Facing surgery can be stressful, but the experienced staff at Madera Community Hospital
believes having surgery available close to home by a qualified and trusted physician can
ease the situation. Aside from a wide variety of outpatient and general surgical procedures,
a full range of thoracic, orthopedic, urologic and gynecologic procedures can be performed in
our state-of-the art surgical suites.
The Outpatient Surgery Center at Madera Community Hospital was developed in response to the
growing needs of our community for outpatient surgical care. We offer safe, efficient and
economical outpatient surgical care when you need surgery.
Special features - Surgeries in almost all areas of medicine can now be conveniently
performed in our Surgery Center. Here, you have the added dimension of the quality of care
and safety provided by the Same Day Surgery Center at Madera Community Hospital , with its
state-of-the-art equipment and support staff, but the cost of an overnight stay is avoided.
Scheduling your surgery - Your surgeon's office will call to schedule your surgery at
Madera Community Hospital.
Anesthesia - Prior to your procedure, your medical history and current medical condition
will be assessed to determine the optimal sedation and/or anesthesia options for you.
Pre-admission for surgery - A few days before your surgery you will receive a telephone
call from the admitting department personnel to arrange for a pre-admission appointment. You will
have your surgery at Madera Community Hospital Surgery Center and will need to come to the
Surgical Admissions department in the hospital for your pre-admission visit.
Before your surgery - During your advance visit to the admitting department in Madera
Community Hospital:
- We will pre-register you, discuss financial arrangements and provide conditions of
admissions forms for your signature. You can complete laboratory tests if ordered by
your surgeon.
- One of our registered nurses in the admissions department will:
- Review instructions with you.
- Identify special care needs you may have.
- Talk with you about prescribed medications and allergies to medications.
- Verify your arrival time for surgery at Madera Community Hospital Surgery Center.
- Answer any questions you may have.
When you come for your pre-admission appointment, please bring:
- All insurance forms and cards. Most insurance plans cover the cost of outpatient surgery.
- A list of medications you are currently taking.
- Any papers your surgeon or primary care physician has given you (for example,
physician's orders for lab work, EKG, x-rays, etc.).
- Advance Medical Directive, if you have one.
- If you do not need laboratory tests and are not scheduled for a pre-admission visit, a
registered nurse from the Surgical Admissions department will call you the day before
your surgery to complete the pre-admission visit by phone.
Important: It is important that you follow the instructions given to you regarding when to
stop eating and drinking, prior to your procedure.
- If a change in your physical condition develops prior to surgery, such as a cough, cold,
fever, or other illness, notify your physician. If you suspect you may be pregnant, please
inform your physician because anesthesia or medication could be harmful to the fetus.
- Alcoholic beverages should not be consumed during the 24 hours prior to surgery.
- Please refrain from smoking on the day of surgery if you are to receive general anesthesia.
No smoking is allowed in or near the facility.
- Prior to surgery, you will be asked to sign a consent form covering the operation, use of
anesthetics and other medical procedures. For minors, a parent or legal guardian must sign
the form, and provide any needed documents.
Arrange for a responsible person to drive and escort you home upon your discharge. In no instance
should you drive yourself. The effect of residual medication may alter your alertness and coordination.
If you plan to take a taxi home, a reliable adult should accompany you.
On your day of surgery
- Please report to the Madera Community Hospital Surgery Center.
- Important: It is important that you follow the instructions given to you regarding when to
stop eating and drinking, prior to your procedure.
- Wear loose, comfortable clothing and low-heeled shoes. We will provide a hospital gown,
slippers and a bag for your clothes.
- Please shower and wash your hair before coming for surgery.
- Wear dentures without adhesive.
- Leave contact lenses at home, if possible. However, wear your glasses so you may sign the
consent form for surgery.
- Women: Please do not wear mascara. Do not wear fingernail polish if you are having arm or
hand surgery, or toenail polish if having leg or foot surgery.
- Jewelry or other valuables should not be brought to the hospital.
- If your physician gives you a prescription for pain medication when you are discharged,
please have it filled at a pharmacy of your choice. The hospital pharmacy is unable to fill
prescriptions for outpatients.
In the unlikely event that the surgical or anesthetic procedure becomes unexpectedly prolonged or
complicated, your doctor may arrange for you to be admitted to Madera Community Hospital.
Special instructions for children scheduled for surgery
- To comfort your child, bring a special toy and/or blanket. If the child refuses a regular
nipple on a bottle, bring a pacifier or sipper cup.
- Please do not bring other children with you to the Surgery Center.
- For small children, it is strongly recommended that someone other than the driver be available
to help care for the child during the trip home.
- The registered nurse will instruct you prior to the day of surgery about how long before
surgery your child may not eat or drink.
Prior to the day of surgery, let your surgeon and the nursing staff in the Surgery Center know if
your child has been exposed to a viral infection such as measles, mumps, or chicken pox.
When you are discharged
- You will be given an instruction sheet to help you care for yourself at home.
- A day or so following your surgery, a nurse from the Surgery Center will phone you to
check on your progress and answer any questions.
- For your comfort and safety, please do not operate machinery, drink alcoholic beverages or
take any medications not prescribed by your physician for 24 hours after your surgery.
- Your physician will provide necessary medical and surgical follow-up.
It is the Hospital's goal to make your stay at the Surgery Center as comfortable and convenient
as possible. If you have questions, do not hesitate to call your doctor or the Madera Community
Hospital Surgery Center at (559) 675-5555 Ext. 5577. The Surgery Center is open from 5:30am to
8:30pm, Monday through Friday.