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Prior to Surgery

A few days before your surgery, a Pre Certification representative may call you to obtain pre-registration information. For questions and concerns regarding insurance verification call the CareLine at 919-350-2273. Our Patient Account Representative will ask you for both personal and financial information. Please have all of your information available, including policy numbers and claims addresses for health insurance coverage. Depending on your insurance coverage, you may be asked for a deposit.

Pre-Op Appointment
Your doctor will schedule your pre-op appointment within two week of your procedure. This appointment will either be an onsite visit in the preanesthesia assessment and testing clinic or a scheduled telephone interview by a nurse. Patients having robot-assisted surgery or being admitted to the hospital postoperatively should have a clinic visit. Patients with a complicated medical history, multiple medications or advanced age frequently benefit from a pre-anesthesia assessment and clinic visit. Exceptions : If you are having cataract surgery, you will be contacted by phone for your pre op visit. If you are having a minor procedure, that requires local anesthesia only no pre op appointment is necessary. Local anesthesia allows you to be awake during the procedure. Most outpatient surgeries require pre-operative testing such as blood and urine tests. Some require chest X-rays or EKGs (Electrocardiograms). You may have these tests completed within 14 days prior to your surgery. Depending on your procedure, the testing may be done on the day of surgery.

Allow up to two hours for the pre-op visit and lab studies. During your scheduled pre-op visit, you will meet with the pre-op teaching nurse and a member of the anesthesia team. Always bring your current list of medications including dosages and frequencies to the pre-op visit. It is not necessary for you to fast before your pre-op visit, unless your physician requires you to do so.

If you have had blood tests within the last three months or a chest X-ray, EKG (electrocardiogram), heart stress test, heart catheterization, or lung function tests within the last two years, please bring a copy of the report to your pre-op visit. You may also FAX it to 919-350-2562.

All Patients
Please notify your surgeon if you take aspirin or blood thinners and talk to your cardiologist or primary care physician before you stop any of these medications before surgery. Examples of blood thinners include, but are not limited to Coumadin (Warfarin®), Dabigatran (Pradaxa®), Enoxaparin (Lovenox®), Clopidogrel (Plavix®) and Prasugrel (Effient®).

  • Discontinue alternative medicine therapies such as herbal medications and weight loss supplements two weeks prior to your surgery.
  • Do not drink alcoholic beverages or smoke for 24 hours prior to your surgery.
  • Call your doctor prior to surgery if you have a fever, cold, flu or other illness.
  • The night before your surgery, do not eat or drink anything between midnight and the time of your surgery, unless instructed to do so by a WakeMed Pre-Op nurse. This includes water, juice, coffee, chewing gum or breath mints, smoking and alcohol. It is dangerous to be sedated or put to sleep with food or liquid in your stomach.


Surgery may be canceled when:

  • Food and drink guidelines are not followed.
  • No responsible adult is available to drive you home or stay with you for 24 hours after surgery.
  • There are unexpected changes in your medical condition.
  • You arrive late on the day of your surgery.

If you need to cancel your appointment for surgery, please contact your physician.




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