Q: What is the Preoperative Clinic?
A: The Pre-Op Clinic is where you and your child come so necessary preparations before surgery can be completed.
Q: Where is the Pre-Op Clinic located?
A: The Pre-Op Clinic is located on the 1st floor of the Main Building. Click here for directions to the Pre-Op Clinic.
Q: Does my child have to visit the Pre-Op Clinic before having surgery?
A: If your child will be staying overnight prior to surgery and is having general anesthesia your child must come to the Pre-Op Clinic before having surgery unless he is being admitted to the hospital the night before surgery.
Pre-Op Clinic visit is not necessary for Day Surgery Patients.
Q: When should I come to the Pre-Op Clinic?
A: We recommend that you come within 28 days before surgery. If this is inconvenient, another time can be arranged by your physician's office.
Q: Does my child need an appointment?
A: Yes, to avoid delays, it is best to schedule appointments in the Pre-Op Clinic through your physician's office prior to surgery.
Q: Who will see my child in the Pre-Op Clinic?
A: You and your child will see an admitting officer, a nurse, an anesthesiologist and a person who draws blood, if neccessary. Your child's surgeon will decide if you need to see other members of the medical team.
Q: Who will see my child in the Pre-Op Clinic?
A: You and your child will see an admitting officer, a nurse, an anesthesiologist and a person who draws blood, if necessary. Your child's surgeon will decide if you need to see other members of the medical team.
Q: Can my child bring brothers, sisters or friends to the Pre-Op Clinic?
A: Clinic space is very limited. Please do not bring brothers, sisters or friends along for this appointment.
Q: Who can bring my child to the Pre-Op Clinic?
A: Children under 18 years of age need to be accompanied to the Pre-Op Clinic by a parent or legal guardian. Generally, surgery cannot take place without consent forms that are signed by a parent or legal guardian.
Patients 18 years of age or older who can consent to their own medical care do not need to be accompanied by anyone.
Patients 18 years of age or older who are not able to consent to their own medical or dental treatment (for example, due to mental retardation and developmental delays) must be accompanied by a legal guardian.
It is important to note that once a child turns 18, his or her parents are no longer automatically his legal guardians and lack the ability to make consent decisions for the child. Therefore, in order to become a legal guardian for a child 18 years of age and older, parents (or others) must be appointed by a court. This process generally requires the assistance of an attorney and takes three to six weeks to complete.
Please note, if your child is 18 years of age or older and cannot consent to his or her own treatment, and you or another consenting adult has not been appointed as your child's legal guardian, the hospital may not be able to treat your child.
If you have been appointed your child's legal guardian by a court, please be sure to bring your papers with you to the Pre-Op Clinic.
For additional information about consenting to treatment, please see our section on consent for medical care.
Q: What if my child is a foster child, or pending adoption, or is living with me temporarily?
A: If your child is a foster child, a child whose adoption is pending, or a child living with you temporarily on request of the child's natural parents, it will be necessary to bring all papers documenting your legal guardianship or authority to consent to the child's medical care. If you have no such papers, you should contact the Admitting Office at 617-355-3767 to work out any difficulties in advance. If the Department of Social Services (DSS) is involved, contact the assigned caseworker to clarify the department's role in any decision making. This is the only way can we ensure your child's admission will not be delayed.
Q: Are there things that I should notify the staff or my child's anesthesiologist about?
A: Yes. If your child develops a cough, fever, pneumonia, chest cold or has an asthma attack within three days of scheduled surgery, you should call the department and let us know. If your child has been exposed to measles, mumps or chicken pox in the 21 days before surgery, please notify us as soon as you become aware of the exposure. Your child's surgery may need to be rescheduled so that other children are not at risk of catching these diseases.
If your child is taking (or has recently taken) any herbal therapy or natural remedy (such as St. John's Wort) or weight-reducation medications, please let your pre-op nurse practitioner or physician know. Some of these types of substances can interact with drugs during anesthesia.
If your child has any body piercing that cannot be seen, please let the nurse practitioners and physicians in the Pre-Op Clinic know. All metallic objects must be removed prior to surgery and anesthesia.
Q: Why can't my child eat or drink before surgery?
A: Having an empty stomach reduces the risk of certain complications of anesthesia, such as nausea and vomiting. In addition, if a child has eaten, stomach acid can enter the lungs and potentially lead to pneumonia. When a child is awake, he or she has protective reflexes that normally prevent food or liquid regurgitation into the lungs. Most anesthetics interfere with these reflexes. This is why fasting (not taking in either liquid or solid foods) is so important before surgery.
Q: For how long should my child not eat or drink before surgery?
A: This depends on your child's age, the surgery and your child's underlying medical condition. Please see our dietary guidelines for more information.
Q: Which prescribed medications should I give my child on the morning of surgery?
A: In general, an anesthesiologist will review all medicines that should be taken on the morning of surgery. We will further discuss this with you during your child's Pre-Op appointment.
Q: Where and when should we show up on the day of surgery?
A: Patients should arrive at the Pre-Op Clinic on the 1st floor of the Main Building if they will be staying in the hospital after the procedure. If the patient is having day surgery and will not be admitted to the hospital for an overnight stay, please see our Day Surgery page for directions and instructions.
Q: Why must we arrive at the hospital 90 minutes before surgery?
A: Preparations for surgery must be thorough. It takes at least 90 minutes for registration, blood tests (when necessary) and examinations by the doctors and nurses who care for your child.
Q: What should my child bring to the hospital?
A: Any support objects or special toys are allowed. This includes a special stuffed toy, pillow, blanket, favorite photo or drawing, etc.
Q: When do we meet my child's anesthesiologist?
A: You will meet your child's anesthesiologist in the Preoperative Area on the day of surgery. This physician will monitor your child's breathing, blood pressure and heart rate, and make sure your child is comfortable and safe during his or her procedure.
Your child's anesthesiologist is normally assigned to your child on the day before surgery. He or she will make the final decisions about your child's anesthesia care.
Q: Can you tell me more about anesthesia?
A: Please see our All about anesthesia page for general information about anesthesia.
Q: Will I be able to stay with my child while he or she falls asleep?
A: Under certain circumstances, parents may be present while their child is falling asleep. Additional information about Parents in the Operating Room on our general Pre-Op Clinic and our Parent Present Induction program is available.
Q: Where will my child go after surgery?
A: Your child will go to the Post-Anesthesia Care Unit (PACU), which is adjacent to the Operating Room on the 3rd floor. Your child will only go to the ICU if necessary.
Q: When will I be able to see my child after surgery is finished?
A: After arrival to the PACU, the nurses will check your child's heart, blood pressure and breathing. Oxygen will be given by mask. When the nurses determine that your child is in stable condition, they will call you in to stay with your child while he or she is waking up.
Q: Are visitors allowed in the recovery room?
A: Only parents or guardians are allowed in the recovery room.
Q: Are my child's brothers and sisters allowed to visit?
A: Siblings are not allowed in the PACU. They may visit on the inpatient floors, however.
Q: May I stay overnight with my child?
A: Yes. You may make arrangements with a nurse on the inpatient floor after your child is admitted. There is a bed space available for one parent to sleep.
Q: If my child stays overnight after surgery, what time will he or she be discharged the next morning?
A: Discharge time is prior to 11 a.m. Please make plans to pick up your child by that time. The discharge time is early in the morning to allow the staff to prepare the room for other patients.
Q: What if I have questions once we get home?
A: You will be given the telephone numbers of the surgeon and the anesthesiologist on call. You may call these numbers if you have any questions. The morning after surgery, a nurse will call to find out how you and your child are doing.