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FAQ

Do I need to visit the Center before surgery date?

No, but some families may elect to bring their children for a preoperative tour of Northern Rockies Surgery Center.  Some patients may choose to come to the Center the day before their surgery date to complete paperwork or make payments.

All patients will need an up-to-date medical history and physical form. Some may need blood tests, EKG or x-rays. Your surgeon will advise where you can have this done.

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May I pre-register for my surgery?
Yes, you may come to the Center the day before surgery to pre-register and/or make a payment.  

What if I cannot make my appointment?
Please notify the surgeon and the Northern Rockies Surgery Center at 406-248-7186 as early as possible if you cannot make your scheduled appointment. Early notification can help us better accommodate you and other patients.

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What should I wear?
Please wear comfortable clothing. Button-down shirts or blouses are best. Wear comfortable shoes. Leave all jewelry at home, including body-piercing jewelry. If you wear contact lenses, you will probably have to remove them for the surgery, so consider bringing your glasses. If you have to wear your contacts, please bring contact solution and contacts case. Please do not wear any make-up as this can hide certain clinical signs. Please remove all body piercings.

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Why must I refrain from eating and/or drinking prior to surgery?
You refrain from eating and/or drinking prior to surgery in order to prevent the risks of aspirating gastric contents during your surgery. This complication is very serious and you need to strictly abide by our recommendations. This has nothing to do with nausea and vomiting after your surgery as some think.

Children have different fasting schedules than adults - so please check in the Children and Special Needs Adults section.

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Should I take my usual daily medication?
We generally request that you take your essential medications such as blood pressure, thyroid, heart or seizure medications before leaving home.  Instructions regarding doses of insulin/oral hypoglycemic agents should come from your doctor.  You should be contacted before your surgery leaving no doubts in your mind as to which medications you should take.

People using inhalers must bring them to the Center on the day of surgery.

Some medications will be stopped for the surgery, particularly blood thinners.  Please call us with any questions you may have.

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May I continue my herbal medications?
Herbal medications may have harmful effects on the surgery. Many of these remedies may effect your clotting mechanism and interfere with the anesthetic agents. (The list of drugs and their side effects are too great for this site.) We generally request that you stop these medications two weeks before surgery. Please remember to mention these remedies when being asked about medication.

Who may accompany me?
You are welcome to bring one person with you to the Center. That person will be allowed to be with you once you are prepared for surgery before you are taken to surgery and they may rejoin you once you are awake and stable in the recovery room.

When a patient is a child often two parents and/or guardians will accompany him or her to the Center. We will do our best to accommodate everyone based on limited space.

Please refrain from bringing young children to the Center as guests.

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Will I receive sedation before going into the operating room?
We will individualize each patient's care.

Will I be contacted before my surgery?
Yes. We call each patient about 1-2 weeks before his/her surgery to verify demographic information and review insurance and financial information.  

A preoperative nurse will also call each patient the day before surgery to answer any surgical questions that you may have and review medical history.

You can also call the Center directly with any questions.

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Should I bathe and wash my hair before leaving home?
Yes. You should take a shower with antibacterial soap.  You may brush your teeth but do not swallow the water or toothpaste.  Please do not use make up, hair spray, nail polish or toiletries. These may interfere with the anesthesia monitoring and possibly hide clinical signs from the anesthesiologist.

What should I do if I am not feeling well?
If you are not feeling well, please contact your surgeon immediately. During normal business hours, you can call the Center for advice. There are some surgeries which are safer if delayed when you are sick. We need to know specific details to make the decision. Please do not delay in contacting your surgeon or the Center.

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What should I do if I started my menstrual cycle?
This will not affect most surgical procedures. There are a few specific gynecological procedures which may be impacted by menstruation. Call us if you have any questions at 406-248-7186.

What should I do if I believe that I am pregnant?
It is very important for us to be aware of this possibility.  If there is any doubt please contact us immediately.  A urine pregnancy test is routinely done on any female patient of childbearing age.

May I drive home?
Any patient receiving anesthesia should not drive until the next day. A patient receiving sedation for a procedure needs a ride home.

We would strongly recommend that all patients have a ride home and arrange for a responsible adult to stay with them when they arrive home. Patients will not be allowed to drive, walk or take public transportation after sedation or anesthesia. Please make the appropriate arrangements.

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May I speak to my anesthesiologist before the surgery?
All patients will be seen by the anesthesiologist on the day of surgery prior to entering the operating room. Sufficient time should be spent to answer any questions you may have. If you need to speak to the anesthesiologist before the day of surgery, you are welcome to call the Center and we will arrange for you to speak with an anesthesiologist. We can also arrange a preoperative interview if you desire.

What if I have special needs?
We will make every effort to accommodate any special need you may have. We strongly encourage you to call the Surgery Center in advance so that we can properly prepare to make you comfortable. Do not hesitate to call and suggest anything that may make your day easier.

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Should I bring my special needs equipment?
Yes. Please bring any walkers, post-op crutches, hearing aids, etc.

What must I bring with me on the day of surgery?

  • Bring case for eyeglasses or contacts
  • Bring insurance identification cards, driver's license, completed billing forms, copayments
  • Make sure you have a ride home and someone to care for you at home
  • Bring a favorite bottle or "sippy cup" for your child
  • Wear comfortable, loose fitting clothing
  • Leave all jewelry and valuables at home

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How will my pain be managed?
The management of your pain is of great importance to us. We will be assessing your level of pain from the time of admission until you receive our postoperative call at home. We need to inform and prepare you for each step of the process. This education will begin with our first contact. You will be repeatedly asked to rate your pain from a numerical scale called the Visual Analog Pain Scale, or for children, the Faces Pain Scale. Using the results of our communication we will alter the therapy as needed in order to assure your comfort.

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