Surgical inpatient care is provided the area of a hospital where people are cared for when a hospital stay is required before they go home following surgery.
After major surgery, a person may need to stay in the hospital for a short time. The early recovery period may require close monitoring and care. Pain medications can also be given more easily in a hospital setting.
If a person has been critically ill or has had very extensive surgery, he or she may spend some time in an intensive care unit immediately following surgery.
Most people, though, will go directly to the surgery inpatient unit after a short stay in the surgery recovery room. After a person reaches the surgery inpatient unit, a certain routine is often followed. An intravenous line or IV is already in the person's arm and fluids are often being given through it. A movable bed or wheelchair is used to take the person to the surgery inpatient unit.
The person is then put in a room and, usually, right to bed. The medication used for anesthesia is still in the system, and the person may be very tired. The only thing that often keeps people awake is pain or hunger. The size of the room and number of other people in it can vary. Usually, between one and four people are in each room. A television is usually available to watch.
If pain is not being controlled, a person should not hesitate to ask for more pain medication. Everyone responds differently to pain medication, and some need more than others. Pain medication can often be given through an IV or a needle to give quick relief. Sometimes, people are given a button to press to give them pain medication through their IV tube as needed.
Hunger is handled in different ways depending on the nature of the surgery and on other medical conditions the person may have. While many people experience nausea after surgery, some are very hungry because they were not allowed to eat for 8 to 12 hours before the surgery.
After surgery, many people are not allowed to eat right away. The bowels often take a much longer time to wake up from anesthesia than the rest of the body. If feeding is started too soon, the person may vomit, get a lung infection such as pneumonia, or disturb the surgery incision. Nutrition can be given through the IV if needed. Whether a person can eat after surgery often depends on the surgery performed. The healthcare professional can answer specific questions about eating and food.
Though a person is tired, members of the staff may come in to examine the person and ask him or her questions. The blood pressure, temperature, and heart rate are monitored. The person may be examined from head to toe to make sure the recovery process is normal.
The area around the surgery incision may need to have frequent bandage or dressing changes. This is to keep the wound clean and free from infection. These dressing changes are sometimes painful, but they are necessary.
An individual recovering from surgery should ask for pain medication if he or she needs it. Medications, such as antibiotics, pain medications, and others, may also be hanging in bags above the bed to be given through the IV. These may need to be changed often.
A tube called a urinary catheter may be placed through the urethra into the bladder. The urethra is the hole through which urine leaves the bladder. Often the tube is in place when the person wakes up from surgery. Though this tube may be uncomfortable, it is often necessary to measure the amount of urine accurately and quickly. It is usually taken out within a day or two of surgery.
Sometimes, special stockings or leg wraps are placed around the calves to prevent blood clots. People may notice that the staff is very concerned about their urine and bowel habits after surgery. The staff may even ask if a person has been passing gas. These can be important markers that the bowel and bladder are waking up from surgery, and are often signs that a person is able to eat or even go home.
The surgeon often comes by early in the morning, sometimes only once a day. The treatment plan for the entire day is written in the chart and carried out by the nursing staff. If questions come up at other times, they can be written down or the nurse can be asked.
Before they want to, people may be asked to get up out of bed and move around. Early movement has been shown to speed healing and prevent blood clots. The sooner a person is up and about, the sooner they are usually able to go home.
Mild pain may occur and is normal, but severe pain is a signal from the body that activity may be doing more harm than good. Once a person is eating well, moving around more easily, and able to control pain with pills instead of medication through an IV, they are usually ready to go home.
The healthcare professionals will give home care instructions before a person leaves. A follow-up appointment is usually scheduled before a person leaves the hospital. An individual should not be afraid to ask any questions before he or she goes home.
Principles of Surgery, 1999, Schwartz et al.