COG Surgery Center

Preparing for Your Surgery

Sometime before your surgery date, a staff member from The Surgical Center at Columbia Orthopaedic Group will call you to confirm your surgery time. She will also ask you questions regarding current or past medical conditions, allergies and medications you are taking. Please don’t hesitate to ask any questions you may have, and be sure to let the staff know of any special needs.

Preparing for Your Surgery

Preparing for your surgery at the COG Surgery Center is easy. We take all the worry out of it.

Day of Your Surgery

Learn what to expect on the day of your surgery at the COG Surgery Center.

After Your Surgery

Learn how our physicians and staff take care of you after your surgery at the COG Surgery Center.

COG Surgery Center

Surgery Center Notes

  • Your doctor or the surgical center’s nurse will instruct you as to WHAT TIME YOU ARE TO STOP EATING AND DRINKING prior to your surgery.
  • If you take medication for any condition, ask your doctor and/or the surgical center’s nurse whether to take it on the day of surgery.
  • For women, if there is any possibility you are pregnant, please notify your doctor and the surgical center’s nurse.
  • Leave all valuables at home, including watches, rings, jewelry, and wallets.
  • Notify your surgeon of any changes in your health, such as cold, fever, or sore throat.
  • For your safety, please arrange for an adult to drive you home after surgery.
  • You will not be allowed to drive yourself home.

COG Surgery Center

Patient Responsibilities

  • To provide The Surgical Center at Columbia Orthopaedic Group with a complete medical history, present complaints and other matters relating to your health.
  • To ask questions if directions, procedures or other information are not understood.
  • To follow the plan of treatment and instructions recommended by your physician and other professionals responsible for your care.
  • To accept consequences of your actions if you fail to follow the plan of treatment.
  • To show respect and consideration for other patients, families and visitors of The Surgical Center at Columbia Orthopaedic Group.

Before Your Surgery

Frequently Asked Questions

How do I get to the COG Surgical Center?

It’s very important for you to obtain directions to our facility prior to your surgery date. Knowing this detail will be one less worry on the day of surgery. Our address is:

The Surgical Center at Columbia Orthopaedic Group
1 South Keene Street, Suite 100
Columbia, MO 65201

The entrance is on the east side of the building, 1st floor. You will see the door that has “Surgical Center” above it.

Will someone from The Surgical Center contact me before my Total Joint surgery?

Yes. You may receive a couple of calls from our facility.

  • Our Total Joint Nurse Navigator, Megan Halsey, will contact you the day before your surgery. She will conduct a review of your health history and provide instructions for surgery. Please plan about 10-20 minutes for this call. This is the time to ask any questions you might have about your procedure.
  • A biller from the business office will contact you to address financial matters regarding your procedure—insurance coverage, co-payments and deductibles. (This call applies only to the facility fee for surgery).

Who do I contact if I have questions regarding disability paperwork?

  • If you will need to have disability paperwork (i.e. FMLA, short term disability) completed for your employer, please bring or mail the correct forms to your surgeon’s office at least one week before your surgery.
  • Be sure your portion of forms is completed. The original will be mailed or faxed, depending on your request, to the employer and/or insurance company and a copy will be sent to you. Please supply the correct fax number if the form is to be sent in that manner.
  • If you have questions concerning the completion of the forms, please call the Disability Department, at 573-443-2402 ext. 273.

I have already provided my health history information to my surgeon’s office. Why do I have to review my health history with the Nurse Navigator?

  • The surgery center will receive all of your medical history information from the surgeon’s office before they call you to review your health history.
  • During this call, we will ask some additional specific questions that better assist our anesthesia provider in planning your anesthesia care.
  • Your safety is our top priority, so we want to make sure all of the information we have on file is up to date, accurate, and complete. This will also give you the opportunity to remember health information that you might have forgotten during your preoperative visit with the surgeon.

Are there any tests required before my total joint surgery?

  • Your surgeon will give you an order for necessary testing to make sure you are healthy for surgery.
  • This may include lab work, chest x-ray, and EKG. The pre-op lab work can be done at any hospital that is close to you.
  • We would like for you to complete any testing 3-4 weeks prior to surgery if possible, in order to review and prevent any delays.
  • Be sure to have your doctor’s office send all necessary paperwork regarding pre-operative tests and blood work to your surgeon.
  • Your surgeon may also ask you to be seen by your primary care physician and or dentist to ensure that you are healthy enough for surgery.

What should I do if I notice a change in my physical condition leading to my surgery?

  • Call your surgeon’s office if there are any changes to your well-being prior to your procedure.
  • Signs/symptoms of cold or flu (fever, cough, sinus drainage, nausea, vomiting, diarrhea, etc.) should all be reported to your surgeon’s office right away.
  • Scratches, bug bites, bruises, abrasions, rashes, blisters, etc. of the operative extremity should be reported to your surgeon’s office right away.
  • With advanced notice, we can try to avoid any delays to your scheduled joint replacement.

Will I get to speak to the person doing my anesthesia before my surgery?

  • Before surgery, you and your anesthesia provider will discuss your history and review the anesthesia plan; this is when you’ll be able to voice all of your questions and concerns.
  • Make sure to communicate any anesthesia concerns you have during your pre-op call with our Nurse Navigator.

Are there certain medications I should avoid?

  • Our Nurse Navigator will give you specific directions regarding your medications during your pre-operative phone call.
  • During the call, do not forget to mention the use of blood thinners, any blood pressure/heart medications or any diabetic medications. If you take any blood pressure medications ending in “artan” or “pril”, do not take for 24 hours BEFORE surgery.
  • If you are on any anti-inflammatory or aspirin-based medication, you will need to stop these 5 days BEFORE your surgery date.
  • STOP Coumadin 5 days BEFORE surgery and Plavix 7 days BEFORE surgery if you routinely take these medications.
  • Your Primary Care Physician may also give you additional instructions regarding your home medications.

Do I need to shower before surgery?

  • Showering will help prevent surgical site infections.
  • Shower the night before and the morning of your surgery. Avoid aggressively scrubbing the area of the surgical site.
  • Wash your hair with shampoo first.
  • Using a clean washcloth for both showers, wash your body with a liquid antibacterial soap.
  • Do not shave near the surgical site.
  • Once you have rinsed thoroughly, use a clean towel after each shower.
  • Do not use lotions, powders, or perfumes after showering.

What risks are involved with my total joint surgery?

Major risks include, but are not limited to, infection, blood clot formation in the leg (DVT), chronic pain, stiffness, pulmonary embolus, injury to surrounding ligament, nerve, or blood vessels, and the need for possible further surgery.

What can be done to reduce my risks?

  • To reduce your risk of infection, you will receive IV antibiotics prior to surgery and for at least 23 hours after surgery. After you are healed it is still very important to prevent infection, therefore you will take antibiotics before other invasive medical procedures, including dental cleaning. This could be anywhere from the first 2 years after surgery or as a lifelong measure.
  • To reduce your risk of blood clot, you will receive a blood thinner (usually aspirin unless otherwise instructed), leg pumps to help with circulation during your recovery stay, and early mobilization and walking.
  • To reduce your risk of chronic pain and stiffness, you must work hard on your physical therapy which is key to your success. If you don’t do your therapy, your knee will get stiff and you will be unhappy with the results. If you work hard on therapy and regain your motion, you should be pleased with your results. Expect 2-6 weeks of therapy after surgery, depending on your surgeons recommendations.