Appointment and Reception:

 

• A friendly, accomodating and informative interaction when making your appointment with our appointment facilitator.  While it's not always possible to accomodate every request; wherever possible we will:

  • accomodate emergency appointments;

  • allow changes to your appointment time given 48 hours advance notice;

  • provide a reasonable estimate of charges based on the information we have.

 

 

 

 

Consultation:

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• During your Consultation - with the surgeon performing your surgery not a "constultant" or "substitute surgeon" - an in-depth discussion and examination will be conducted.  You will:

  • have your medical history reviewed;

  • have your chief complaint and reason for being referred reviewed and this will serve as the basis for reviewing symptoms and other factors that may be important to your condition;

  • undergo a thorough focused physical examination which will include listening to your heart and lungs and evaluating your airway for candidacy for anesthesia;

  • have the surgeon's findings reviewed and explained to you;

  • engage in a discussion with the surgeon regarding the proposed treatment plan and alternative options;

  • be provided with an explanation of the expected surgical outcomes and including how to prepare for surgery and what to expect after surgery;

  • have the opportunity to have your questions answered and discussed

  • be reminded you have the opportunity to ask questions after your appontment either by phone, email or another consultation.

 

 

 

 

Surgery:

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• By the registered nurse:

  • You will be identified before being brought back to the operating room by two identifiers (e.g. name and birthdate)

  • You will have certain items verified (e.g. your last meal/beverage, current 'colds', a ride present, any piercings, etc...)

  • Monitoring equipment will he attached to you (e.g. blood oxygen sensors, blood pressure cuff, ECG leads, ventilation-verifying sensor)

  • Supplemental oxygen will be given and a small IV tube will be inserted into an arm vein

  • Vital signs will be reviewed and we will confirm (time-out) the procedure planned with the surgeon, staff and the patient present

• On the order of the surgeon:

  • Medications will be administered - typically through the IV - to induce the desired state of sedation of anaesthesia

• The surgeon will:

  • Before the patient loses ability to respond, have the patient open their mouth and a bite block/rest will be placed between the teeth;

  • Place a throat screen/guard (to prevent debris from falling into the oropharynx);

  • Await the appropriate state of anaesthesia and then:

    • Administer local anaesthesia (freezing) for intraoperative and postoperative comfort;

    • Perform the appropriate procedure

• Once the procedure is complete, the Nurse will resume watching over the patient and transfer the patient to the recovery room:

  • Vital sign monitoring will continue and the patient will be watched over by a Nurse;

  • The patient's Ride will be allowed to sit with the patient in recovery;

  • Post-operative instructions will be provided in verbal and written form and the patient will receive:

    • extra gauze for taking home

    • a prescription for appropriate medications (e.g. pain medicines, antibiotics, mouthrinse)

  • Once the patient has met certain criteria such as appropriate vital signs, wakfullness and responsiveness), they will be escorted to their vehicle

 

 

 

 

Post-Surgery:

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• Early the next day, a Registered Nurse will contact the patient to confirm their comfort and answer any of their questions

  • any significant concerns will be addressed by the Surgeon directly and the patient may be asked to return to the office if anything is out of the ordinary (very rare);

• ANY concerns can be brought to the Office's attention or Surgeon's attention at any time of the day and appropriate follow-up appointment