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Looking for a pediatric specialty clinic? Cook Children's has more than 60 locations across North Texas, because even when your child's diagnosis is complicated, finding the right care should be simple.
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Our goal is to provide a family-centered care environment by keeping you informed and answering questions at each step in your child's care, from pre-operative evaluation through discharge. As you and your child prepare for surgery, please use the information below as your guide. Please select a tab below for information from your specific pediatric surgery center.
Please take time to review the surgery information provided below and if you have any questions, please call us at 972-300-0215, Monday–Friday, from 8 a.m. – 4:30 p.m.
After confirmation of times from your doctor's offices, our staff will send an email the day before the procedure, between 1-4 p.m., to confirm arrival time and eating/drinking instructions.
We request that you bring no more than two family members per child.
No food or drinks are allowed in our lobby area. This is for the safety of all children in our care.
You may want to arrange care for siblings so that your attention can be more focused on the child having the surgery.
Your doctor will give you diet guidelines for your child. If you have questions about these instructions please ask us. We can make suggestions that will comply with the guidelines. To help your child be more comfortable we suggest you have the following at home:
The number of fasting hours required will vary according to patient age. Be sure your child has a well balanced meal the night before surgery. Provide plenty to drink.
Some doctors prefer to give you these instructions. We work with the doctors and will advise you to follow their instructions.
After the cut off time for liquids, be sure your child has absolutely nothing to eat or drink. This includes candy, ice and gum. We even recommend that young children do not brush their teeth the day of surgery as some water could accidentally be swallowed.
Many parents ask us why their children cannot eat or drink. For your child's safety, it is important the stomach is completely empty prior to anesthesia. Serious complications such as vomiting, inhaling fluid into the lungs and pneumonia could arise with even small amounts of food or water in the stomach. Since children can forget, they will need to be closely watched.
If your child accidentally eats or drinks anything after the cut off time, you must tell the nursing staff so that proper precautions can be taken.
We know parents are reluctant to eat when their child cannot. We strongly suggest you eat a meal so you have energy to handle the days' activities.
The day of your child's surgery, please try to arrive a few minutes early to check-in and provide us with the following:
If you have guardianship of the child, you must bring the guardianship paperwork with you.
Parking is located on the north side of the building. The surgery center is located on the first floor of the north entrance.
Prior to your child's surgery you will be asked to confirm and update any medical history information. Your child will be examined with attention to heart, lungs and airway.
We want your child to feel safe at Cook Children's Pediatric Surgery Center. The nursing staff will explain to you and your child what will happen during your time here.
You'll be able to speak to the nurse assigned to your child in the operating room (OR), the anesthesiologist and the surgeon. We're here to answer your questions. Please take this time to ask any questions you may have.
Your child may be given medication before surgery depending on their needs. If they do receive medication we will ask you to hold your child or they must remain on a stretcher with side rails up for safety. The nursing staff assigned to your child in the OR will accompany your child to the OR. Depending on the child's needs they may be carried or ride on a stretcher.
One parent or guardian must stay in the center at all times.
You will be escorted to a conference room or the waiting room by a member of our nursing staff. Please take this time to review any instructions from your surgeon.
Please ask our reception staff if you need anything.
Cook Children's Pediatric Surgery Center is a non smoking facility.
Please remember: one parent or guardian MUST remain in the facility at all times.
The doctor will come to see you immediately after surgery. Your child will go to the Post Anesthesia Care Unit or Phase 1. The time it takes for each child to recover from anesthesia varies. A nurse will stay with your child at all times.
The nurse will take you to your child as soon as they recover from anesthesia. The nurse will then escort you and your child to the step-down recovery unit or Phase 2 for continued observation. At this time your child will be offered liquids.
After surgery, your child will seem sleepy, restless, irritable or confused. In most cases your child will have an intravenous device (IV) which delivers electrolyte solutions, medicines, and nutrients and must remain in place until discharge. Your child will receive medicine to ease discomfort as directed by your anesthesiologist. You are the best judge of your child's comfort level. Please discuss your child's care with our nurses – we are here to guide you.
While in Phase 2 we will be asking your child to drink liquids so that we're sure he/she is willing to drink for you at home.
Your Phase 2 nurse will evaluate your child's recovery based on information from your anesthesiologist. The nurse will review your doctor's discharge care plan and you'll receive discharge instructions and any prescriptions your child might need. Please take this time to ask any questions you may have.
Arrangements for a ride home should be made before surgery. Your child will be released only to the parent/guardian who brings the child to the facility. Please call us at 972-300-0215 with any questions.
For your child's comfort on the ride home, please have a blanket, a towel and a car or booster seat (if required).
While each child responds differently to anesthesia and surgery, some of the things you may expect after you leave the facility include:
Approximately two to three days after your child's surgery, a nurse will contact you to see how he/she is feeling. Please feel free to ask questions you might have about your child's recovery.
Our child educator is available to our families as a resource. She can be reached at 972-300-0215.
We know it can be difficult to talk with your child about upcoming surgery. We suggest that you give your child honest, age-appropriate information that will keep him or her from worrying or being caught off guard. Involve your child in preparation, such as shopping for Popsicles& or packing a favorite toy or DVD to bring along. Drawing pictures or reading a book can be a good starting point.
For patients whose diseases or conditions allow them to continue recovery or rehabilitation at home, Cook Children's Home Health can provide an alternative to hospital care. At home, children receive family and caregiver support that assists recovery. Research has found that children who require long-term care usually feel better when treated in the familiar surroundings of home. In addition, home health services cost significantly less than hospital care.
Prior to your child's surgery, please read each of these forms and submit confirmation prior to arriving at the facility. If you have questions about this information, please call us at 972-300-0215. If you do not have access to the Internet, please contact our office and we will email or fax this information to you.
If you need us to release your child's medical information to a third party, please print, complete and mail the Release of Medical Information Request form with your picture identification to:
Have a surgery scheduled at Cook Children's Surgery Center in Hurst? The following information for parents, families and patients may be of help. If you have questions about this information, please call us at 817-605-2950.
Please be sure that your insurance company has been notified of the upcoming surgery. This is known as pre-certification. Pre-certification is often required before the insurance company will pay. The doctors' office staff usually contacts insurers, but it is your responsibility to make sure the doctor's staff called for pre-certification.
Payment may be required upon admission. Cook Children's Surgery Center accepts MasterCard, Visa, American Express and Discover cards. It is your responsibility to:
Please be prepared to bring the following on the day of your child's surgery:
Free pre-op tours are offered at Cook Children's Surgery Center. The tour will introduce you and your child to hospital staff and explain what to expect on the day of surgery. Please reserve a place for your child and family the week before the scheduled surgery by calling 817-605-2823 between 9 a.m. and 5 p.m. Reservations are necessary.
Many families find it difficult to talk with their child about his/her upcoming surgery. We suggest that you give your child honest, age-appropriate information, so he/she won't worry or be surprised. Involve your child in preparations, such as shopping for Popsicles™ or packing a favorite toy to take to the hospital. Using a toy doctor's kit or drawing pictures of the hospital can help your child express thoughts. Reading a book about hospitals (check your local library) can be a good starting point for discussion. Suggested books include:
It is important that your child get plenty of rest before surgery. Be sure your child bathes and washes his/her hair. This helps us, and helps your child feel better while recovering.
Make sure your child has a well-balanced dinner the night before surgery. Give him/her plenty to eat and drink just before the food and drink cut-off time specified by your doctor. After the cut-off time, do not let your child have anything to eat or drink, not even hard candy, gum, water or ice. It is even best not to brush his/her teeth, as some of the water or toothpaste may accidentally be swallowed.
For your child's safety, it is important that his/her stomach is completely empty prior to being given anesthesia. Serious complications could arise with even small amounts of food or water in the stomach. Since children forget and may help themselves to food, they will need to be closely watched. If your child accidentally eats or drinks anything after the cut-off time, you must notify the nursing staff so that proper precautions can be taken.
Sometimes parents are reluctant to eat when a child cannot, but in order to handle the day's activities and attend to your child's needs, you will need energy. We suggest you eat a nutritious meal before waking your child.
Check-in – Go directly to the surgery registration desk for check-in. After your child is registered, you will be taken to the outpatient surgery department.
Your child may or may not be given medication before surgery, depending on his/her individual needs and the procedure involved. After your child is anesthetized, an intravenous line (IV) will be started in most cases, and will remain in place until discharge.
What to bring on the day of surgery
What NOT to bring on the day of surgery
A parent or adult caretaker must stay at the hospital while surgery is being performed. In addition, parents or guardians must remain in the waiting room at all times during and after surgery. If you must leave this area, even for a minute, please tell the receptionist where you will be.
Children who receive general anesthesia, with or without pre-operative medication, will sleep 60 to 90 minutes after their surgery. However, it is still very important that one parent or guardian remain in the waiting room at all times during and after surgery.
You will see the doctor after surgery. During this time your child will be sleeping in the Post Anesthesia Care Unit (PACU) or recovery room. Children wake up after surgery at various times, so the receptionist will keep you posted on your child's status. Your child will be transferred to the stepdown recovery room, as soon as he/she is awake. You will be allowed to join your child in stepdown.
If your child is spending the night, he/she will remain in PACU until stable. Then, you will rejoin your child and be taken to your hospital room.
After surgery, your child may seem sleepy, confused, restless or irritable. Your child will be medicated, as ordered by your anesthesiologist, and he/she may be offered something to drink. Please remember that, in most cases, your child will have an IV, which must remain in place until discharge.
Your child's skin may appear puffy and flushed and could be warm to the touch. This normal reaction may continue for several hours and may not disappear until after discharge.
It is important to be calm and to soothe your child as much as possible during his/her stay in stepdown. Encourage your child to take fluids and spend time rocking, singing and reading or talking to him/her.
Arrangements for transportation home should be made before discharge. Your child will be released only to the person specified on the consent forms. For your child's comfort on the ride home, please have a blanket, a towel and a car seat/booster seat, if needed, in the car before dismissal.
When you get home
Not all children respond to surgery and medication in the same way. However, you may expect:
To help your child feel more comfortable, we suggest you have at home:
If you have questions about what your child can eat after surgery, please ask. We understand that guidelines such as "clear liquids" and "soft, bland food" may not be helpful. There are many foods, even on a restricted diet, that will probably taste good to your child.
About two to three days after your child's surgery, a surgery representative will contact you. Feel free to ask any questions about your child's recovery process. If you have questions at other times, consult your doctor or you may call us at 817-605-2823.
If your child is scheduled for an appointment at Cook Children's Surgery Center, you may pre-register online using One Medical Passport.
Be sure to have the following information available before starting:
Click here to provide registration information through One Medical Passport
Completing a One Medical Passport medical history online is easy. For most patients, filling out the entire questionnaire takes less than 30 minutes. Please fill out the questionnaire accurately, and be assured that all of your information is kept confidential and will be thoroughly reviewed by your medical team. At any time, you can quit filling out the questionnaire and come back and complete the unfinished portion at a more convenient time.
One Medical Passport is a website that allows you to enter your information at any time from anywhere. You can also print out a copy of your medical history after you create it online and keep it with you or with your other health care documents, as well as have access to it online anytime you need it or want to update it.
Information Security: One Medical Passport uses the highest grade of Internet security available: 256 bit encryption with SSL (secure socket layer) technology. Your information is stored on servers at a secure Web hosting site and will only be released to your medical team at Cook Children's Northeast Hospital. Your information is never released to anyone other than your medical team.
Our goal is to provide a family-centered environment of care by keeping you informed at each step in your child's care, from pre-operative evaluation through discharge. As you and your child prepare for surgery, please use the information below as your guide. If you have any questions, please call us at 682-885-4022.
Sometimes things get complicated. Following the steps in the Cook Children's surgery guide will help things go more smoothly. Feel free to print a copy for your convenience.
Download Surgery Guide
You must preregister your child for surgery. For your convenience, there are two ways to preregister:
After you preregister, we'll call you to answer any questions you may have about:
If you're not the parent of the child having surgery, we must have a copy of your legal guardianship document before we can register your child for surgery.
Planning ahead can help to make your child's surgery and stay at Cook Children's Medical Center much less stressful.
If you aren't able to attend a pre-op tour at the medical center, please watch our pre-op video here.
Surgery coloring book
We may schedule a time for you and your child to come to the medical center for a pre-op visit with anesthesia. If you don't have a scheduled pre-op visit, we'll call you several days before surgery.
On the day before surgery, we'll call you between noon and 6 p.m. with important information about your child's surgery.
Your child's stomach must be empty for surgery. Food or fluid in the stomach during surgery can cause serious health problems. Please make sure that your child doesn't eat or drink after the STOP times.
You'll be given stop times for each of the following:
For your convenience, we've also provided a downloadable, printable form so you can write down STOP time and day. You may want to place the chart where other family and caregivers can see it.
After STOP times, please watch your child closely.
Your anesthesia nurse should tell you what medicines you can give your child before surgery and if and when you should stop any medicines before surgery. If you are unsure about STOP times for your child's medicines, please contact us at 682-885-4022.
When we call you the day before surgery, we'll also tell you what time you need to arrive at Cook Children's and where you need to go.
If your child's surgery is at the medical center, you'll go to 801 7th Avenue. You may park in the 7th Avenue garage or you may use our drop-off/valet location at the main entrance to the medical center. Valet parking is FREE for surgery patients and opens at 5:30 a.m. If your arrival time is scheduled before then, you'll need to park in the garage.
If your child's surgery is at the Dodson surgery center, you'll go to 1500 Cooper St. You may park in the 7th Avenue garage or you may use our drop-off/valet location at the Dodson lower level entrance. Valet parking is FREE for surgery patients and opens at 5:30 a.m. If your arrival time is scheduled before then, you'll need to park in the garage.
Any additional family members arriving in separate cars may park in the 7th Avenue garage or they may valet park after 5:30 a.m. for $5.
Download Arrival Time Sheet
Campus and Parking Map
We've provided a checklist of important things that need to be done the evening before surgery to assure that things go more smoothly on surgery day. For your convenience, you may also download and print the checklist here.
We've provided a checklist of important things that need to be done in order to assure that things go more smoothly on surgery day. For your convenience, you may also download and print the checklist here.
Campus Surgery Check-in Locations
After surgery your child will taken to the recovery area, sometimes called PACU (Post Anesthesia Care Unit). Your child's surgeon will also speak with you after surgery.
Pain and nausea medicine
Before you go home we'll give you a surgery discharge teaching sheet. We'll explain:
We have a special way of teaching our patients and families at Cook Children's. We call it Teach Back. Everyone needs help understanding health information. You aren't alone if you find things confusing at times. Please, always ask questions and tell us if you don't understand our answers. Teach Back includes the following:
Teach Back helps us make sure that we are teaching this information in a way that makes sense.
Cook Children's will bill your insurance company, if applicable, for your child's surgery.
You'll also be billed separately by one or more physicians who care for your child. This might include radiologists, pathologists, anesthesiologists or surgeons.
For any questions relating to your account or to request an itemized statement, please call Patient Accounting at 682-885-4432. For families outside area codes 817 or 682, the toll free number is 1-888-852-6635.
If you have questions about your insurance, please read your insurance card, policy or other material from your insurance provider to find a phone number to call for information. If your employer provides insurance, you may also call your employer's benefits office for assistance.
We encourage you to be involved in your child's care. You know your child best and we encourage you to share your past experiences and what works best for your child. We want you and your child to be as comfortable as possible, so please let us know if there is anything we can do to help make your experience more comfortable.