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Frequently Asked Questions


What is an outpatient surgery center?

Outpatient surgery centers are also known as ambulatory surgery centers (ASC) or same day surgery centers. An outpatient surgery center is a health care facility that specializes in providing surgery, pain management, and certain diagnostic services in an outpatient setting, where you are released the same day as your procedure. Outpatient surgery procedures are considered less invasive than those that require a hospital stay. Many procedures performed at hospitals can be done at an outpatient center, lowering the cost for the patient. Ask your health care provider if your surgery is appropriate for an outpatient setting.

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How can I have my procedure scheduled at Premier Surgery Center?

As a patient or guardian you have the right to ask if it is appropriate for you or a loved one to have a procedure performed at an outpatient surgery center. Your doctor will be the best person to help with that decision. You must meet health requirements and your physician must be on staff at Premier to perfrom cases. If this criteria is met, ask your physician if your procedure can be scheduled at Premier.

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Will my out-of-pocket be more or less at an outpatient surgery center?

It is more cost effective for patients to utilize outpatient surgery centers. Since we specialize in outpatient surgery and we are a free standing facility we are able to provide the same quality of care as a hospital with more personal care, while controling and maintaining a lower cost than the same procedures provided in a hospital setting.

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How will I know my out-of-pocket expense for Premier Surgery Center?

We will verify your insurance benefits and notify you approximately one week in advance to your procedure. We will inform you of your insurance benefits for the surgery center as well as your estimated out-of-pocket expense. We can only provide an estimate for the facility portion of your care. You will receive separate bills from the physician, anesthesia, and potentially pathology if specimens or biopsies are sent to a lab. At Premier Surgery Center your health care is important to us. We will try to work with you and accomodate all financial situation.

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Do I need to visit the Center before surgery date?

All patients will need an up-to-date medical history and physical form. Some may need blood tests, EKG or x-rays. Some of these services will be available preoperatively at the Premier Surgery Center of Louisville. Your surgeon will advise where you will have this done.

Some families may elect to bring their children for a preoperative tour of Premier Surgery Center to help alleviate stress.

We strongly recommend that you complete all preoperative documentation before the day of surgery. Please, visit our website's homepage and utilize the "Pre-Register Now" link.

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May I pre-register for my surgery?

Yes, we strongly encourage you to complete your medical history online by visiting our website and clicking on the "Pre-Register Now" feature.

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What if I cannot make my appointment?

Please notify the surgeon and the Premier Surgery Center of Louisville at (502) 589-9488 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, preferably flat, 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.

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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.

We have very clear policies as to specific times before surgery when you must refrain from eating and/or drinking. These are all based on safety standards. Please note that the standards have been revised recently. We believe that the fasting time should be as short as possible before your surgery. You will not improve your safety by not eating or drinking longer than necessary; in fact, at times you may complicate things a bit.

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 medication before leaving home. Diabetic medications will be individualized. We will usually hold diabetic medicines and manage your sugar at the Center. You should be contacted before your surgery leaving no doubts in your mind as to which medications you should take. Please bring all your medications with you.

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

Some medications will be stopped for the surgery, particularly diabetes medication and blood thinners. You should bring these medications with you the day of surgery. 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.

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Who may accompany me?

You are welcome to bring one person with you to the Center. That person will be allowed to be in your room with you before surgery and may sit with you after the surgery if you so choose.

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, however, one parent and/or guardian will be permitted into the recovery room at a time.

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. Most patients walk into the operating room themselves. Therefore, preoperative medication is minimized.

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Will I be contacted before my surgery?

Yes, we call each patient before the surgery to gather information and answer any questions you may have. Preoperative instructions will be given by the nurse who calls you. You can also call the Center directly with any questions at (502) 589-9488.

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Should I bathe and wash my hair before leaving home?

Yes. You can comfortably take a shower, bathe, brush your teeth, etc. 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.

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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 502-589-9488.

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What should I do if I believe that I am pregnant?

It is very important for us to be aware of this possibility. Only essential surgery is done on pregnant patients. If there is any doubt please contact us immediately.

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May I drive home?

Any patient receiving anesthesia should not drive until the next day. A patient receiving sedation for a procedure will require a responsible adult to drive them home. The few patients who have procedures performed under local anesthesia alone could possibly drive home.

We would strongly recommend that all patients have a ride home and will be received by a responsible adult 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 speak with an anesthesiologist. We can also arrange a preoperative interview if you desire.

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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.

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

  • Bring case for eyeglasses or contacts Bring insurance identification cards, driver's license,  copayments
  • Bring a list of all medications you currently take to include dosages
  • 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 to use after the procedure
  • 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.

The management of your pain will be taken very seriously. We will often use a combination of different modalities to help make you comfortable, choosing from oral medications, intravenous medications, nerve blocks, injection of local anesthetic during the surgery, etc. and prior to the surgery, the management of your pain should be discussed with both your anesthesiologist and surgeon. Please feel free to bring up any concerns or fears you may have. Remember that information on pain management gives you the appropriate expectations and hence a smoother, more comfortable recovery.

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