What time is the first surgery of the day

Reviewed by Carmelita Swiner, MD on November 23, 2020

What time is the first surgery of the day

As your surgery date gets closer, you might feel uneasy. But the more you know about what to expect, the less nervous you'll be. Take a few minutes to learn how the day will unfold.

What time is the first surgery of the day
You'll usually be asked to arrive about 2 hours before your operation starts. A registered nurse will greet you and help you prep. You'll discuss with them your medical history and the medicines you take. You'll also get a chance to talk to people on your surgical team about the operation.

Before you go to the operating room, you'll first change into a gown. The nurse will remind you to remove things like your jewelry, glasses or contact lenses, hearing aids, or a wig if you have them.

A nurse checks your heart rate, temperature, blood pressure, and pulse. The surgeon may mark the spot on your body where the procedure will be done. A nurse places an IV line in your arm so the doctor can give you fluid and medicine during your operation.

When it's time for your surgery, you're wheeled into the operating room on a stretcher.

A group of doctors and nurses work together to make sure everything goes smoothly. The specific people depend on the type of procedure you're going to have. But in general, your team will have these pros:

Surgeon. This doctor leads the team and does the operation.

Surgeons have to complete 4 years of medical school, plus at least 5 years of special training. They also have to pass a national surgical board exam. The one you choose should be experienced in the type of procedure you're having.

Anesthesiologist. This health care professional gives you medicine that makes you pain-free during surgery.

Certified registered nurse anesthetist. They assist your anesthesiologist and monitor you before, during, and after your operation to make sure you get the right amount of pain medicine.

Surgical tech. They set up the tools your surgeon will use and make sure they're sterile.

Operating room nurse. They help the surgeon during your procedure. For instance, they may pass instruments and supplies during the operation.

You'll get medicine, called anesthesia, so that you won't feel anything during surgery. The type you get depends on your health and the procedure you're having.

Local anesthesia. It blocks pain in the part of your body where you have surgery. You'll still be awake and alert.

Regional anesthesia. You're injected with medicine that numbs the whole area of your body where the surgery takes place.

General anesthesia. It puts you to sleep during your operation. You get this type of medicine through an IV in your vein or by breathing into a mask.

Once you're in the operating room, you breathe oxygen through a mask. Your anesthesiologist gives you medicine to prevent pain.

Your surgical team will track your health during the whole procedure. They'll probably use:

  • A clip on your finger to measure your oxygen levels
  • A cuff on your arm to check blood pressure
  • Pads on your chest to keep tabs on your heart rate

Before the surgery starts, a nurse cleans your skin with an antiseptic to help prevent infections. They may remove hair from the area and place a sterile drape over your body. It will have an opening in the place where the surgeon will work.

It's rare to get an infection during surgery. Your team does everything it can to protect you. Your doctors and nurses will:

  • Clean their hands and arms up to their elbows with a germ-killing cleaner before the operation.
  • Wear masks, gowns, and gloves.
  • Clean the part of your body where the surgery is being done with a germ-killing soap.
  • Clean and cover the cut afterward.

They may also give you antibiotics before your procedure to help prevent an infection.

You'll wake up in a recovery room. A nurse checks your heart rate, breathing, and the bandaged area where your procedure was done. They might also ask you to take deep breaths and cough to clear your lungs.

You'll stay in the recovery room until you're fully awake and all your medical signs, like blood pressure and heart rate, are stable. How much time you spend there depends on what kind of surgery you had.

After that, depending on the type of operation you had, you'll get sent to a hospital room or back home. Either way, you'll be ready to be greeted by your loved ones and begin the road to recovery.

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Surgery is a major decision that has many different variables. Most people who have a surgery or procedure scheduled for their health may be wondering if there is an ideal time to prepare for it. If you're planning on organizing a surgery soon, consider a few things before deciding on the best time. We've got a full breakdown for you to consider. 

Time of Day Matters

When considering the time of day to schedule your surgery, it's often recommended that anytime between 9 AM and noon work best. Bright and early allows every party to feel ready, and it's best to get it done sooner rather than later. This way, you'll have all day to recover. 

Consider the Season

Of course, if it's a serious and immediate surgical procedure, it won't be easy to plan it for a specific season. However, consider the time of year for more minor surgeries that you and your doctor can plan out months in advance. 

Many people want to schedule their surgery during the summer months, but there are a few things to consider if you're regarding this option. First of all, you will need plenty of vacation days from work to recover appropriately without stressing about deadlines or other commitments at work. Additionally, it may not be easy for any parents to find a babysitter since kids are not in school. 

Some people believe it's best to schedule procedures during summertime when doctors and hospitals tend to have more free time. Still, others feel that winter months are better because they offer more extended hours and fewer distractions — this is up to your personal preference and the severity of your surgery timeline. 

Day of the Week

It's often considered that the best time to have surgery is typically a weekday during the day. There are a few reasons for this: 

  • First, doctors may be more available and less busy during the weekdays. 

  • Second, while many people might have work, it can ensure they won't miss their scheduled procedures due to important events or things popping up on weekends or holidays. 

  • Third, patients can get back into their normal routine faster after surgery because they can spend some time at home recovering on the weekend before returning to work! 

Editor’s Note: Dr. Anthony Youn is an assistant professor of surgery at the Oakland University/William Beaumont School of Medicine in Michigan. He is the author of “In Stitches,” a memoir about growing up Asian-American and becoming a doctor.

Research shows the time of day you have surgery can affect your outcome

Nausea, vomiting and postoperative pain may increase for afternoon surgeries

A sleepy surgery team and shift change may be factors

It’s 3 p.m. You’re checked into the hospital for a routine surgery, scheduled to begin in 15 minutes. This is the first operation you’ve had.

Lying on a small gurney, covered only by a thin patient gown, you begin to shiver. Your heart pounds. Four words race through your head: “Am I gonna die?”

Then you meet the operating room team. The anesthesiologist, nurse anesthetist and operating room nurse all exude a combination of compassion and confidence. This is just what you need.

What time is the first surgery of the day

Your pulse slows, and the shakes disappear. The surgeon and OR nurse hold each of your hands. The anesthesiologist then injects a powerful sedative. The last thing you hear prior to drifting off is, “We’ll take good care of you.”

Why doctors fall asleep while treating you

Suddenly, you’re jolted awake. Intense, blinding lights glare into your face. You find yourself gagging on a thick plastic tube stuck down your throat. The lights turn away. Your eyes begin to adjust, and you see four faces you’ve never seen before.

The time of day you have surgery can affect your outcome.

That was the finding of a 2006 Duke University study published in the journal Quality and Safety in Healthcare. Researchers found operations starting between 3 and 4 p.m. had a higher rate of nausea, vomiting and postoperative pain.

Why is this? I suspect there are two major factors.

Our bodies follow natural circadian rhythms, which regulate our sleep/wake cycle, brain wave activity and certain bodily functions. These circadian rhythms dip between 3 and 5 p.m. each day, causing many of us to feel sleepy.

The Spaniards apparently discovered this long ago when they instituted the afternoon siesta. And George Costanza of “Seinfeld” fame isn’t the only one who naps on the job. Nike and Google have reportedly instituted official sleeping rooms so their employees can deal with the afternoon circadian dip. It’s also the reason why I put a couch in my office.

Unfortunately, there is no napping in the operating room. So it’s definitely possible that getting a case of the sleepies plays a role in the higher rate of adverse events in midafternoon surgeries.

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But there’s another factor that’s probably more important.

Most members of surgical teams arrive for work between 6:30 and 7 a.m. That means, when accounting for a 30-minute lunch break, the eight-hour shifts of most anesthesiologists, OR nurses and surgical technologists end at 3 p.m. This is when a new team takes over, sometimes right in the middle of surgery.

So who puts you to sleep won’t necessarily be who wakes you up.

I see this routinely. Although the team members being replaced are typically very complete in the information transfer during handoff, key details about the patient may not be conveyed to the next provider. These details usually aren’t life threatening, but can still have an impact on a patient’s outcome.

For example, the original anesthetist might forget to inform her replacement that the patient doesn’t respond well to a certain nausea medication. The replacement anesthetist (and the patient) then learns this the hard way.

So is there anything that can be done to prevent shift changes in the operating room? Not really.

We’re all human. Health care providers can’t work endless hours or be expected to be completely mistake-free. And there are no signs that workplace regulations are going to be lightened.

But one fact typically remains that should give patients comfort. Anesthesiologists and nurses may come and go, but when you have surgery, whatever time of day, there is one constant. Your surgeon should be with you the whole time.

But if he or she gives you a choice between having surgery at 7:30 a.m. or 3 p.m., think long and hard.

Then choose 7:30 a.m.

Please thank your nurse this Christmas

The opinions expressed in this commentary are solely those of Dr. Anthony Youn.