Overview
M Health Fairview Pediatrics draws upon a 100-year legacy of care for children across the Twin Cities region, combining groundbreaking medical expertise with compassionate, caring hearts. We understand that medical procedures – from an IV placement to surgery involving anesthesia – can be anxiety-causing for you and your child. Our child-friendly team includes pediatric surgeons, anesthesiologists, nurses, and others who will do everything possible to help your family prepare. Our Child-Family Life Services team can also provide professional support before, during, and after a stressful procedure.
You can also scroll down to watch our surgery preparation videos or review these helpful documents:
What is a procedure?
A medical procedure is used to diagnose, measure, or treat a disease, illness, or injury. Surgeries are one type of medical procedure. There are also nonsurgical medical procedures, including diagnostic tests (x-rays, CT scans) or treatments like chemotherapy.
Often, a medical procedure requires anesthesia, either at the site of the procedure (called local anesthesia) or throughout the body (called general anesthesia). Patients under general anesthesia are unconscious (“asleep”), while patients with local anesthesia are awake. In some cases, patients may also have medicine to relax them without putting them all the way to sleep, which is called sedation.
There is a third kind of anesthesia, called regional anesthesia. This process often involves an injection in the spine or near a cluster of nerves to makes a limb or specific part of the body numb while the patient remains awake.
Examples of procedures that may use local anesthesia:
- Skin biopsies
- Broken bones
Examples of procedures that may use general anesthesia:
- Heart surgery
- Surgery to remove cancerous tumors
Examples of procedures that may use regional anesthesia:
- Leg surgery
- Childbirth
Before your child's procedures, your child's care team will give you key information, including:
- The date of your child's procedure
- What time you should arrive
- Where your child's procedure will take place
- How to check in once you arrive on procedure day
Detailed information about how to prepare for your child's specific procedure – if your care team's specific instructions are different from the general instructions on this page, follow your care team's instructions
Before your child's procedure
We've prepared the following timeline to help you prepare for your child's upcoming procedure. If you have other questions as you get ready, you can contact the physician who will be performing the procedure or call the pre-admission nurse at 612-273-6312.
Within 30 days of procedure
- Schedule a preoperative exam with your child's primary care provider and ask your child's primary care provider to send the report to us. The exam should include:
- A medical history and physical (also known as an "H&P)
Laboratory and diagnostic tests, as appropriate
- A medical history and physical (also known as an "H&P)
- If you have other children, arrange for someone to watch them while you and your child are at the hospital or clinic, so you can focus on the child having the procedure.
Arrange for pet care, if necessary.
Call your health insurance company to verify your insurance coverage details for the procedure and learn about any preauthorization requirements your insurance plan has.
If your child is having heart surgery, make sure they have had a dentist appointment for a checkup and cleaning within the past six months.
Review our caregiver resources to understand how you can support your child or teen before, during and after a procedure.
At least 10 days before procedure
- Complete our pre-registration form online
If you aren't able to complete the pre-registration form online, you can give us a call at 612-672-2000 to register
A day or two before surgery
- A member of our care team will call you to confirm the date and time of your child's surgery and go over additional details and instructions.
If you haven't heard from us by the afternoon of the day before your child's surgery, please call the pre-admission nurse at 612-273-6312 Monday to Friday, 8 a.m. to 6 p.m.
If you have any questions on the day of surgery, please call us at 612-273-4380.
Get your paperwork together:- Make sure you bring any copies of medical reports your child's doctor has aksed you to bring with you.
Guardians must bring proof of legal guardianship with them, to verify that they're legally allowed to give consent for the procedure.
- Make sure you bring any copies of medical reports your child's doctor has aksed you to bring with you.
The day before procedure
- Make sure to follow your care team's preparation instructions, including when your child will need to stop eating and drinking, how to bathe or shower before the procedure, and what time to arrive.
Wash any comfort items you'll be bringing to the hospital.
Call us at 612-273-6312 if your child has symptoms of a cold, rash, or fever.
FAQs
Yes. Before your child’s procedure, please complete our pre-registration form. This will enable us to cut down on the paperwork you’ll need to complete on procedure day. You’ll need the following information to complete your child’s preregistration:
- The date of your child’s procedure.
- The name of the hospital or facility where your child’s procedure is taking place.
- The name of the physician who is performing your child’s procedure, the name of your child’s primary care physician and the name of your child’s referring physician (if it’s not your child’s primary care provider).
- Your address and phone numbers (home, work, and cell phone).
- Emergency contact information for your child.
- Your employer information (name, address, and phone number) if applicable.
- Your child’s health insurance information and/or billing information.
If you have any questions or need assistance completing this preregistration form, please call 612-672-2000.
Yes. Here’s what to do:
- The night before the procedure, have your child shower or bathe. Dress your child in clean pajamas and put your child to bed in clean sheets.
- On the morning of your child’s procedure, have your child shower or bathe again.
- Do not use any lotions, powders, or deodorant on your child.
- On the day of your child’s procedure, do not put any lotions, powders, or deodorant on your child.
Make sure to have clear liquids at home for your child to have after the procedure. Examples include water, apple juice, Jell-O, Pedialyte, and popsicles.
It’s also a good idea to start thinking about how to help your child prepare for an upcoming medical procedure, and how to discuss the procedure with them. Take a look at our helpful tips for parents and caregivers.
No testing is required before your child’s procedure. If your child has COVID-19 symptoms or has tested positive for COVID-19 within 14 days of the scheduled procedure, contact your child’s care team.
For your child’s safety, it’s very important to follow these eating and drinking instructions. During the procedure, the muscles that keep food and liquids in your child’s stomach will relax. If there is anything in your child’s stomach, it could travel to the lungs, causing a serious infection. That’s why, if your child has anything to eat or drink outside these guidelines, we may have to delay or cancel the procedure.
Here are the eating and drinking rules. If your child’s surgeon gives you different guidelines, use those. Otherwise, use these.
- Your child may eat and drink normally until 8 hours before your scheduled arrival time. After that, no food.
- Stop milk or infant formula 6 hours before your arrival time.
- Stop breastmilk (with nothing added) 4 hours before your arrival time.
- Your child may have clear liquids until 2 hours before your scheduled arrival time. Clear liquids are liquids you can see through, like apple juice or Pedialyte.
- Your child may not have anything by mouth – no liquids, and not even breath mints, candy, or gum – within two hours of your arrival time.
Here are the guidelines about medicine. If your child’s surgeon gives you different guidelines, use those. Otherwise, use these.
- If your child takes medicine, talk with your child’s care team about whether it’s OK to take the medicine on the day of surgery with a small sip of water. (Do not give medicine with a spoonful of food.)
- Do not give your child aspirin or ibuprofen (Advil, Motrin) within 14 days of the procedure. Acetaminophen (Tylenol) is OK, if needed.
- Talk with the doctor performing the procedure about other medicines your child is taking and whether you need to make any changes to your child’s medication routine in the days leading up to the procedure.
- Don’t have your child stop taking any medicine without talking with your child’s doctor about it first.
- A photo ID for all adults coming to the hospital.
- Proof of legal guardianship if you’re the child’s foster parent or guardian.
- Some cash or credit cards for food, parking fees, and copays as needed.
- Your child’s health insurance card(s), including both medical insurance and prescription drug coverage, if applicable.
- A complete list of medicines that your child takes. Some parents find it easier to take photos of the prescription bottles or medicine packaging rather than writing everything down.
- Any medical devices your child uses, like an inhaler. Wheelchairs, mobility equipment, or braces – if applicable.
- Comfort items for your child. What you choose to bring depends on your child’s age. Some examples include a pacifier, a bottle (for after surgery only), a blanket, a stuffed animal, small toys or games, books, magazines, and electronic devices with headphones. Talk with your child about what your child wants to bring.
- Items to entertain you while you wait, such as a book, magazine, or electronic device with headphones.
- Chargers for all electronic or mobile devices (yours and your child’s).
- Breast pump and supplies if you’re nursing.
- An overnight bag if you have to stay the night at the hospital.
The day of your child's procedure
When you arrive
- Please check in at the welcome desk in the main lobby of the hospital. All adults will need to bring a photo ID.
- Your child will receive an ID wristband, and you'll receive a copy of the Patient Bill of Rights.
- Then, you'll take a seat in the family waiting area until a member of our care team comes to bring you to the pre-procedure area.
In the pre-procedure area
- A nurse will check your child's health. The nurse will also:
- Confirm your child's name, birth date, and scheduled treatment.
- Measure your child's weight and take vital signs, like your child's pulse, oxygen level, blood pressure, and temperature
- Ask when your child last ate or drank.
- Have your child change into a surgery gown or pajamas.
- You and your child will meet with your child's care team:
- The physician will explain the procedure again.
- The anesthesiologist will discuss the anesthesiology plan with you.
- You'll be given the consent form to sign. Make sure you undersatnd everything on the form before you sign – ask us as many questions as you need to.
During the procedure
- Some procedures, like surgery, require parents or caregivers to wait in the family waiting area. A member of our care team will give you updates throughout the procedure, an you will meet your child once your child has moved to the recovery area.
- Other procedures, like some diagnostic testes, allow a parent or caregiver to be present during the procedure. Talk with your child's care team about how you can support your child during the procedure and check out our helpful tips.
After your child's procedure
After the procedure
- If your child has had general anesthesia for the procedure, your child will be taken to the post-anesthesia care unit (PACU) to wake up.
- PACU nurses will watch your child closely, give pain or nausea medicine as needed, and monitor your child's vital signs.
- Your child may go home directly from the PACU later the same day, or your child may need to stay in the hospital overnight. You will be able to stay with your child. Talk with your care team before your child's procedure to find out how long your child will need to stay in the hospital. Review our resource guide on preparing for your child's hospital stay.
- If your child did not have general anesthesia, your child may only need to stay a few hours for observation, or your child may be able to go home soon after the procedure. Talk with your care team about what to expect.
- Before you leave, your care team will provide all the necessary follow-up care instructions during your discharge process. Depending on the type of procedure your child received, this could include medication instructions, activity restrictions, instructions on how to change a wound dressing, bathing or shower restrictions, and scheduling or follow-up appointments.
Back at home
Once you're back at home with your child, help your child recover by keeping things simple:
- If your child is younger, plan to spend time keeping your child busy. If your child is older, your child may prefer to recover with quiet time alone while knowing you're nearby.
- Have your child rest and take naps.
- Offer quiet, restful activities. Here are some ideas:
- Reading together
- Watching movies
- Doing arts and crafts
- Playing quiet games like crossword puzzles and word searches
- Talking with friends on the phone
- Make some of your child's favorite foods to get your child eating again.
- Ask yes-or-no questions.
- Don't overwhelm your child with guests.
- Make sure to follow your child's doctor's instructions and give pain medication on schedule, so your child can heal quickly.
Most children will experience some discomfort or pain after surgery. Side effects depend on the type of procedure and may include pain or soreness around the incision site, nausea and vomiting from anesthesia or pain medicine, sleeplessness, dizziness, or thirst, among other issues. Your care team will explain to you the signs and symptoms of possible complications, and who you should call if they occur. If you have any questions or concerns after bringing your child home, contact your child's care time.
Child and Family Life Services
The Child and Family Life Services department at M Health Fairview Pediatrics consists of healthcare professionals focused on the physical, emotional, and psychosocial needs of children, teens, and their families. Our team of certified child life specialists can help prepare your child for an upcoming procedure, surgery, or hospitalization. To request support from our Child and Family Life Services department, you can:
- Call or email our Child and Family Life Services department at any point before the day of your child’s procedure at 612-273-3124 or cfl@fairview.org.
- Ask for child life support when you make the procedure appointment.
- Ask for child life support during your pre-procedure conversation with a member of our care team.
- Ask for child life support when you arrive on the day of your child’s procedure.
To contact our Child and Family Life Services team, call 612-273-3124 or email cfl@fairview.org.
Learn more about Child and Family Life Services.
Tips for caregivers
As a parent or caregiver, you have an important role to play in helping your child through an upcoming procedure. There are simple strategies you can use before, during, and after a procedure to help soothe your child's worries, support your child during the procedure, and help your child feel successful in the healthcare environment.