The Ambulatory Surgery Department
at The Bellevue Hospital has a spacious area to take
care of patients before & after surgery whether it is
same-day, overnight or inpatient surgery. Our staff is
made up of registered nurses (RNs), a secretary &
transporters. Each of our 20 rooms is private &
contains a cart for transporting you, a recliner, a
standard chair, a dresser for your belongings & a
The PACU Department
(PACU stands for Post Anesthesia Care Unit, also known
as the Recovery Room.) At The Bellevue Hospital PACU is
connected to Ambulatory Surgery & its nursing staff
works in both the surgery department and PACU. All
nurses in this department are certified in BLS (Basic
Life Support – CPR), ACLS (Advanced Cardiac Life
Support, & PALS (Pediatric Advanced Life Support).
How can I be involved in my Surgical Procedure?
The Vital Patient
The Ohio Patient Safety Institute has prepared a
brochure outlining the various
ways to become an
informed, involved and active member of your surgical
What will happen the day of my surgery?
When you arrive at the hospital for your procedure
you will check in at the Concierge desk. Our
receptionist will double check that all the
necessary paperwork has been completed for your
admission to the hospital.
& your family will then be directed to the surgical
waiting area on the 2nd floor just
outside of the Surgery Department.
Your surgery nurse will come and escort you to the
room assigned to you. Your family will be asked to
stay in the Surgical Waiting Area while you are
prepped for surgery. Once your admission is
complete your family will be allowed to sit with you
until it is time for your procedure (we allow 2
visitors to be with you at a time).
Once you are in your room, you will be asked to
change into a hospital gown. When you are changed,
the nurse will then start your admission paperwork.
Your nurse will verify who you are & what procedure
you are having done. You will go over your current
medications & be asked if you have any allergies.
She will also verify that you have not had anything
to eat or drink since midnight (this is done to
assure your safety). Your vital signs will be
taken, a physical assessment will be completed & and
if needed, an IV will be started. When the nurse
is finished, your family will be able to come to
your room & visit with you.
Both the surgeon & the anesthesiologist will see you
before going to the surgery area. If you have any questions regarding your
procedure or your care afterwards, please ask the
surgeon or the anesthesiologist at this time.
circulating nurse will introduce himself or herself
to you. The nurse will verify your name, date of
birth, allergies, & procedure you are having done.
You will then be wheeled back to surgery & your
family will be escorted back to the Surgical Waiting
Your family will be instructed to check-in with the
volunteer at the Surgical Waiting Area. If your
family leaves the area while you are in surgery, we
ask that they notify the volunteer so we can locate
them if needed.
Once your procedure is complete & you are in the
Recovery Room (PACU), your surgeon will meet with
your family in a Consultation Room to discuss how
your procedure went. After the surgeon talks with
your family, they can expect to see you in about 1
When your surgery is complete you will be taken to
the Recovery Room (PACU) by the circulating nurse &
the anesthesiologist. The average time patients are
in Recovery is about one hour, your time may be less
While in PACU you will be given oxygen by a mask
placed over your nose & mouth. Your vital signs
will be monitored closely. Your pain will be
assessed & medications to relieve your pain will be
given as needed. You may also receive medication to
relieve any feelings of nausea that are associated
with having anesthesia & general surgery. Your
dressings are watched & assessed for any signs of
Once your PACU recovery is complete you will be
taken on your transportation cart back to your
Ambulatory Room (if you are same-day surgery) or
taken to your room on MedSurg or ICU (if your
surgery is an overnight stay or inpatient).
Same Day Surgery Patient-
When you are back in your Ambulatory Room, you will
be given a menu to look at & offered your choice of
will be allowed to rest & recover from your
procedure in your private setting.
Your pain will be assessed using a 1-10 scale (1 is
mild pain & 10 is the most severe). Medications
will be administered appropriately to keep you as
comfortable & pain-free as possible.
Your family will then be allowed to come back &
visit with you.
Once you are awake, your pain is under control, you
are able to keep liquids down & have urinated, and
you will then be allowed to be discharged from the
Your nurse will review all your discharge
instructions & give you prescriptions -- if the
doctor has written any. We will go over what you
should do when you go home, what you should eat and
drink and what kind of activity you can do. We will
also go over your medication, when you can drive and
go back to work. Please make sure that you ask any
questions if you do not understand or if you have
will be escorted by the nurse, or taken in a
wheelchair to the lobby. Your family will pull
their vehicle up to the patient entrance & you will
be helped into the vehicle.
Bellevue Hospital has a Pain Clinic Service located in
our PACU department.
Our anesthesiologists perform epidural injections for
back pain ordered by your physician.
you arrive for your epidural you will first check in at
our front desk & will then register. Once you are
registered, you will go to the surgical waiting area on
the second floor.
from the PACU department will escort you to your room.
The nurse is there to assist you with getting ready for
your procedure and to help the anesthesiologist with
a brief overview of an epidural treatment:
nurse will have you sit on the side of the bed & the
anesthesiologist will come into your room to assess your
spine, talk with you about the procedures and answer
anesthesiologist will then wash the area for the
epidural with an antiseptic solution.
anesthesiologist will then give you a numbing injection
to the area that will be receiving the injection.
anesthesiologist will then place a needle into the
epidural space & inject the steroids your physician has
ordered for pain.
nurse will stay with you during the injection & monitor
your response to the injection. Your vital signs will
also be monitored before & after the procedure.
instructions will be reviewed with you & you will
receive a card listing the next date you can receive
another injection if needed.
the entire procedure is accomplished in less than 30
minutes. The anesthesiologist administers the
injection. And while we make every effort to schedule
your time between scheduled cases in the operating room,
we may occasionally experience a delay if there are
schedule changes in the OR.