What are the Discharge Criteria?
After the surgery, her vital signs should be normal, she should be able to stand up, she should be awake and conscious, she should be able to tolerate oral fluid intake, which starts approximately 2 hours later, she should be able to urinate, her pain should be under control, and nausea, vomiting and dizziness should be relieved.
- In cases where the vital signs are normal after the surgery, the patient is able to stand up, is awake and conscious, can tolerate the oral fluid intake that starts after approximately 2 hours, can urinate, the pain is under control, there is no nausea, vomiting and dizziness, there is no excessive bleeding or discharge from the wound, the patient is discharged with recommendations, a prescription is arranged and a control day is given. It is known to reduce complications, increase satisfaction and accelerate return to work.
- The family is informed about giving painkillers at regular intervals, especially during the first 24 hours, depending on the type of surgery performed. Pain may continue to decrease in the first 3 days. Detailed information is given about wound healing and care. He/she is called for outpatient clinic control within 24-48 hours. Contact numbers are given to the family where they can reach us in case of any problems.
- Patients may have a temporary sore throat due to anesthesia. This is a normal situation.
- It is also normal to experience an increase in body temperature, shivering and feeling cold due to dehydration in the first 24 hours after the surgery. Body temperature is expected to decrease in the days following the surgery. The patient may be advised to drink plenty of fluids. An investigation is carried out if the body temperature does not return to normal 24 hours after the surgery.
- Very severe headaches may usually occur after epidural and spinal anesthesia. The anesthetized patient should be informed about drinking plenty of fluids, resting in a supine position, and taking painkillers for the first 3 days to relieve headaches.
- After the surgery, they may experience problems such as nausea and vomiting, inability to pass gas, appetite changes, and stomach bloating. Nausea and vomiting is one of the most common problems that occur after surgery, after pain. It is usually a temporary situation.
- Patients who receive general anesthesia may experience speech, memory, attention and sleep problems after the surgery.
- Male patients who receive spinal or epidural anesthesia may experience difficulty in urinating and pain after the surgery, while women may experience urinary incontinence.
- The patient may develop muscle, back pain and fatigue after the surgery due to the patient being given muscle relaxants and lying in the same position on the operating table for a long time. Although it is usually very severe in the first 12 hours, it gradually decreases and returns to normal after 24 hours.
- Istanbul Medeniyet University Göztepe Training and Research Hospital Pediatric Surgery Clinic, outpatient surgery unit, has 6 beds. There is a bedside oxygen and aspiration system for all beds. There are 2 LCD TVs in the room to make children's waiting times more entertaining. The day surgery physician, nurse, and other responsible staff work devotedly and cooperate to inform the patient and their family at every stage of the day surgery process. Patients arriving at a time determined one day in advance are welcomed to the day surgery unit and prepared for surgery. The patient is delivered/taken to the operating room with appropriate, safe patient transfer.