An Advance Directive, including a living will or a health care proxy are documents that express your choices about your future care or name someone to decide your care if you cannot speak for yourself. Because we provide surgery and procedures that are considered to be elective, our policy states that we do not honor Advance Directives and will initiate resuscitative or other stabilizing measures and transfer you to an acute-care hospital for further evaluation. At the acute-care hospital, further treatments or withdrawal of treatment measures already begun will be ordered in accordance with your wishes, Advance Directive, or Healthcare Power of Attorney. Your agreement with this facility’s policy will not revoke or invalidate any current Healthcare Directive or Healthcare Power of Attorney.
PHYSICIAN OWNERSHIP DISCLOSURE
The Surgery Center of Southwest Florida is owned by the following physicians:
• William Evans, MD
• Paul Bretton, MD
• James Borden, MD
• Jasper Rizzo, DO
• Michael Strickland, DO
Please be advised that you have the right to obtain the health care items and services for which you have been referred at any location or from any ambulatory surgery center, hospital, provider or supplier of your choice, including the Surgery Center of Southwest Florida. This disclosure is in accordance with Federal Regulations.
Due to limited space, we request that only one person accompany all adult patients to the facility. Our waiting room temperature can vary, and we want your care giver to be comfortable, so please advise them to bring a light jacket or dress in layers. Because you are receiving anesthesia, you are considered impaired and will not be allowed to drive yourself home. If you do not have a responsible care giver with you (over the age of 18) with you, your surgery will not be performed.
CELL PHONE USE
Surgery Center of Southwest Florida prohibits the use of cell phones and recording devices in the facility. While we do not want to restrict a patient or family member’s access to their devices, we are sensitive to the privacy of all patients and family members. In order to avoid an accidental recording of sound or images of other, we ask family members or guests to only use cell phones outside the building.
HEALTH RELATED DATA
The State of Florida collects data on all healthcare facilities. This data includes both statistical and quality data. You may review this data at www.Floridahealthfinder.gov.
HIPPA AND YOU
The Health Insurance Portability and Accountability Act is a complex piece of legislation that has many positive protections for patients. Most people are aware of the privacy aspects of this legislation as it pertains to medical records. All health care providers are required to provide their patients with written guidelines regarding how their personal health information can be used and disclosed, as well as how the patient can access and revise their own medical record. Please be assured we also have security measures in place to protect any patient information that may be stored or transmitted electronically.
PATIENT’S RIGHTS AND RESPONSIBILITIES
Communication between the patient and health care provider is a priority at the Surgery Center of Southwest Florida. Florida law requires that our health care provider and/or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider’s and/or health care facility’s right to expect certain behavior on the part of the patient. Section 381.026, Florida Statutes, address the Patient’s Bill of Rights and Responsibilities. You may access these statues by going to www.leg.state.fl.us/statutes and typing in “Florida Patient’s Bill of Rights” for additional information.
PATIENT COMPLAINT OR GRIEVANCE
If you have a problem or complaint, please speak to the Director of Nursing or your care giver. We will address your concern(s) promptly. If necessary, your problem or complaint will be advanced to the Administrator for resolution. You will receive a letter or phone call to inform you of the actions taken to address your complaint.
If you are not satisfied with the response of the Surgery Center, you may contact:
• Patient complaints or grievances may be filed through the State of Florida Consumer Services Unit at:
1-888-419-3456 or write to the following address:
Agency for Health Care Administration
Consumer Assistance Unit, Bldg 1
2727 Mahan Drive
Tallahassee, FL 32308
• If you have a complaint against a health care professional and want to receive a complaint form:
Department of Health
Consumer Services Unit
4052 Bald Cypress Way, Bin C75
Tallahassee, FL 32399-3275
• You may also contact AAAHC by mail at:
Accreditation Association for Ambulatory Health Care, Inc.
5250 Old Orchard Road, Suite 200
Skokie, IL 60077
All Medicare beneficiaries may also file a complaint or grievance with the Medicare Beneficiary Ombudsman.
Visit the Ombudsman’s webpage at www.cms.hhs.gov/center/ombudsman or call (800) 633-4227.
Patients receiving local anesthesia will not receive an assessment telephone call from our nursing staff. Please follow any instructions from your physician regarding medications, especially if you take anti-coagulation therapy (blood thinners). Most patients can take their regular medications and follow a regular diet. Bring your insurance card(s) and photo ID card with you. Wear loose comfortable clothing and bring your eyeglasses and hearing aids with you.
Pre-Operative instructions may vary from patient to patient and you should always follow any specific instructions given to you by your surgeon or by our Assessment Nurse. Your medical history and current medications will be reviewed by our staff, and will be discussed with your during your assessment phone call or Pre-Op Clinic. Eat a light meal for dinner the evening before surgery. Bring a written list of your medications with you to your Pre-Op Clinic visit and/or day of surgery. If you are having anesthesia, it is very important that you do not eat or drink anything after midnight prior to your surgery, unless you are given specific instructions to the contrary. This includes gum, mints, etc. Do not drink alcoholic beverages for twenty four hours before surgery, and try not to smoke for forty hours before surgery. Please leave all jewelry and valuables at home, but bring your insurance card(s) and photo ID card with you. You do need to remove nail polish, do not wear any make-up or any fasteners in your hair, and remove any body jewelry. Use common sense when choosing clothing to wear for your surgery. Loose, comfortable clothing, button down shirts or blouses and slip-on shoes work best. Bring your eyeglasses and hearing aid with you. If you have sleep apnea and are on a CPAP machine, please bring your machine with you.
One of our assessment nurses will review your medical history with you at the time of your Pre-Op Clinic visit. We want to ensure that you are an appropriate candidate for outpatient surgery and that we have accurate information regarding your medications, allergies and previous surgeries.
Prior to your procedure, you will receive several phone calls from our staff. A member of our Business Office will call to discuss your insurance coverage, if any, and to advise you of any payments due at time of service. You must arrange to have a responsible adult accompany you home from surgery and stay with you for twenty four (24) hours following surgery or your surgery will be cancelled.
At your pre-op visit, you will receive a packet containing information and forms. Please complete all forms and bring the entire packet with you to your appointment. You may fill out and submit many of these forms in advance. You will also need to bring your health insurance information and a photo identification card, such as a driver’s license.
Once you arrive the registration process will begin and at that time your care giver will be asked to sign a form stating they are the responsible adult that will be accompanying you home. Once your registration process is complete, you will be admitted into the Pre-Op area. A nurse will review your medical history and any allergies, the procedure you are scheduled for, and answer any questions you may have. Now is the time to let her know who will be taking you home after surgery and how we should contact your care person. You will be given a surgical gown to change into and we will have a warm blanket waiting for you!
You will meet your anesthesia team and your operating room nurse. For your safety, everyone taking care of you will ask you to verify your name, birth date, procedure, allergies, etc. Please do not be alarmed. All of your information is well documented and this is an added safety measure. You will also speak with your surgeon who will also verify your procedure and the site of the procedure before you are taken into the Operating Room When you procedure is complete, you will be safely transported to the Recovery room. Once you are sufficiently recovered from your anesthesia, you will be transported to Recovery 2 and a family member may come sit with you. The physician will come by and discuss your surgical outcome. Once you are sufficiently recovered, you will be discharged home.
Prior to your discharge, the Recovery Room nurse will review your discharge instructions with you and your care person. You will also be given a written copy of these instructions which include who to contact if you have any questions. An evaluation form will be included with your discharge information. Please fill it out and return it to us. Your feedback is very important.
Do not plan on doing anything other than resting comfortably at home for the remainder of the day. Your doctor will instruct you as to when you may begin to resume your normal activities. Unless otherwise instructed, you may resume a normal diet. It is best to begin with clear liquids, progress to soup and crackers and ease back into your regular way of eating as tolerated. Small portions are often tolerated better. You will receive written instructions regarding your recovery. If any problems occur or you are experiencing anything that you did not anticipate, please call your physicians’ office. If you are unable to reach your physician and you feel that your signs and symptoms warrant a physicians’ attention, please go to your hospitals emergency
You can expect a telephone call from us in the days following your procedure. We like to know how you are doing, and if you have any questions.
CONTRACTED SERVICES PROVIDERS
As of February 13, 2017, the following providers render services to patients of this surgery center. Patients should contact:
• Outpatient Anesthesia of Southwest Florida, Inc.
12511 World Plaza Lane, #50
Fort Myers, FL 33907
• Aurora Diagnostics 1-866-420-5512, www.auroradx.com
• Mark & Kambour 1-866-699-3471, www.mkpathology.com
• Ameripath 239-275-1164, www.ameripath.com
• 21st Century Oncology 1-866-585-3443, www.21co.com