CAPPAGH National Orthopeadic Hospital
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Home | Clinics & Services | Day Surgery

Day Surgery

It might surprise you to know that many non-urgent surgical procedures can be performed as day cases at the Hospital. Certain procedures are frequently conducted in this manner, however, not all patients are eligible for same-day surgery and discharge. In order to qualify, you must be in good health and have the support of family or friends to care for you following your discharge home. If you are being considered for day surgery you may be asked to attend for the Preoperative Assessment Clinic to determine your state of health and suitability.

In 2018, we successfully trialled a series of same-day Total Hip Replacement surgeries at the hospital and we continue to offer this service to patients who meet the medical and practical criteria set out by the Enhanced Recovery Programme Team.

Arriving on the day of surgery

  • You will check-in at the Admissions Department at the designated time.
  • Your personal details, the surgical procedure, next of kin and contact information will be taken.
  • You will be admitted to the Day Ward, where your personal information will be cross-checked.
  • The nursing staff will run through your medications and ensure that you have observed preoperative instructions. They will then ask you to sign a Surgical Consent Form to confirm that you are in receipt of the information relating to your surgical procedure, you understand the risks, benefits and expected outcome, and wish to proceed..
  • A parent or guardian must accompany patients under 16 years and must sign the Surgical Consent Form on their behalf.

Postoperative Care

  • You will be monitored closely following surgery and mobilized quickly to reduce the risk of clots and common postoperative infections
  • Members of the interdisciplinary team will set tasks and observe you in completion of those tasks to ensure that you recovering well and without complication
  • Once the team is satisfied with your progress, they will begin the discharge process and prepare you for your return home.

Discharge

  • On discharge, you will be given information regarding pain and wound management and provided with a prescription for medications, if required.
  • You may receive a review appointment in the Outpatient Clinic for postoperative review, removal of stitches, wound dressing or therapy services. If you do not live within easy commute of the Hospital, we will connect you with a service in your locality.
  • Please notify the nursing staff if you require a Medical Certificate for your employer.
  • Please arrange for a relative, friend or taxi service to transport you home on the day of surgery.

When preparing for surgery we recommend the following:

  • Take a shower or bath the night before admission
  • Remove nail varnish, false nails, piercings, false tan, eyelash and hair extensions and jewellery.
  • Please refrain from applying body lotions.
  • If you are having a general anaesthetic, we recommend that you take a late supper before 10pm the night before admission. Please do not drink anything (including water) from midnight onwards. If you receive a late admission time, the nursing staff may provide you with alternative advice on fasting.
  • If you suspect that you might be pregnant, please inform the Admissions Department. If pregnancy is confirmed your surgery may be deferred to a later date.
  • If you are under 16 years of age, a parent or legal guardian must accompany you to the Hospital. And should you require inpatient care, a parent or guardian must remain with you for the duration of your stay.
  • Removable braces and dentures should not be worn during surgery.

Certain medications should not be taken before surgery. Please check the information leaflet provided by the Preoperative Assessment Clinic which lists medications you should avoid and those that are safe to take.

Diabetic Medicines

Insulin or Hypoglycemic drugs

If you are taking medication for the treatment of diabetes, please do not take medicines on the morning of surgery. You should bring all medications to the Hospital, for review on admission.

Other Medicines

Warfarin, Plavix, Nu-Seal Asprin, HRT, Oral Contraceptive Pill, Methotrexate, Arava, Kineret, Humera or Remicade

If you are taking any of the medications listed above and have attended the Preoperative Assessment Clinic, please refer to the information sheet provided to you at assessment.

If you are taking any of the medications listed above and have not attended the Preoperative Assessment Clinic please contact the Medical Registrar at the Hospital for advice on medicine management. Please do not discontinue medication without consultation.

Herbal Remedies

If you are taking medication or herbal remedies, you should consult the information sheet provided by the Preoperative Assessment Clinic or contact the Medical Registrar for advice.

Comfortable Clothes

We recommend that you wear comfortable loose-fitting clothes on the day of surgery.

Medications

If you are taking medication, please bring your current medication with you to the hospital, and make sure that all medications are in the original packaging.

Health Insurance Details/Medical Card

Take your Private Health Insurance Details or Medical Card with you.

Please refrain from bringing valuables or large sums of money to the hospital.

The Admissions process takes a few minutes to complete. We will check your information to ensure that is it complete and accurate and bring you through to the Day Ward where you will be prepared for your procedure.

  • Check-in with the Admissions Department at the designated time
  • We will check your personal details, surgical procedure, next of kin and contact information
  • You will be brought to the Day ward where you will be asked to sign a Surgical Consent Form
  • If you are under 16 years of age, your parent or guardian must accompany you and sign the consent for surgery on your behalf

Before you undergo surgery, it is important that you receive detailed information on the surgical procedure, risks and benefits. This information will help you to decide whether you wish to proceed with the surgery. It will also set your expectations for recovery and assist your postoperative planning.

When you present for surgery you will be asked to sign a consent form confirming you have received and are satisfied with the information provided and that you wish to proceed. This is known as Informed Consent. It is a safeguard to ensure that you understand and accept the process, risks and benefits, and potential outcomes of surgery.

Paediatric Patients
A parent or guardian must accompany patients under 16 years and will be required to sign consent for surgery on their behalf.

English may not be your first language and complex medical terms can be difficult to understand. For this reason, we offer translation services, providing telephone and face-to-face translation communication support for patients in their preferred language 

Services must be booked in advance to ensure availability, and interpreters are screened and legally-bound to respect patient confidentiality.

If you require the services of an interpreter, contact the dayward on  + 353 (1) 814 0445

  • On discharge patients are provided with information regarding pain and wound management
  • A Prescription for medications may be provided
  • A review appointment may be arranged with the Outpatient Department or a patient may be directed to their GP or community clinic for removal of stitches, wound dressing or therapy services
  • Patients can request Medical Certificates for employers
  • Patients should arrange for a relative, friend or taxi service to assist their transport home on the day of surgery.

Clinics & Services

  • National Orthopaedic Hospital Cappagh
  • The Centre for Rehab
  • Sports & Exercise Medicine
  • Paediatric Orthopaedics
  • Bone Tumour Centre
  • Musculoskeletal
  • Rheumatology
  • National Bone Bank
  • Outpatient Clinic
  • Specialist Consultant Clinics
  • Pre-operative Assessment Clinic
  • Day Surgery
  • Diagnostics
    • Radiology
    • Pathology
  • Virtual Clinics

Cancellation and missed appointment policy

Unable to Attend
If you cannot attend the Hospital on the day of your procedure, please contact the Hospital at your earliest convenience to reschedule.

Missed Appointment
If you miss an appointment and fail to contact us, we will assume that you have opted out of treatment, and we will remove you from the hospital waiting list.

Rescheduling Your Appointment
If you would like to reschedule or cancel an appointment please contact the Admissions Department
+353 (1) 814 0445
admissions@nohc.ie

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National Orthopaedic Hospital, Cappagh

The National Orthopaedic Hospital Cappagh Designated Activity Company (DAC) Company No: 396993 Registered Charity No: 20058685 Registered Address: The National Orthopaedic Hospital Cappagh, Finglas, Dublin 11

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