with your upcoming surgery.

Pre-operative assessment

Group photo of pre-assessment team

Your pre-operative assessment involves:

  • Assessing your fitness for anaesthetic and preparing you for surgery
  • Past medical history and medication advice
  • Pre-op tests – ECG’s, MRSA swabbing, Blood tests and / or urine.
  • Collect incentive spirometer

More information can be found on our pre-assessment page.

Managing long-term conditions

Non-urgent advice: Contact your GP if:

You are worried about the management of any long term condition before your operation.

long standing medical conditions include:

  • Diabetes
  • Blood pressure
  • Anaemia
  • Heart, lung and other medical problems
  • Anxiety and mental health
  • Dental health

Preparing emotionally for surgery

  • Surgery can be a stressful experience
  • It is important not to emotionally isolate yourself
  • Don’t expect too much too soon
  • Don’t put your life on hold – It can be good to maintain your normal routine.
  • Occupy your mind
  • Don’t be afraid to ask questions

Mental health – Charities and apps

Screenshot of the Hub of Hope website

You can use the Hub of Hope (opens in a new tab) to search for mental health charities in your local area, or find one that can help with a specific problem. It’s run by Chasing the Stigma, a national mental health charity.

Screenshot of the NHS Every mind matters website.

Further support and access to a free Mind Plan is available at NHS - Every Mind Matters (opens in a new tab).

What to bring

Items a patient should bring to surgery. Slippers, dressing gown, washbag and your medication.
  • Your medication
  • Dressing gown
  • Slippers
  • Washbag
  • Nightwear
  • Comfortable loose fitting day wear
  • Ear plugs / eye mask
  • Mobile phone

Please note: space is limited - property securely stored on L2 and transferred to ward after surgery.

Day of admission

Admission time: Usually 7am or 11am.

Ward L2 (Day Surgery Unit)
Level 2 of the Addenbrookes Treatment Centre

Nil by mouth times

Food, drinks with milk and chewing gum – 5 hours pre-admission

Water – 1 hour pre-admission

Nutricia drinks

Nutricia drinks are carbohydrate based supplementary drink designed to assist your recovery. Some patients may be asked to take these before surgery.

Please note: Nutricia drinks are not suitable for diabetic patients.

Before you go to theatre

  • Ask where you are on the list. Please remember list orders may change due to clinical conditions or other circumstances.
  • You may have to wait some time before you go into theatre. Please be patient.
  • You might want to bring in a book or music to pass the time.
  • Your next of kin will be informed which ward you are going to after your operation.

Visiting

Visiting restrictions are constantly changing.

Check our most up-to-date visiting information prior to your admission.

Current restrictions

(Updated 20/09/22)

  • 1 Family member / friend on the day of surgery
  • Please do not visit if you have any Covid-19 symptoms or have tested positive for Covid-19 within 10 days
  • We will allow two visitors at a time for patients in our adult inpatient and critical care wards, between the hours of 11:00-20:00 (with the exception of protected meal times). These visits do not have to be booked in advance.
  • Visitors are encouraged to perform a lateral flow test on the day of their visit
  • You may be asked to wear a face covering

Discharge planning

If you need more specialised care after leaving hospital we have a complex discharge planning team to help.

  • Plan ahead – stock up your cupboards and freezer with easy to prepare meals
  • Make sure you have made your environment easy to get around
  • Ensure you have painkillers at home, such as paracetamol
  • Arrange transport for your journey in to and home from hospital as soon as you know your surgery date.

Non-urgent advice: Next section

Fit 4 Surgery

Take me back to the Fit 4 Surgery homepage

Fit 4 Surgery