Please see below for instructions which should be followed to support your participation in your care. Please follow any additional instructions given by your physician.

• Your physician’s office will schedule your procedure with our facility.
• Please advise your provider office immediately if shortly before your day of surgery or procedure you are experiencing cold or flu-like symptoms or have an infection.
• COVID -19 Testing – Please follow your physician’s directions to have a COVID-19 test three to four days before your procedure. Without test results, your case may be cancelled. A COVID-19 PCR test is required even if you have had immunizations against the coronavirus and may be required if you have had confirmed COVID-19 in the past.
• Approximately one to two weeks before your procedure, you will receive a text and/or an email with a secure link instructing you to complete an online health history. Your online health history is required and assists our anesthesiologist to plan your care. This can be completed on a computer, tablet or cellphone. You will receive reminders to do so until it is complete.If you do not have access to the internet, please call our Pre-Procedure Nurse who will help you over the phone, 989-495-9100.
• Our staff will call you two days before your scheduled procedure to give you your arrival time. If you have not received a call from us, please call after Noon the day before your surgery or procedure, 989-495-9100.

Colonoscopy Patients:

• Procedure Prep – Follow instructions regarding your physician’s clear liquid diet and prep directions.
• Please notify the Surgery Center ASAP if:
  • You cannot see through to the bottom of the toilet after you have finished the entire prep.
  • You were unable to complete or got sick during the prep.
  • You have any questions regarding the prep.

 Non-Colonoscopy Patients:

• No food after midnight (including gum and candy). You may have clear liquids including coffee/tea with sugar (you CANNOT add milk/creamer) up to 3 hours prior to your arrival time.

All Patients:

• Stop all blood thinners including Aspirin, Fish Oil, Vitamin E, and those prescribed to you 5 days prior to arrival date unless otherwise instructed.
• Do not consume alcohol, marijuana or tobacco products for 24 hours prior to your procedure.
• NO DRINKS/FLUIDS of any kind 3 hours BEFORE your appointment.
• Do not take AM Insulin prior to procedure; bring insulin and a syringe with you.
• You may take the following medications the morning of the procedure with a small sip of water:
  • Prescription pain medications
  • Antianxiety medications
  • Antidepressants
  • High Blood Pressure medications
  • Heart Medications
  • Inhalers
  • Seizure medications
• It is very important that you shower the night before or morning of your procedure. Do not apply lotions or powders to your skin.  Do not wear makeup.  In order to help prevent surgical site infections, do not shave the procedure site for 2 days prior to your surgical date.
• Remove all jewelry, including all body piercings. Leave all valuables at home.
• Bring your case for eyeglasses or hearing aids.
• Bring a complete medication list that includes dosage information.
• Notify your physician of any changes in your health including; a cold, fever, flu, an infection or any skin changes.
• Space is limited in the waiting room. Please do not bring more than 2 responsible adults with you.  Do not bring children.
• Have a responsible adult (18 years or older) available to listen to discharge instructions and drive you home.
• Photo ID and insurance card will be needed at registration.

Patients Who are Minors:

• Those under 18 years of age must have a parent or legal guardian in attendance throughout their stay.
• Up to 2 adults may stay.

Patients with Legal Guardianship

• Legal Guardianship documents must be provided at registration and the guardian be onsite.

• Before Your Procedure

You will be brought back to the preoperative area and a nurse will:

• • Take your vitals.
  • Assess your health history.
  • Review your medications (including the date you last took each).
  • Make sure all consents are signed.
  • Start an IV if required.
  • Give you any oral medications that are necessary for your surgery.
  • Remove any hair around surgical site using clippers.

• Anesthesia will:

• • Interview you if you are receiving anesthesia.

• Your physician will:

• • Greet you, mark your surgical site if needed and be available to answer any questions you may have. This also may be done by the physician’s PA (physician’s assistant).
  • During Your Procedure
  • Your driver/family member will be able to leave or stay in our lobby. They will provide their contact information and we will call them back to join you in the recovery area prior to discharge.
  • You will be monitored by an anesthesia provider who will be with you throughout the entire procedure.
  • If you are not having sedation, you will be monitored by the Registered Nurse who will be with you throughout the entire procedure.
  • Any necessary antibiotics will be given to you just prior to the procedure.

• You will be transferred to the recovery area.
• Patients receiving anesthesia will be monitored. When you are ready your driver/family member will be called to join you.
• A drink and snack will be provided.
• Discharge instructions will be reviewed with you and your driver/family member by your post-op nurse with your permission.
• Your IV will be removed prior to discharge.
• Any necessary prescriptions will be given to you to take to the pharmacy of your choice.
• Should you feel unwell after returning home from your procedure, please contact your physician’s office.
• We will follow up with you by telephone after your procedure to support your recovery.