Group of Nurses



Welcome to FMH Perioperative Services. We are pleased your surgeon has scheduled your procedure with us. Rest assured you are in excellent hands and we will take superb care of you. You can relax, knowing we will be with you every step of the way—from scheduling, to admission, to recovery, to discharge—and beyond. We’ll do everything we can to make the surgical experience as comfortable as possible for you and your family.

We are proud of the fact that Frederick Memorial Hospital’s quality of surgical care is consistently rated highly in independent surveys and studies of our patients and our peers. After rigorous review, several of our programs have earned Centers of Excellence designations.

Our capable staff will be here to assist you with any questions or concerns you might have throughout your visit.

Before the Day of Surgery

Please call our Scheduling Center as soon as possible to pre-register for your surgery.

Call 240-566-3400 or 1-800-995-1438, Monday - Friday, 7:30 A.M. - 5:30 P.M.

Please bring your insurance cards for each hospital visit. If you do not have insurance, you may be contacted by an FMH Financial Counselor prior to your surgery.

Pre-admission Screening

Several days before the procedure, a pre-admission screening nurse may call you to take a health history, including your height, weight, medications and food allergies. During this 10-15 minute call, the nurse may also ask you about any pre-operative testing you have had, and if you have consulted with any other medical specialists. If we are unable to reach you, please return our call so we can complete your screening before the day of surgery. If you have questions prior to your admission, please call our pre-admission staff at 240-566-3918.

Important Reminders

  • Do not eat or drink anything after midnight before your surgery unless otherwise instructed by your physician. This includes gum or candy. The only exception would be a sip of water if you are instructed to take your medications. Intake of solid foods or liquids could cause your operation to be postponed.
  • If you are taking any medications, ask your physician in advance if you should take them the morning of surgery. Contact your doctor for advice if you are taking any blood thinners, aspirin, or anti-inflammatory medication.
  • Stop smoking or limit your smoking for a few days before surgery, and do not smoke after midnight the day before surgery.
  • Do not drink alcoholic beverages 24 hours before surgery
  • If you develop a cold, fever, or other health problem within 48 hours of your scheduled admission, please call and inform your physician.
  • For children having surgery, at least one parent must be present in the hospital.
  • FMH is not responsible for money or valuables you bring with you. We strongly recommend that you leave all valuables at home. If it is necessary to bring valuables with you, the Cashier’s office can store smaller items in the safe. When you arrive for admission, notify your nurse and arrangements will be made.
  • For patients being admitted after surgery: Please leave your luggage in your vehicle until you have been brought to your post-op room. At that point a family member may bring it to your room.

If you have any questions, call your doctor’s office, Pre-Admission Screening at 240-566-3918, or Perioperative Services at 240-566-3756.

On the Day of Surgery

What to Bring with You:

  • Any forms such as questionnaires, physicals, testing results, or consents.
  • Insurance cards and an identification card with your photograph.
  • A list of your medications and the last time and date you took them.
  • If you have a CPAP or BiPAP machine at home, please bring it with you to the hospital and give it to your Pre-Op nurse.
  • Robe, slippers and toiletries if you will be staying overnight.
  • Loose, comfortable clothing for the day of your discharge.
  • Clothing that will fit over a cast or splint, if needed.
  • Crutches, if your doctor has prescribed them.
  • A copy of your Advance Directives (written health care instructions, Living Will or Durable Power of Attorney for Healthcare or Healthcare Agent), if completed. FMH has forms available if you do not have one of these documents.

We recommend that you shower or bathe with antibacterial soap the morning of your surgery. You do not need to remove artificial nails.

No jewelry, except for a wedding ring, may be worn during surgery. With certain surgeries you may be asked to also remove your wedding ring.

Dentures, glasses and contact lenses usually need to be removed before surgery. Please bring containers and solutions for contacts or an eyeglass case if you have one.

Arriving at FMH

Patients admitted the morning of surgery should arrive at the hospital two hours before the scheduled procedure (or as directed by your physician). This ensures that there is adequate time to prepare you for a safe surgical experience. A complimentary parking valet service is available for your convenience.


Upon arrival, a registrar will review your insurance documents, obtain necessary signatures, and copy your ID and insurance cards. When your patient file is complete, you will be directed to the Surgical Waiting Area. There you will be greeted by an FMH staff member or an FMH Auxiliary volunteer. He or she will check you in on the computer and as soon as he or she receives your room number, you will be escorted back to the pre-operative area to meet the staff.

A Surgical Waiting Room staff member or volunteer will explain the computerized family tracking system to the person who has accompanied you and provide him or her with your confidential ID number. He or she will be able to follow your progress on the large computer screen in the waiting area as you prepare for surgery, move to the operating room, recovery area and discharge, or transfer to your room.

In Pre-op

Once you are settled in pre-op, your nurse will again verify some basic information for your safety, perform a physical assessment, complete required documents, carry out any tasks ordered by your

physician and start an IV. You will be visited by your surgeon, your anesthesiologist and your operating room nurse. They will answer any further questions you might have and will take very good care of you throughout your surgery. If appropriate, you may be asked to mark your surgical site before surgery, for example marking your right knee if you are having that joint replaced.

Your family member or friend may stay with you until it’s time for your surgery and then will be directed to the waiting area.

Although our goal is to begin all of our surgeries on time, sometimes surgeries must be delayed due to unforeseen circumstances. If this happens, your nurse will keep you updated as to the status of a delay.

In the Operating Room

You will be wrapped in warming blankets and transferred to the OR table for your procedure. Monitoring equipment will be connected and your anesthesiologist will begin administering medication through your IV. At the completion of your surgery, you will be transferred to the Post Anesthesia Care Unit (PACU) for your recovery.

Recovery & Discharge

In the PACU, a specially-trained nurse will provide complete care and monitor your vital signs, evaluate your pain level and address any post-surgical symptoms. The initial recovery phase typically lasts one to two hours. Your PACU stay may be longer based on anesthesia and surgical effects. Your anesthesiologist and physician will decide when you have met the criteria for a safe discharge. You and your caregiver will receive your discharge instructions in preparation for going home, or you will be moved to your hospital room to rest and recover.

Leaving the Hospital

Please arrange for someone to drive you home if you are an outpatient. After being sedated you cannot drive for 24-48 hours and you cannot be discharged alone. A taxi may be used only if another responsible adult (not including the taxi driver) rides with you. All minors must be accompanied by a parent or legal guardian.

Day after Surgery

Please remember to follow your physician’s orders. Do not try to do more than is recommended, and ask for help if you need it. Be sure to report any unexpected change in the way you feel to your physician.

If you are discharged directly from the PACU, you will receive a phone call from one of our Perioperative Services nurses within a few days of going home. The nurse will ask how you are feeling and answer any questions you have about your discharge instructions.

In the meantime, if you have any questions concerning your instructions, please call your doctor’s office or Perioperative Services at 240-566-3435.

Just for Children

When your little one is scheduled for surgery, you want everything to be as stress-free as possible—and so do we. As a general rule, children under five years of age may have their IV started in the operating room after they are asleep. Young children may be accompanied into the operating room by one parent, who will be allowed to remain with his or her child until he or she is asleep.

When your child is awake and stable, you will be called directly back to be with him or her in the PACU. If

your child is to be discharged, you may carry him or her out of the hospital, or he or she can have a ride in a wheelchair—most children love this part! You will be escorted to your waiting car by our staff.

Visitor Guidelines

We want to reunite you with your family member or friend as quickly as it is safe to do so, and we understand that they are important to your recovery. Please share the following guidelines with the person accompanying you to the hospital.

  • Outpatients can have one visitor in the PACU when the patient is approximately 20 minutes from being discharged. This person should be the individual who will be caring for you at home. Discharge instructions will be reviewed with him or her as well as with you.
  • No children of visitors or patients will be allowed in the PACU.
  • If the visitor is going to leave the surgical waiting area, he or she should inform the volunteer to ensure that he or she is present to speak with the surgeon after the procedure and available to go to the PACU when you are ready for discharge.

Standard Precautions

Standard precautions are measures that are followed to protect both you and our staff against the transmission of communicable disease. These measures involve the use of protective equipment such as gloves, gowns, or masks in conjunction with good hand washing practice and appropriate disposal of contaminated needles and waste.

We value your opinion…

Randomly chosen patients will receive satisfaction surveys from Press Ganey Associates asking them to evaluate their FMH experience. If you receive a survey, please take the time to complete and return it in the postage paid envelope provided. Your feedback is very important to us. The information we learn from these surveys helps us understand where our performance has met your expectations and focuses our attention upon specific areas of patient comfort and care.

In accordance with state law and hospital policy, smoking is banned in all areas of Frederick Memorial Hospital.