Operating Theaters

Nursing Specialist
Staff
Useful Information
Information for the Patient

 Nursing Specialist

Janan Nakhleh
Head Nurse

  Staff

Yael Maman, Secretary

 

 Useful Information


Location:
 
Main Building, Entrance floor
 

Telephone:

04-6828861
Fax: 04-6828228

Email: 

janan.n@ziv.health.gov.il 

 

 Information for the Patient

Surgery can be a very intimidating experience. It is our task to see you through the process, from beginning to end, and to ease any trepidation you may have regarding the procedure. Throughout the process, a skilled nursing staff will accompany you and will answer any questions or needs you might have.

In cases of Caesarean section, the spouse may be allowed to enter the operating room to share the experience of the joy of birth. Admission will only be done in coordination with an anesthesiologist, the operating room nurse and with the consent of the couple (please note that not all cases are appropriate for spouse’s presence in the operating room).

Parents are allowed to accompany their child into the operating room in order to minimize any anxiety the child may have regarding the process of anesthesia and surgery. Permission will only be given in coordination with an anesthesiologist and the operating room nurse (please note that not all cases are appropriate for the parent to be in the operating room).

General instructions before surgery:

Fasting: 6-8 hours before surgery the patient should not eat or drink. The goal is to prevent nausea and vomiting during the process of anesthesia and surgery. If the patient is not in a fasting state, the operation will be cancelled or postponed. If you receive any other instructions, please act accordingly.  

Prescribed medications before surgery: Please take your regular medication per doctor's orders. You may take the pill/s with a little water.

Shower: We request that you shower the night before and the morning of surgery. Rigorous washing reduces the amount of bacteria on the skin and helps reduce risk of post-surgery infection.

Makeup: Makeup should be removed. This enables us to detect any changes in your skin color and your medical condition during anesthesia, surgery and recovery. Women are kindly requested to remove any nail polish on their fingers and toes.

A good night's sleep is advisable the night before surgery. If you have problems falling asleep in the department, it is possible to ask for a sedative or sleeping pill. Please contact the nursing staff.

Who will be in the operating room: The surgical department is made up of a multi-professional team of anesthesiologists, surgical nurses, medical technicians, physicians, nurses, orderlies and assistants whose primary purpose is to extend to you and those close to you dedicated and skilled care.

Anesthesiologist: The anesthesiologist will give you the type of anesthesia that best suits you according to the type of surgery and your general health. He will accompany you throughout the surgery until recovery and your discharge to the department or home.

Surgeon: The surgeon that performs your operation will attend to you during admittance and carry-out a medical assessment.

Admitting nurse: The nurse will look after you in reception and make an assessment before your surgery. Additionally, the nurse will keep your waiting family, up to date, upon request regarding your condition and recovery. Your family can also receive a code that will enable them to follow the surgical progress on the screen at the entrance to the operating rooms.

Surgical nurses: The surgical nurse is a specialized nurse who was trained in operating room procedures. The nurse is responsible for assessing your personal needs, is actively present during the entire operation and coordinates between the various team members.

The postoperative and recovery room nurse has an intensive care nursing certification and is responsible for your care in recovery following surgery. The nurse evaluates your changing needs as you improve and prepare to return to the department or home.

Orderly: The person that wheels you to the operating theater and back to the department.

The day of surgery:

Date and duration of surgery: The patient’s name appears on the list of surgeries for that day . It is not possible to accurately determine the time of surgery and duration. There may be changes that can impact your time of surgery and return to the department.
The length of your stay in the operating area includes the time you are there prior to the surgery, sedation, surgery and recovery.

As your turn for surgery approaches
, the nurse in the department will inform you. You will be requested to go to the bathroom (if you are sedated, this will not be possible). All personal items and valuables such as jewelry, hairpins, contact lenses and dentures should be left in the department. The orderly will transfer you to the operating theater. One family member may accompany you to the pre-surgery area until you go into surgery.

The reception area in the operating room:
The admitting nurse will validate all information, will speak to you and confirm the necessary preparations were made for the surgery and will answer any questions you might have, while maintaining your privacy. The anesthetist will speak with you, explain the type of anesthesia that will be used and will have you sign the consent form. The anesthetist, orderly and nurse will accompany you to the operating theatre. On entering the operating room, your family will be given the code to follow your progress on the screen outside the operating theater.

Operating theatre:
The operating theatre is a clean environment suitable for surgery. The operating table is situated in the center of the room and above it are the surgery lamps. Surrounding the table is the equipment used in the anesthesia, surgery and monitoring.Once you are lying on the table, your arms will be placed on padded armrests, an IV drip will be administered, a blood pressure cuff will be attached to your upper arm, a finger-pulse oximeter for measuring the oxygen-saturation level in your blood will be attached to your finger and monitoring equipment (sticker-like patches) will be placed on  your skin to measure your heart rate. As these preparations are getting underway, the nurse will be preparing the equipment needed for surgery.

Anesthesia: The anesthesia can be general, local or regional. The type you will receive is determined by the type of surgery and your general health. A combination may also be used, at the discretion of the anesthesiologist.

General anesthesia is performed by injecting an anesthetic drug through the IV tube in your hand and/or by anesthetic gasses mixed with oxygen and air through an endotracheal tube or through a mask.

Regional anesthesia: This is performed by injecting an anesthetic drug into the nerves or near them, causing a loss of sensation and movement of that particular area of the body. Examples of regional blocks include spinals, epidurals or peripheral nerve blocks. This anesthesia is done on a specific area on the back, around    circling the spinal cord. During anesthesia, you may receive medication to help you relax and make you drowsy. Following regional anesthetics you may not be able to feel or move your extremities for several hours until the effect of the drug wears off. You will be asked from time to time to move your legs.

Local anesthesia is done by injecting anesthetic drugs near the operating area. Throughout the operation, the anesthesiologist will monitor you.
Following surgery, you will be transferred to the recovery room accompanied by the medical and nursing staff who participated in your operation. In the unit you will be cared for by skilled nurses who will follow your medical, physical and mental needs, providing pain prevention, treatment of nausea and vomiting, maintaining your personal safety and providing medical treatment and ongoing care.

One of the most important tasks of the team is to identify and prevent complications that may happen following surgery and anesthesia by monitoring blood pressure, heart rate, oxygen level in blood and your respiratory condition. During recovery you will receive extra oxygen via a mask or nasal cannulae where oxygen is transferred by mouth or nose. This is a normal process. Your awakening and pain intensity or discomfort will also be observed and medication will be administered accordingly.

The team will monitor: The surgical wound dressing, intravenous fluids, urine output, bleeding conditions, any drains, nasogastic tubes, pipes and other surgical wounds. Your nurse will ask you to breathe deeply, to cough and move your limbs if necessary. Sometimes there is a heightened sense of cold and you can always ask the nurse for another blanket or a heated sheet. The average time in recovery after your surgery is about two hours and determined by the time it takes for full awakening, type of anesthesia, your medical condition and degree of your discomfort.

Hospital discharge is determined by your anesthesiologist in coordination with the attending nurse. An orderly will transfer you back to the department accompanied by your family.

Entry into the area of the operating rooms and the recovery rooms is strictly prohibited in order to protect the privacy of our patients. One parent of a young child may be allowed to enter these areas if necessary.

Notice to the family:

At the entrance to the operating theater there is a waiting area that you are invited to stay in for the duration of your family member’s surgery. There are machines for drinks and close by there is a small cafeteria.

We will do our utmost to give you skilled care and courteous service. Wishing you a successful surgery and speedy recovery.

Please contact us with any questions or requests at the following numbers; Alexander Isakson, MD, Director of Anesthesiology: 04-6828547 Janan Nakhleh, Head Nurse in charge of operating room: 04-6828862