Employee BLUE Inova Professional Services Surgery Center Garage GARAGE Ga llows Rd - Park in Blue Garage or use Valet Bl ue Rd - Enter via the Inova Professional Services building VALET Conference Inova Preparing for Your Surgery Center main entrance Professional Services - Take the elevators to the third floor Building Surgery Center

Inova Fairfax Hospital Inova Fairfax Medical Campus Inova Heart Inova Fairfax Hospital and Vascular Surgery Center Inova Fairfax Hospital Surgery Center GRAY Institute GARAGE Inova - Park in Gray Garage or use Valet Emergency Center - Enter via the Inova Fairfax Surgery Center entrance VALET

G

Inova Women’s a Hospital and llows Rd Welcome Inova Children’s Hospital

Inova Women’s Hospital Surgery Center VALET Thank you for choosing Inova Fairfax Medical Campus for your upcoming procedure. - Park in Green Garage or use Valet We take pride in providing the highest quality care in a safe environment. - Enter via the Inova Women’s Hospital entrance

Wellness Blvd GREEN Parking GARAGE Lot At Inova Fairfax Medical Campus, you will always be treated with compassion and

Inova Fairfax Medical Campus concern for your well-being. This guide will provide information on how to prepare For after-hour and weekend registration, please 3300 Gallows Road enter through Inova Women’s Hospital entrance. Falls Church, VA 22042 for your procedure, what to expect once you arrive at the hospital and how to plan for your care after surgery.

Main Woodburn Rd Directions to Surgery Locations Entrance Inova Fairfax Medical Campus Inova Women’s Hospital Surgery Center Via I-495 (): Via I-495 (Capital Beltway): Location: From the North (Tysons): Take Exit #51 Gallows Road/650. Stay left at the top From the North (Tysons): Take Exit #51 Gallows Road/650. Go straight of the ramp. Go straight at the light onto Woodburn Road. Turn right at first light across Gallows Road. Turn right at the first light onto Wellness Blvd. ☐ Inova Fairfax Hospital Surgery Center onto Wellness Boulevard. See parking directions below. From the South (Alexandria/Springfield): Take Exit #51 Gallows Road/650. From the South (Alexandria/Springfield): Take Exit #51 Gallows Road/650. At the traffic light at the top of the ramp, turn left onto Gallows Road. Turn ☐ Inova Women’s Hospital Surgery Center At the traffic light at the top of the ramp, turn left onto Gallows Road. Turn left left at the third light onto Woodburn Road. Turn right at the first light onto at second light onto Woodburn Road. Turn right at first light onto Wellness Wellness Blvd. See parking directions below. ☐ Inova Professional Services Building (3rd Floor) Surgery Center Boulevard. See parking directions below. Via Rt. 50: Via Rt. 50: From the West (Fairfax): Exit onto Gallows Road/650. At the top of the From the West (Fairfax): Exit onto Gallows Road/650. At the top of ramp, bear to the right onto Gallows Road. Proceed on Gallows Road and Arrival Time: ______the ramp, bear to the right onto Gallows Road. Proceed on Gallows Road and turn right at the fourth light onto Woodburn Road. Turn right at the first light turn right at the fifth light onto Woodburn Road. Turn right at first light onto onto Wellness Blvd. See parking directions below. Wellness Boulevard. See parking directions below. Procedure Date: ______From the East (Washington/Falls Church): Pass under I-495 and exit onto From the East (Washington/Falls Church): Pass under I-495 and exit Gallows Road/650. At the light at the top of the ramp, turn left onto Gallows onto Gallows Road/650. At the light at the top of the ramp, turn left onto Road. Proceed onto Gallows Road and turn right at the fifth light onto Gallows Road. Proceed on Gallows Road and turn right at the fourth light Procedure Time: ______Woodburn Road. Turn right at first light onto Wellness Boulevard. See parking onto Woodburn Road. Turn right at the first light onto Wellness Blvd. See directions below. parking directions below. Parking for Inova Fairfax Hospital Surgery Center Parking instructions for Inova Women’s Hospital Surgery Center • Enter the hospital campus from Woodburn Road via the main entrance • Please use the Inova Women’s Hospital Surgery Center Lobby Entrance onto Wellness Boulevard which is located on the right after the first stop sign on Wellness Blvd. Important Phone Numbers • Turn right after the second stop sign into the Inova Fairfax Hospital • For your convenience, a patient drop-off area and valet parking is Inova Pre-Procedural Evaluation Clinic...... 703.776.2000 Surgery Center entrance for patient drop-off immediately outside of the Inova Women’s Hospital lobby. • Valet parking is available in front of the lobby doors or you can self-park • If you wish to self-park, please use the GREEN parking garage. Parking Inova Pre-Procedural Evaluation Clinic (after 7:00 p.m. day before surgery)...... 703.776.3316 in the GRAY garage on the right past the Surgery Center entrance. fee and valet fee are $5. Parking fee and valet fee are $5. There is complimentary valet parking • To check in for surgical procedures, proceed to the registration desk Financial Services...... 703.776.6019 for outpatient procedures, please speak to your care team for more just inside the Inova Women’s Hospital lobby doors. information. Hospital Billing Questions...... 571.423.5750 • Enter the Surgery Center. Check-in desk is located on the left Anesthesiology Billing Questions...... 1.888.280.9533 Parking for Inova Professional Services Building Surgery Center Medical Records Office...... 703.776.3307 • Enter the hospital campus via the Blue Road off Gallows Road • Valet is available at lobby doors on the left or you can self-park in the BLUE garage on the right. Parking fee and valet fee are $5. There is complimentary valet parking for outpatient procedures, please speak to your care team for more information. • Enter the Inova Professional Services Building lobby • Take the Blue elevators to the third floor • Check in at third floor registration

G37477/6-19 Before Your Surgery Other Laboratory Service Locations Important Preoperative Instructions Day Before Your Procedure Inova Laboratories also offers appointments for lab work and • Your surgeon will schedule the date and time of your The following instructions are designed to provide you with a ☐ Be sure to monitor your overall health – it is important to notify testing through out the northern area. For a list of your surgeon’s office if there is any change in your health status. procedure with the Surgical Services scheduler and safe and comfortable surgical and anesthesia experience. locations and hours, visit inova.org/locatelab ☐ Unless you were given specific instructions by your physician or determine the length of your stay. Please follow all instructions carefully: your pre-procedural services nurse, please shower or bathe the Please have the following pre-procedural testing • It is important to notify your surgeon’s office if there is any ☐ Please arrange for someone to drive you or accompany night before and the morning of surgery with an antibacterial soap. change in your health status before your surgery such information available: you home. For your safety, you will not be allowed to drive See the box below for preoperative skin cleansing instructions to as a cold, sore throat, cough, fever, flu-like symptoms or home or take public transportation alone after sedation follow if directed by your surgeon or pre-procedural staff. infection or rash at the surgical site. Please DO NOT wait Test Ordered Where When or anesthesia. A responsible adult who is known to you ☐ If your procedure is in Inova Women’s Hospital Surgery Center until day of surgery. and will be responsible for your safety must be present to we would like you to follow the preoperative skin cleansing accompany you home when you are ready to leave. You instructions below using Hibiclens® soap. You will: may use public transportation or a ride share service only if ☐ Remove all make-up before you arrive • Call the Pre-Procedural Evaluation Clinic staff at someone (not the driver) is accompanying you. ☐ Leave valuables and jewelry at home 703.776.2000 to schedule your phone interview with a ☐ We strongly recommend that all patients have an adult at ☐ if you wear contacts please leave them at home nurse who will: home with them for the first 24 hours after surgery ☐ You may brush your teeth and gargle on the morning of surgery - Review your medical, surgical and family history but do not swallow any water Pre-Procedural Interview Worksheet Other Instructions: - Discuss with you any additional testing needed and ☐ Follow eating and drinking restrictions as instructed by your dietary restrictions required by anesthesia Please have the following information available for your surgeon or the pre-procedural nurse - Answer any questions you may have about your scheduled phone interview with the nurse: ☐ Prepare what to bring with you: upcoming visit to Inova Fairfax Medical Campus List of Medications You are Currently Taking: ☐ Legal ID you used when scheduling surgery with (including all over-the-counter and herbal supplements) On average, the interview takes 45 minutes. your doctor • Complete the following pre-procedural worksheet prior Name of Medication Dosage Times Taken ☐ Health insurance card to your interview ☐ Pharmacy card Special Medication Instructions from Anesthesiologist: • Call 703.776.2000 to reserve a space at our joint camp, ☐ Form of payment (check, cash or credit card) if you are scheduled for a hip or knee replacement ☐ Telephone numbers of people you wish to call surgery. ☐ Eyeglasses (do not wear contact lenses) and case • Follow and complete your procedural preparation, if ordered ☐ Hearing aids and case; mark the case with your name and date of birth Pre-Procedural Interview Worksheet ☐ Dentures – we will provide a container List of Past Procedures That Required Anesthesia During your pre-procedural interview, ensure that you are in ☐ Comfortable, loose-fitting clothing that will be easy a quiet area where you can discuss your personal health in Procedure Anesthesia Location/Date to put back on after surgery (a gown will be provided) private. Please have the following information completed and available in front of you for the duration of the interview: Preoperative Skin Cleansing If directed by your physician or pre-procedural staff, please follow 4. Then, using the Hibiclens solution and a clean, wet washcloth, Pre-Procedural Testing information the instructions below to reduce bacteria on your skin. wash your skin again starting from the neck down and gently ☐ Buy Hibiclens at your local drug store. It is available in the pharmacy scrub your skin, avoiding the genital area. Do not let the If your physician has ordered additional preoperative testing, section. Hibiclens is a 4% Chlorhexidine Gluconate (CHG) antiseptic Hibiclens come into direct contact with your hair, scalp, face, discuss with the nurse during your phone interview whether solution that will reduce the risk of infection at your surgical site. mucous membranes and genitalia. Pay special attention to you may come to Inova Pre-procedural Evaluation Clinic to Please follow these instructions: the area of your body where your surgery will take place. If List Your Specialists and Primary Care Physician have the tests completed. No appointment is necessary. 1. Take TWO showers, one the night before and one in the you cannot reach the area where your surgery will take place, Please note: cardiology, pulmonology, nephrology, hematology/, please have someone wash for you (after they have thoroughly If a medical clearance is needed, we can facilitate the neurology, and pain management specialists are required, some others may morning before coming to the hospital for your surgery. You must be able to shower – no tub baths. Please note, you might cleansed their hands). Allow the Hibiclens solution to remain appointment for you. be requested based on your health. be directed to take more than two showers by your physician or on your skin for at least two minutes. Your skin should then be Inova Pre-Procedural Evaluation Clinic nurse. rinsed and dried with a clean towel. Ground Floor, Professional Services Building, Inova Fairfax 2. Please do not shave or wax body hair at least 48 hours prior 5. After your evening shower, dress in clean pajamas and sleep on Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 to surgery. It is okay to shave facial hair, but do so before clean sheets. After your morning shower, dress in clean clothes Hours of Operation showering. that you will wear to the hospital. Keep any pets out of the Monday through Friday: 7 a.m. - 7 p.m. 3. With your first shower, shampoo your hair and wash your skin bedroom for the night. with your regular shampoo and soap. Rinse thoroughly then (Please note: last lab services are at 6:45 p.m.) 6. Do not apply any creams, lotions, powders, perfumes or use the Hibiclens solution. For your second shower do not wash deodorant on day of surgery. with regular soap before using the Hibiclens solution. Day of Your Procedure When the Procedure is Ready to Begin Special Instructions for Patients: • For all surgical procedures at any of the surgical centers • You will be wheeled on a stretcher to the operating room by Clear Liquid located at Inova Fairfax Medical Campus, please arrive at the the operating room nurse and anesthesiologist or CRNA. Solids Breast Milk Non-Human Milk/Infant Formula facility TWO HOURS prior to your scheduled procedure to • At this point your family member or companion will be No solids after 11 p.m. for a May have 4 oz. or less up to 4 hours Feeding must end 6 hours Feeding must end 8 hours prior to allow for registration and preparation for your surgery. directed to the Surgical Services waiting area where they can 7 a.m. or 7:30 a.m. surgery prior to surgery time. prior to surgery time. surgery time. Do NOT add cereal • Enter through the appropriate surgery center and proceed monitor your progress on the patient tracking board using time. If you are pregnant, diabetic, If your child has stomach/ to formula. to surgery check-in desk. your tracking number. Please note, this is for all patients No solids after midnight for overweight or have stomach/ intestinal issues then no intestinal issues then no clear liquids • You and/or your companion or family member will also except those having a cesarean birth. all surgery times at and after breast milk or clear liquids 8 8 a.m. 8 hours prior to surgery time. hours prior to surgery time. receive a pager. You can return the pager to your nurse at Examples of clear liquid include water, discharge or place it in one of the return bins. When the Procedure is Completed No gum, mints, candy or ice chips allowed. carbonated beverages, Gatorade, • Your companion or family member will be provided with a • If you are being admitted, you and your family will be taken black tea with no cream or sugar, and tracking sheet with an individualized tracking number. upstairs when your room is ready. black coffee. Please avoid herbal and green tea. They can use this number to monitor your progress on the • The recovery nurse will contact your family several times: tracking board in the waiting area. once about 30 minutes after your arrival in the recovery room to give an update, when you are ready for a visitor and when Special Instructions for Children Registration Process ☐ Patients under 18 years old must be accompanied by a parent or you are ready to be moved to you room. ☐ Bring a favorite small toy (doll, blanket, stuffed animal). • Proceed to the Surgical Services waiting area for the suite legal guardian for any required preadmission testing. On the day ☐ Please launder any cloth items before bringing them in. to which you are scheduled: Recovery and Discharge of surgery, a parent or legal guardian must be present to sign an informed consent prior to surgery and must remain in the hospital - Registration will notify our preoperative team to prepare • If you are going home after your procedure, you will be ☐ Follow doctor’s dietary restrictions especially the morning of throughout the entire process. your pre-op room. moved to the Phase II recovery area when awake from procedure. - Once your preoperative room is ready, a team member surgery. ☐ Child Life offers a personal tour to prepare you and your child ☐ Guardianship documentation should be brought to the hospital for will come out to escort you to your room. A member of • When you are awake, settled, comfortable and ready, your for your child’s procedure. To schedule a tour, please call anyone who is not a natural parent, or if the child has reached 18 your family or companion may accompany you if you wish. family member or companion will be called to join you in the 703.776.6486. years but is unable to make his/her own decisions. recovery room (PACU). - You will be asked to use the restroom. Women may be asked to give a urine specimen. • It is normal to feel drowsy the remainder of the day after Financial Services receiving anesthesia. This is why we encourage you to stay - When you reach your room, you will be asked to change with a responsible adult for the first day. into a hospital gown. Prior To Your Procedure After Your Procedure • If you are going home after your procedure, you and your - At this time, registration will begin. You will need the • Financial services will assist you with: You may: family member or companion will be given discharge following information: instructions and any prescriptions the surgeon has written. - Verification of coverage and benefits • Receive a bill for any remaining balance ☐ Valid Photo ID • For your convenience, Pharmacy Plus, our onsite retail - Obtaining any required authorization, as needed • Receive separate bills from providers on the surgical team ☐ Insurance Card pharmacy, on site to fill your prescriptions before you - Understanding any expected financial liability Hospital Bill ☐ Form of Payment (check, cash or credit card) leave. You will be provided more information on filling your - Setting up any financial arrangements ☐ Pharmacy Card prescriptions in pre-op. • A bill from the hospital or surgery center where the surgery • We will contact you regarding your deductible or other • You will meet the following members of our surgical team who • If you are an outpatient going home the day of surgery, was performed, which may include expenses for staff, financial liability. Payment arrangement or financial will verify your name and procedure, review your medical you will need to make arrangements for a ride home with a supplies and equipment assistance can be discussed during this time. If we are information and obtain your surgical consent: responsible adult. At discharge, our staff will escort you to the unable to reach you, be prepared to pay any expected co- • Questions and payment regarding this bill should be - Preoperative nurse and clinical technician car and release you to your responsible adult. pay or co-insurance on the day of surgery. addressed to the Billing Office at571.423.5750 - Anesthesiologist and/or certified registered nurse • You will be ready to go home when you have: Surgeon’s Bill anesthetist (CRNA) - Minimal nausea or vomiting • If you have questions prior to your day of service, please - Surgeon - Stable vital signs contact Inova Fairfax Medical Campus Financial Services • A bill for the surgeon’s services - Operating room nurse - Ablity to drink easily at 703.776.6019. • Questions regarding this bill should be addressed to the - Ablility to urinate • Please ask any questions or share any concerns you may • Pre-payment for general surgery and /GYN specified surgeon named on your bill - Manageable Pain have at this time. procedures can be made by calling 703.776.6019. Anesthesiologist’s Bill - Ability to get in and out of the car • Cosmetic procedures must be paid prior to your procedure/ • Please make sure that your family member or companion • Fairfax Anesthesiology Associates will bill you for surgery returns the pager to the designated area upon exit. anesthesiology services provided during your surgery - Anesthesia fee (Fairfax Anesthesiology Associates) - • Questions regarding this bill should be directed to for questions or to make payment, call 703.776.3479 703.776.3479 - Inova Fairfax Medical Campus facility fee - for questions or to make payment, call 571.423.5750 Notice of Nondiscrimination