患者与家庭教育 Seattle: Before Procedure Checklist / Chinese 西雅图儿童医院 : 术前对照表 您的孩子需要做手术或接受医疗程序 在这份材料中, 我们把这些都称为 手术 请认真遵循这些说明, 以确保您的孩子的安全, 并防止手术被取消 孩子姓名 : 医生姓名 : 术前通话日期 : 孩子的手术日期 : 星期日期 星期日期 预期住院天数 : 地点 : Seattle Children s Hospital Main Campus 4800 Sand Point Way NE Seattle, WA 98105 专科诊所电话 : (206) - 手术一周前 继续让孩子服用正在服用的药物, 除非孩子的医护人员另有指示 手术前不要让孩子服用布洛芬 (Motrin 或 Advil) 阿司匹林或萘普生 (Aleve), 至少提前七天停服此类药物 这些药物可能会增加手术部位出血的风险 如果孩子的医务人员建议, 可以让孩子服用醋氨酚 (Tylenol) 如果孩子正在服用抗凝剂 ( 如阿司匹林 Coumadin 或 Lovenox), 请向医生询问停药日期 如果孩子正在接受医护人员的治疗, 向他们询问孩子在手术前是否需要停药 手术前七天内不要除掉手术附近部位的毛发, 除掉毛发 ( 上蜡 剃除 脱毛霜 使用激光 ) 会增加手术部位感染的风险 不要用指甲油 ( 例如凝胶 ) 专门做美甲, 手术前无法去除指甲油 病童 如果您的孩子在手术前一周内发烧 咳嗽或呼吸有问题, 请打电话给孩子的专科诊所 我们可能需要重新安排手术日期, 等候孩子完全康复 第 1 页 / 共 4 页
西雅图儿童医院 : 术前对照表 术前通话 在孩子做手术之前, 您将收到一通电话, 告诉您一些重要的信息, 包括手术当日的到达时间 何时停止饮食等 请确保您的专科诊所有您目前的电话号码 请把通话时得到的重要信息写在下面的方框中 除胃肠道 (GI) 手术之外的所有手术 胃肠道 (GI) 手术 如果您在手术日两个工作日前没有接到我们的电话, 请打电话给术前通话室, 电话号码 206-987-7890 如果孩子是做介入放射 (IR) 手术, 请打电话给外科中心介入放射 (IR) 手术室, 电话号码 206-987-2566 对于做胃肠道 (GI) 手术 ( 如结肠查 内窥镜 乙状结肠镜或肝活检 ) 的患者, 您将在预定手术日三个工作日前接到这通电话 如果您在手术日三个工作日前没有接到我们的电话, 请打电话给外科中心胃肠道 (GI) 手术室, 电话号码 206-987-2849 饮食说明 如果您没有遵守这些饮食说明, 孩子的手术必须取消, 并重新安排 术前通话时需要记下以下信息 : 手术日期 : 手术当天到达医院的时间 : 手术当天到达医院前需要服用的药物 : 停止进食固体食物 浓稠奶制品 婴儿配方奶或与婴儿配方奶混合的母乳的时间 : 停止喂纯母乳的时间 : 停止饮用清澈饮料 ( 水 清澈苹果汁 电解质水 (Pedialyte) 七喜 (7UP)) 口香糖或硬糖的时间 : 第 2 页 / 共 4 页
西雅图儿童医院 : 术前对照表 帮助孩子做好手术准备 告诉孩子要去医院以及将会发生的情况 如需了解有关提示, 请阅读 手术当天会发生什么 (What to Expect on Your Surgery Day), 请访问网站 www.seattlechildrens.org/patients-families/surgery, 点击 帮助孩子做好准备 (Preparing Your Child) 这份网上手册由 Child Life 的专家编写, 对减轻孩子的顾虑和与孩子讨论手术信息很有帮助 手术后需要什么 在家里准备好苹果汁 电解质水 (Pedialyte) 和其他清澈饮料 如果需要, 请准备好有关器械 ( 如拐杖 助步器或淋浴椅 ), 以便孩子在术后使用 为将孩子安全地载回家中, 确保车内有孩子的汽车座椅或大龄儿童垫高椅 手术前一天 给孩子洗澡或洗淋浴, 并且洗发, 这样做有助于防止手术部位感染 如果医务人员为您提供了洗必泰 (Hibiclens) 用品包, 请在使用时遵循 洗必泰洗浴手册 中的说明 (seattlechildrens.org/pdf/pe611.pdf) 如果您需要额外多的洗必泰或者没有从诊所领取洗必泰, 可在大多数药房购买 手术当日 病童 去医院之前, 清除所有化妆品 指甲油 首饰 耳环 / 鼻环 / 体环和隐形镜片 让孩子穿舒适的衣服, 可以穿不连脚的睡衣 ( 不能穿连脚睡衣 ) 请按时到达 如果迟到, 孩子的手术可能被取消或重新安排 在 Ocean 停车场任何一层停车, 并进入 Ocean 第 6 层, 办理手术登记 在前台办理附照姓名标牌 手术前, 年满 12 岁的女性患者需要提供做妊娠筛查的尿样 签署同意书 享有医疗决策权的家长或法定监护人必须陪伴孩子前来做手术或通过电话提供口头许可 被授予实际监护权的祖父母 姑姨 叔伯 / 舅舅等亲属和寄养父母可能不具有在手术同意书中签名的合法权利 拍照或录像前, 请向您的孩子的护士询问 如果您的孩子在手术当日生病, 并且这一天是工作日 ( 星期一至星期五 ), 请打电话给 206-987-2045 如果这一天是周末或假日, 请打电话给医院总机 206-987-2000, 请求与值班麻醉师通话 手术时带什么 孩子正在服用的所有药物和补品清单, 或带上这些药品证明您有权对孩子的手术作出决定的法律文件 ( 如适用 ) 所有医疗保险卡或优惠券让您的孩子穿宽松 舒适的衣服 ( 如宽松运动裤 ) 和有良好支撑的舒适鞋子 ( 网球鞋 ) 如果您的护理团队让孩子穿拖鞋, 也可以穿拖鞋 一件孩子喜欢的玩具或一条毯子 孩子可以将这件给他带来安慰的物品带在身边, 直到手术结束 第 3 页 / 共 4 页
西雅图儿童医院 : 术前对照表 了解更多信息 保险 : 如果您的孩子将在手术后住院, 请打电话给 206-987-3940 如果您的孩子在手术当天回家, 请打电话给 206-987-5757 财务顾问 :206-987-3333 或 206-987-5786( 西班牙语 ) www.seattlechildrens.org 免费口译服务 如果在医院, 可以向孩子的护士询问 如果不在医院, 请拨打免费家庭口译电话专线 1-866-583-1527 告诉口译员您要找谁或需要接通的分机号码 Symphony 牌吸乳器或您自备的吸乳器和设备 ( 如适用 ) 以及保持母乳冷却的方法 如果没有自己的吸乳器, 您可以使用医院的 Symphony 牌吸乳器 带其他孩子一起来在医院过夜有问题吗? 如果可能, 请勿带其他孩子来医院 如果您必须带上他们, 安排另一位成年人全程照看他们 11 岁及以下的兄弟姐妹可以到兄弟姐妹游戏室玩耍, 一次不超过两小时 兄弟姐妹可在上午 8 时至下午 8 时之间探访, 但不得在医院过夜 如果孩子手术后在医院过夜, 可有两名家长或法定监护人在夜间陪伴 兄弟姐妹和访客不得在医院过夜 兄弟姐妹 朋友和家人可以在早八点至晚八点之间探视 如需了解更多在医院住宿的信息, 请访问网站 www.seattlechildrens.org /patientsfamilies/hospital-stay 如果您对孩子的手术或药品有任何疑问或者需要更改地址或电话号码, 请打电话给孩子的专科诊所 如果您希望了解孩子应当在何时停止进食或喝饮料, 请打电话给 206-987-7890 西雅图儿童医院为聋人 听力障碍者或不会讲英语的病人 家庭成员和法定代表免费提供口译服务 西雅图儿童医院还将应病人请求以其他格式提供此信息 请打电话给家庭资源中心 206-987-2201 本手册经过西雅图儿童医院临床工作人员审阅 但是, 每个孩子的需求都不尽相同 在您基于这些信息采取行动或使用这些信息之前, 请向孩子的医护人员洽询 2018 年华盛顿州西雅图市西雅图儿童医院版权所有 保留一切权利 手术中心 2018 年 10 月 PE459 第 4 页 / 共 4 页
Patient and Family Education Seattle: Before Procedure Checklist Your child is having a surgery or procedure. In this handout we will call it a procedure. Please follow these instructions closely for the safety of your child and to prevent the procedure from being cancelled. Child s name: Doctor s name: Date of your pre-procedure phone call: Date of your child s procedure: Anticipated length of inpatient stay: Location: Seattle Children s Hospital Main Campus 4800 Sand Point Way NE Seattle, WA 98105 Day of Week Date Day of Week Date Specialty clinic phone number: (206) - One week before the procedure Continue your child s medicines as usual unless your child s healthcare provider gave you different instructions. Do not give ibuprofen (Motrin or Advil), aspirin or naproxen (Aleve) for at least 7 days before the procedure. These medicines can increase the risk of bleeding from the procedure site. It is OK to give acetaminophen (Tylenol), if recommended by your child s healthcare provider. If your child is taking an anticoagulant (like aspirin, Coumadin or Lovenox), ask your doctor for the stop date. If your child is under the care of a medical provider, ask them for instructions on stopping or continuing medicines before the procedure. Do not remove hair near the procedure area within 7 days before the procedure. Removing hair (waxing, shaving, depilatory creams, use of lasers) can increase the risk of your child getting an infection at the procedure site. Do not get special manicures with polish (i.e. gels) that cannot be removed for the procedure. Sick child If your child becomes ill with fever, cough or breathing problems within 1 week of the procedure, call your child s specialty clinic. We may need to reschedule the procedure at a time when your child is fully recovered. 1 of 4
Seattle: Before Procedure Checklist Before procedure phone call Before your child s procedure you will get a call with important information about your child s check-in time, and eating and drinking instructions. Make sure your specialty clinic has your current phone number. Write this important information in the box below. For all procedures, except Gastroenterology (GI) procedures If you do not hear from us 2 business days before the procedure, call the Pre-Procedure Call Room at 206-987-7890. If your child is having an Interventional Radiology (IR) procedure, call the Surgery Center s IR procedure room at 206-987-2566. For Gastroenterology (GI) procedures For patients having a GI procedure, such as a colonoscopy, endoscopy, sigmoidoscopy or liver biopsy, you will get this call 3 business days before your child s procedure. If you do not hear from us 3 business days before the procedure, call the Surgery Center s GI Procedure Room at 206-987-2849. Eating and drinking instructions If you do not follow these eating instructions, your child s procedure must be cancelled and rescheduled. Fill this out during the before procedure phone call Date of procedure: Time to check-in on day of the procedure: Medicines to be taken before check-in on the day of the procedure: No solid food, thickened liquids milk products, formula, or breast milk mixed with formula after: No plain breast milk after: No clear liquids (water, clear apple juice, Pedialyte, 7UP), gum or hard candy after: 2 of 4
Seattle: Before Procedure Checklist Preparing your child for the procedure Talk to your child about the hospital visit and what will happen. For tips, read What to Expect on Your Surgery Day, at seattlechildrens.org/patients-families/surgery and click Preparing Your Child. Written by Child Life specialists, this helpful online booklet can lessen worry and spark conversation. What you will need after the procedure Have apple juice, Pedialyte and other clear drinks at home. Make sure you have equipment, if needed, such as crutches, a walker or shower chair, to care for your child after surgery. Arrange for a safe ride home for your child. Make sure the car has your child s car seat or booster seat inside. The day before the procedure Give your child a bath or shower and shampoo to help prevent your child from getting an infection at the procedure site. If you were given a Hibiclens packet by your healthcare provider, use it by following the instructions in the Hibiclens Bathing handout at seattlechildrens.org/pdf/pe611.pdf. Hibiclens can be bought at most pharmacies if you need extra or did not get from the clinic. Day of the procedure Remove all makeup, nail polish, jewelry, piercings and contact lenses before coming to the hospital. Dress your child in comfortable clothes. Your child can wear pajamas without feet (no footed pajamas). Please arrive on time. If you are late for your check-in time, your child s procedure may be cancelled and rescheduled. Park on any level in Ocean parking and enter on Ocean, level 6 to check in for your procedure. Stop at the entrance desk for a photo name badge. Before the procedure, female patients 12 years and older will be required to provide a urine sample for pregnancy screening. Sign consent forms - A parent or legal guardian with medical decisionmaking rights must come with the child having the procedure or be available by phone to give verbal consent. Grandparents, aunts, uncles, and foster parents who are granted physical custody of a child may not have legal rights to sign for the child s procedure. Please check with your child s nurse before taking pictures or videos. Sick child If your child is sick the morning of the procedure and it is a weekday, call 206-987-2045. If it is the weekend or a holiday, call the hospital operator at 206-987-2000 and ask to talk to the anesthesiologist on call. 3 of 4
Seattle: Before Procedure Checklist To Learn More Insurance: If you have questions about the authorization for your child s procedure call 206-987-5757. Financial Counselors: 206-987-3333 or 206-987-5786 (Spanish). www.seattlechildrens.org What to bring to the procedure A list of all medicines, supplements your child is taking or the medicines themselves A copy of legal papers granting you rights to make decisions about the procedure for this child (if this applies) All medical insurance cards or coupons Have your child dress in loose, comfortable clothing (like sweatpants) and wear comfortable and supportive shoes (tennis shoes). Flip flops are ok if instructed by your care team. One favorite toy or blanket for comfort. Your child s comfort item can remain with them until they are taken back for their procedure. Symphony breast pump kit or your own pump and equipment (if appropriate) and a way to keep milk cool. If you do not have your own pumping equipment, you can use the hospital s Symphony pumps. Free Interpreter Services Bringing other children Staying overnight Questions? In the hospital, ask your child s nurse. From outside the hospital, call the toll-free Family Interpreting Line 1-866-583-1527. Tell the interpreter the name or extension you need. If possible, do not bring other children to the hospital. If you must bring them, arrange to have another adult with them at all times. Siblings 11 years and younger may also go to the Sibling Playroom for up to 2 hours at a time. Siblings may visit between 8 a.m. and 8 p.m. but may not stay overnight at the hospital. If your child is staying overnight in the hospital after their surgery, there is enough room for 2 parents or legal guardians to stay with your child. Siblings and visitors may not stay overnight in the hospital. Siblings, friends and family may visit between 8 a.m. and 8 p.m. For more information about staying in the hospital go to seattlechildrens.org/pat ients-families/hospitalstay. If you have questions about your child s procedure, medicines or have an address or phone number change, please call your child s specialty clinic. If you have a question about when your child can last eat or drink, call 206-987-7890. Seattle Children s offers interpreter services for Deaf, hard of hearing or non-english speaking patients, family members and legal representatives free of charge. Seattle Children s will make this information available in alternate formats upon request. Call the Family Resource Center at 206-987-2201. This handout has been reviewed by clinical staff at Seattle Children s. However, your child s needs are unique. Before you act or rely upon this information, please talk with your child s healthcare provider. 2018 Seattle Children s, Seattle, Washington. All rights reserved. Surgery Center 10/18 PE459 4 of 4