Microsoft word - in-office procedure copy.doc

On the day when you schedule your in-office procedure you will sign a surgical consent form that reviews the risks of the specific procedure that you are planning. You will be given your prescriptions at this visit and a copy of this instruction sheet. If your scheduling is handled by phone then your prescriptions will be mailed to you. 1-2 Days Prior to procedure: Begin taking the Ibuprofen (Motrin) 800 mg every 8 hours starting 24 to 36 hours prior to your scheduled procedure. Make sure to also take the Ibuprofen the morning of your procedure. Eat regular meals including the day of your procedure. Day of Procedure: Make sure to eat breakfast. Eat lunch as well if your procedure is in the
afternoon. This will help decrease nausea caused by the medications and the
procedure.

Take one or two of the Percocet capsules approximately 1 to 2 hours prior to your procedure. A responsible adult will need to drive you to the office. ( If you tend to be very sensitive to Narcotics then you may take just one of the Percocet capsules) Use the B&O suppository approximately 1 to 2 hours prior to the procedure. This Please arrive promptly at the time scheduled on your instruction sheet. Please realize this is approximately 60 minutes prior to the planned time of your procedure. It will take us at least this amount of time to properly prepare you for your procedure. A pregnancy test may be performed on a urine specimen. You will be given an injection of Toradol. This is a non-steroidal anti- inflammatory medication. (Similar to Motrin) The Vaginal tissues will be cleansed with an Iodine solution. A local Anesthetic of Lidocaine, Xylocaine, or Carbocaine will be injected into the cervix. After allowing 10 minutes for this to take effect then the procedure will begin. Quite frequently you will still experience some cramping and discomfort during the procedure. If the discomfort becomes severe then let your doctor know. Most patients are able to leave the office within 15 to 20 minutes. A responsible Continue the Ibuprofen 800 mg every 8 hours for at least 24 hours after the You may also need to take additional Percocet capsules; 1 or 2 capsules every 6 You may also be given a prophylactic antibiotic to take for 5-7 days after the Nausea is quite common on the trip home from the office. The nausea should resolve once you are able to get home and rest. Prescriptions: Some are optional Ibuprofen 800mg—Every 8 hours as needed B&O Suppository—One prior to procedure Percocet— 1 or 2 capsules every 6 hours as needed for pain Zofran or Phenergan—One every 4-6 hours as needed for nausea or vomiting Doxycycline 100 mg—Twice a day for 5 days Sexual Intercourse and Tampons for 2 weeks after Ablations. Heavy lifting, Straining, or Exercise for 24 hours after ANY procedure. Mild pelvic pain and cramping is typical. Staining on a pad for 2-4 weeks is not unusual. Please call if any symptoms become severe.
Please Arrive at ________________ on __________________
Your procedure is scheduled @ ___________on ______________
Patient Signature____________________________________
Scheduler Signature__________________________________

Source: http://www.fswomensspecialists.com/upload/docs/Fort%20Sanders%20Womens%20Specialists/In-office%20procedure%20copy.pdf