Hospital Admission Forms
Please download and fill out the forms below prior to your admission.
Health Assessment Form
Consent to Surgical Operation or Interventional Procedure Form
Theatre Admission Form
Before Your Surgical Admission
Your surgeon will provide you with a pre-admission form, consent form and health assessment form. You can also obtain these forms from our website.
Please complete these and post, email or drop them to us as soon as possible. This will enable us to register your details and minimise delay on admission.
Payment
If you have private health insurance the hospital will claim directly from your insurer. We recommend that you contact your fund prior to admission to verify your level of cover and financial status.
Our reception staff will advise you of any out of pocket expenses. You will need to pay for these on admission. We accept cash, cheque, Visa, MasterCard and EFTPOS.
You will receive separate accounts from your surgeon, anaesthetist and pathology if it was required.
Self funded patients are to contact the hospital prior to admission for an estimation of costs.
Pre-Operative Telephone Call
One or two days prior to your operation you will receive a telephone call from our nursing staff to discuss:
- Your arrival time
- Your fasting time
- Transport and parking arrangements
- The length of time you can expect to be at Canossa
- Your post-operative care
- Any expenses that you will need to pay
You will also need to advise the staff who will be taking you home and staying with you on the night of your surgery
On the Day of Admission
- Shower or bath at home – do no use any deodorant, perfume, powder or creams.
- Do not wear jewellery or nail polish or bring any valuables with you as the hospital does not take any responsibility for the loss of any items during hospitalisation.
- Unless otherwise instructed by your doctor, please take all routine morning medications with a small mouthful of water.
- If you have diabetes or are taking blood thinning medication, you will need to discuss the management of your medications with your surgeon and anesthetist.
What to Bring to Hospital
- Doctors letter/x-rays/scans pertaining to your condition
- Certified copy of Power of Attorney and Advance Health Directive if applicable
- Glasses, hearing aids etc with appropriate cases
- Medicare/DVA, Pharmacy or Safety Net cards
- Credit card (or other payment means)
- Private health insurance card
On Arrival at Canossa Day Surgery
Arrival at the designated time is important so that your admission can be processed quickly. Park in the car park out the front of the building and go up the stairs to reception. You will be required to:
- Review the admission information provided to the hospital
- Pay all of your out-of-pocket expenses
- Sign the following information:
- Health Fund Claim
- Informed Financial Consent
- Consent for the collection and use of personal information
The Anaesthetist
You will have a private consultation with the anesthetist before your procedure who will ask you about your general health, allergies, your current medications and any previous surgery or illnesses.
Your anesthetist will monitor you during your procedure.
Your Operation
The majority of day surgery is now performed under local anesthetic with sedation.
Some procedures will require a general anesthetic.
Recovery
After your procedure you will be moved to a comfortable recliner chair and your health will be monitored by the recovery nurses. You will be given light refreshments.
When you are recovered you will be given discharge instructions and may then be taken home accompanied by a responsible adult.
When You Go Home
Allow yourself time to recover and rest during the first 24 hours and avoid:
- Driving a car
- Signing important documents
- Drinking alcohol and smoking
- Operating machinery
- Any strenuous activity
You should contact your doctor or an emergency department for any post-operative problems.
Post Operative Telephone Call
In most cases one of our nurses will call you in the week following surgery to discuss your postoperative care.
Your surgeon will schedule your post operative appointment.
Your Satisfaction
The hospital actively seeks your valuable feedback on the care and service provided. A formal compliment and complaints management process is in place to address any issues.
It would be appreciated if you would complete a Patient Survey Form (available in recovery and at reception).
If you have any complaints/concerns during your stay please ask to speak to the Nurse Unit Manager or write to the Director of Clinical Services.