FASTING INSTRUCTIONS
• STOP ALL foods/solids at midnight the night prior to surgery.
• You may consume only clear liquids until 2 HOURS PRIOR TO YOUR ARRIVAL at the surgery center.
Clear liquids include:water, energy drinks, soda pop, popsicles, apple juice, white grape juice, jello, plain chicken broth, black coffee/tea (NO cream or milk).
• ABSOLUTELY NOTHING BY MOUTH 2 HOURS PRIOR TO YOUR ARRIVAL TIME (including water, gum, and hard candy).

FOR COLONOSCOPY PATIENTS ONLY
• Follow the colon prep instructions provided by your doctor’s office. Call your doctor’s office if you do not have colon prep instructions.
• You will be on clear liquids for at least 24 hours the day before. No food/solids are allowed.
• You may consume clear liquids until 2 HOURS PRIOR TO YOUR ARRIVAL at the surgery center.
Clear liquids include:water, energy drinks, soda pop, popsicles, apple juice, white grape juice, jello, plain chicken broth, black coffee/tea (NO cream or milk).
Avoid red and purple liquids.
• ABSOLUTELY NOTHING BY MOUTH 2 HOURS PRIOR TO YOUR ARRIVAL TIME (including water, gum, and hard candy).

MEDICATION INSTRUCTIONS
• Take asthma/breathing, blood pressure/heart (see exceptions below), heartburn, pain, psychiatric/anxiety/depression, seizure, and thyroid medications. If you use inhalers, bring them with you. If you use home oxygen, bring your portable oxygen tank.
• DON’T take water pills.
• DON’T take medications ending in -pril or -tan the morning of surgery.
• DON’T take insulin or any diabetes medications the morning of your procedure.
• STOP your GLP-1 medication (at least 7days for injections and 1-7 days for pills) prior to surgery. You must be on a clear liquid diet the day before surgery (see clear liquids list above).
• If you are on aspirin or a blood thinner (Brilinta, Coumadin/warfarin, Effient, Eliquis, Plavix, Pletal, Pradaxa, Xarelto), obtain specific instructions from your doctor 5-7 days prior to the procedure.
• Call Pre-Admission at 248-922-4800 for questions regarding the medication instructions.

DAY OF SURGERY GUIDELINES
• Do not wear lotions, powders, perfumes, or colognes.
• Remove ALL jewelry (including wedding rings/bands and piercings).
• Wear comfortable clothes.
• Bring your photo ID, insurance card, and a form of payment.
• Make arrangements for childcare at home.
• Females 52 years of age and young: A urine specimen may be needed before your procedure. Please notify a front desk staff member before using the restroom.

ESCORT REQUIREMENTS
• A responsible adult must accompany you to the surgery center and must remain onsite during your entire stay. If this instruction is not followed, your case will be cancelled.
• NO Uber, Lyft, taxi, or similar services are permitted.
• A responsible adult must also stay with you for 24 hours after your procedure.

AFTER YOUR SURGERY
For the next 24 hours, do not:
• drive
• consume alcohol
• sign legal documents

IF YOU ARE FEELING ILL
If you have symptoms (cough, fever, body aches, etc.), call your surgeon’s office to reschedule.

INSURANCE AND PATIENT FINANCIAL INFORMATION: The Clarkston Surgery Center Business Office will verify your insurance prior to your procedure. If applicable, we will contact you in advance regarding your financial obligation. Please note that payment is due PRIOR to services being rendered. If you have any financial-related questions, please contact us before your procedure between 8:00 a.m. and 4:00 p.m.

QUESTIONS?
Call 248 922 4800 for any questions regarding these instructions.

Thank you for choosing Clarkston Surgery Center. We look forward to your visit!

Pre Admission Testing Staff
Clarkston Surgery Center
5701 Bow Pointe Drive, Suite 145 | Clarkston, MI 48346
Main: (248) 922-4800 | Fax: (248) 555-5575