Constitution Surgery Center East

Patient Information

WELCOME

Dear Patient,

The team at Constitution Surgery Center East welcomes you to our facility. Constitution Surgery Center East is a state of the art outpatient surgical center and was designed, built, quipped and staffed to provide the highest quality surgical care.

Constitution Surgery Center East is a Connecticut licensed and Medicare Certified Outpatient Surgery Center.

We are proud to offer this high quality care as a more convenient and cost effective alternative to traditional hospital care. Our team has been carefully selected and included some f the most outstanding professionals in Connecticut.

We encourage you to visit our website at www.csceast.com. If you have any questions. Please call 860-701-0140 Monday through Friday 8am-4pm.

Thank you for choosing Constitution Surgery Center East. We are committed to providing the finest healthcare.

Sincerely,

The Staff of Constitution Surgery Center East
140 Cross Road
Waterford, CT 063885


Before Surgery

  • Your doctor may order tests such as lab work and/or EKG to show your body is healthy enough for surgery and anesthesia. Depending on your medical history, you may need additional tests.
  • Consult your medical doctor or cardiologist if you are taking Aspirin, Coumadin, Plavix, other blood thinners or herbal products. Ask if you should stop taking any of these medications before surgery.
  • If you are diabetic, contact your primary care doctor of endocrinologist for instructions regarding your medication.
  • If you take anti-inflammatory medicines (i.e. ibuprofen/ Motrin/ Advil, Aleve/ Naprosyn, Relafen, Celebrex, etc.), ask your surgeon if you should stop taking these medications before surgery.
  • Please fill prescriptions ahead of time to minimize travel time on your surgery day.
  • If you develop a fever, cold, diarrhea, vomiting, rash or other illness, call your doctor. For your safety, your surgery may be postponed.
  • You must have a responsible adult drive you home after surgery. Please plan for a flexible schedule as recovery time varies with each person. For your safety, it is required that a responsible adult stay with you at home for the first 24 hours if you have had anesthesia.
  • One business day before your surgery, we will call you to give your arrival time at the Surgery Center. It is important to keep the entire day available, as we many not be able to accommodate a specific time requested.
  • Do not eat or drink anything after midnight the night before your surgery unless instructed otherwise by your doctor or the Surgery Center staff. This includes water, coffee, tea, candy, mints, gum, chewing tobacco, and ice chips. If you were instructed to take medication, please take it with only a sip of water. Failure to follow these instructions may result in cancellation of your surgery.

Day of Surgery

  • Shower or bathe the night before the morning of the surgery. Skin is the body’s first line of defense against infection.
  • Remove all make-up and do not use oils, lotions, powder, hairspray or scented products after bathing.
  • Remove all jewelry and body piercing (unless having eye surgery) before coming to the Surgery Center. Do not wear metal hair clips or hairpins. Metal can interfere with the operation of some surgical equipment.
  • Wear loose, comfortable clothing. If you are having eye surgery wear a loose necked top. If you are having surgery above the waist, wear an oversized, top that zips or buttons in the front. You may not be able to get the operative arm through a sleeve after your surgery. If you are having surgery below the waist, wear loose fitting pants (sweatpants or jogging shorts). You may also want to bring a couple of pillows and leave them in the car for comfort on the ride home.
  • Do not wear contact lenses. If you use glasses and/ or hearing aid, bring a hard case for their safekeeping. We provide containers, for removable dentures and bridgework.
  • Leave extra cash and valuables at home and empty your pockets of keys, nail clippers, pocket knives, scissors, and anything that can be considered a weapon. We cannot be responsible for damage or lost property.
  • Bring a photo I.D. and insurance card(s).
  • Please take all your prescription medication, as directed, in morning with a small sip of water (NO MORE THAN 2 ounces of water).
  • If using an inhaler or medication for migraines, bring them with you to the center.
  • Bring an updated list of your medications including dosages for all prescription, herbal, inhaled, and over the counter medicines.

Day of Surgery at the Center

  • Please arrive on time to the Surgery Center and check in with the receptionist. The time you are given for arrival is an approximate time. Sometimes surgeries are cancelled an we may need to call you in earlier or surgery may take longer than planned and your surgery may be delayed. Your family or friend may wait in the waiting room.
  • Please bring any brace, sling or crutches that were given to you prior to surgery.
  • You will meet with an anesthesiologist if you are having anesthesia.
  • An IV (intravenous) will be placed in an arm or hand vein to provide fluids and/ or medication during and after surgery.
  • Your surgical site will be identified, marked, possibly washed and hair removed before you go to the operating room.
  • You may be given an antibiotic to fight infection and/or medication to reduce nausea.
  • Sleeve like devices may be placed around the lower part of your legs to help prevent blood clots. These will inflate and deflate regularly to keep your blood moving.
  • The operating room provides a safe and sterile place for surgery. The staff will be wearing special clothing, masks, hair covers and gloves to help prevent infection.
  • The average stay after surgery is 30-60 minutes depending on the type of surgery and your own personal recovery. Upon completion of your surgery, you will be offered a snack and a beverage. I you have general anesthesia, you may have a mild, sore throat. This will go away after drinking fluids. It is not usual to feel a little sleepy, lightheaded or dizzy for several hour after your surgery.

Your Role in Recovery

  • After you have returned home, reread the discharge instructions and follow your doctor’s orders regarding surgical care, rest, medication, diet, and activity.
  • Deep breathing and controlled coughing help clear your lungs and aid air circulation. This can help prevent pneumonia.
  • Walking and moving your legs will aid blood flow and body functions. This will help prevent blood clots. Stand up slowly to avoid getting dizzy. If you had leg or foot surgery, follow your doctor’s instructions regarding putting weight on the affected side. Remember rest periods are important as well.
  • Follow any specific diet and/or fluid restrictions. A healthy diet and drinking water helps your body heal.
  • To help prevent constipation while taking pain relievers, eat a lot of fruits and vegetables. Please ask your doctor if stool softener would be helpful.
  • Follow specific instructions given by your doctor regarding incision and bandage care to aid in healing and preventing infection. Wash your hands before and after touching your bandage and incision.
  • Pain medication helps to reduce pain to a tolerable level, usually to 5 and under on a scale of 0-10.

Pain Management

  • Do not take additional Tylenol/ acetaminophen while taking narcotic pain medication. Most pain medication already has Tylenol/acetaminophen in it. The maximum dose of Tylenol/ acetaminophen is a 24-hour period is 3000mg.
  • Take pain medication with food (unless told not to) to minimize nausea.
  • Try to arrange taking pain medication before activity that may cause discomfort.
  • When you are relaxed, pain medication works better. Try the tips below to help increase your level of relaxation.
    • Dim lighting and listen to soft, relaxing music.
    • Position yourself for comfort.
    • Take a deep breath and exhale. As you exhale feel your body begin to relax from your head to your toes.
    • Imagine yourself in a calm, peaceful place
    • As each breath becomes a little deeper, notice where your body feels tight and sore. As you exhale, feel the tightness and discomfort start to release.

Advance Directives

An Advanced Directive is a statement that outlines the medical treatment you’d want to names the person you’d want to make healthcare decisions for you if you could no longer express your wishes.

  • This facility does not provide implementation of advanced directives, however, the following protocol is in place:
  • This facility will post information at the front desk regarding our policy on advanced directives.
  • All patients will be asked if they have advanced directives.
  • All patients are given information regarding CSCE advance directives prior to their surgery date.
  • All patients who present with advance directive (DNR order) will be asked to sign a waiver stating, “while at CSCE the DNR order will not be honored.” A copy of the advanced directive, if applicable, will be placed in the patient’s chart.
  • All patients in life threatening situations will have life sustained at this facility and be transferred to the hospital via ambulance.

A copy of the cart (to include in the advance directive waiver, if applicable) will be transferred with the patient to the hospital.

Providing excellent service is a high priority at Constitution Surgery Center East. The goal of every staff member is to provide you with a high quality, comfortable and relaxing visit. We would appreciate if you would complete our patient satisfaction questionnaire after your visit and return it to your surgeon during your next appointment. Your comments are important to us.


Patient Rights and Responsibilities

As a patient, you have the right to:

  • Considerate, respectful care at all times and under all circumstances with recognition of your personal dignity.
  • Personal and informational privacy.
  • Confidentiality of records and disclosures. Except when required by law you have the right to approve or refuse the release of records.
  • Information concerning your diagnosis, treatment, and prognosis, to the degrees known.
  • The opportunity to participate in decisions involving your healthcare.
  • Competent, caring healthcare providers who act as your advocates.
  • Know the identity and professional status of individuals providing service.
  • Adequate education regarding self-care at home.
  • Make decisions about medical care, including the right to accept or refuse medical or surgical treatment.
  • Impartial access to treatment regardless of race, color, sex, national origin, religion, handicap, or disability.
  • Receive an itemized bill for all services.
  • Report any comments concerning the quality of services provided to you during the time spent at the facility and received fair follow-up on your comments.
  • Know about any business relationship among facility, healthcare providers, and others that might influence your care or treatment.

As a patient, you are responsible for:

  • Providing to the best of your knowledge, accurate and complete information about your present health status including communicable diseases and past medical history and reporting any unexpected changes to the appropriate physician(s).
  • Following the treatment plan recommended by the primary physician involved in your case.
  • Providing an adult to transport you home after surgery and an adult to be responsible for you at home for the first 24 hours after surgery.
  • Indicating whether you clearly understand a contemplated course of action and what is expected of you and ask questions when you need further information.
  • Your actions if you refuse treatment; leave the facility against the advice of the physician, and/or do not follow the physician’s instructions relating to your care.
  • Ensuring that the financial obligations of your healthcare are fulfilled as expediently as possible.
  • Providing information about and/or copies of any living will, power of attorney, or other directives that you desire us to know about.

Any complaints regarding this policy should be addressed to either:

Dwayne Kertanis, Administrator: 860-701-0140 or:
Connecticut Department of Public Health
Facilities Licensing and Investigation Section
410 Capitol Avenue MS#12FLIS
Box 340308
Hartford, CT. 06134-0308
860-509-7400

Medicare Ombudsman Office: 800-633-4227
http://www.cms.gov/center/ombudsman.asp


Billing and Payment

You can expect the cost of your surgery to be significantly less than if performed at a local hospital. Constitution Surgery Center East accepts assignment from Medicare and is a participating provider with most health plans. Any insurance co payment will be collected upon admission. Please call your insurance provider to verify what your out of pocket expense for outpatient surgery will be. The center accepts cash, check, and all major credit cards.


Directions

Constitution Surgery Center East is conveniently located at 140 Cross Road in Waterford, CT 06385

From Norwich-Interstate 395 South: Take Exit 2 (formerly exit 77 the Crystal Mall exit) and turn left onto Route 85. Go to your second traffic light (after the Dunkin Donuts) and turn right onto Cross Road. We are 1/2 miles up the road on your right on the corner of Cross Road and Foster Road.

From Old Saybrook & South-Interstate 95 North: Go over bridge and continue on I-95 North. Take Exit 81 and turn left at the end of the exit ramp. At traffic light turn left onto Cross Road. We are just past BJ’s Wholesale Club on your left, on the corner of Roster Road and Cross Road.

From Route 2 South & 85: Take Route 2 South to Route 11. When Route 11 ends in Salem turn left onto Route 82. Go straight until you reach the first traffic light (Salem 4 Corners). At the light, turn right onto Route 85. After you pass under I-395 (around 8 miles) go to your second traffic light (after Dunkin Donuts) and turn right onto Cross Road. We are ½ miles up the road on your right, on the corner of Cross Road and Foster Road.

From Groton: Take I-95 South over the Gold Star Bridge to Exit 81. Turn left at the end of the exit ramp. At 2nd traffic light turn right onto Cross Road. We are just past BJ’s Wholesale Club on your left, on the corner of Foster Road and Cross Road.