Treatment and care

Medication during your stay
The medication you take during the hospital stay is sometimes provided by the hospital pharmacy and sometimes you take your own medication. You will hear how this is arranged in your case at your intake interview at the Anaesthesia Outpatient Clinic or during the admissions interview at the nursing department. The Pharmacy Service Point (Apotheek Service Punt or ASP) ensures a seamless transition from the pharmaceutical care at home and at the hospital.

Sometimes, the hospital wants to ask information about your own medication. This reduces the risk of mistakes. In order to work quickly and efficiently, the hospital assumes that you agree that this information is requested from your pharmacist. Please inform the staff members of the Admission Ward or the nursing staff if you object to your medication being requested.

Foreign Hospital (MRSA)
If you have been admitted to a foreign hospital in the past two months, we kindly ask you to report this as soon as possible to the relevant staff member. The fact is that you may be carrier of the MRSA bacteria (Methicillin Resistant Staphylococcus Aureus). This bacteria need not have any consequences for you. The bacteria is, however, immune to most antibiotics and is therefore difficult to fight. In order to prevent the patients staying at the hospital, from becoming infected, measures are taken if required.

Identification
During your hospital stay, you will wear a wrist band with your name and date of birth. For confirmation of your personal details, the various hospital staff members will ask for your name and date of birth (for example nurses, laboratory staff members and at the Surgical Ward). This check is in the interest of your safety and the quality standards we have to meet as a hospital.

Operation

Prior to the operation
Right before the operation you will put on special surgical scrubs. Before the operation you will be given medication, if necessary, to make you calm or sleepy. The exact time of the operation cannot be determined exactly beforehand.  Unexpected situations may always arise, as a result of which you will be operated on at a later time.

You have to take off/out contact lenses, dentures and any jewellery (watches, rings, bracelets, piercings) before going to the operating room. Ladies are requested not to wear any make-up or nail varnish. If you have a hearing aid you may wear it. A nurse will bring you with bed and all to the operating room.

The operation
In the operating room you briefly talk with the anaesthesiologist responsible for your general anaesthetic of sedation. The anaesthesiologist will ask a few questions that are important for a proper course of the general anaesthetic. If you have any questions, you may ask the anaesthesiologist.

After the operation
Immediately after the operation you will be woken up and brought to the recovery room. When you are sufficiently awake, the ward nurses will come and collect you again.

If you have had a general anaesthetic, you may suffer from throat ache and nausea. Muscle ache and hoarseness may also occur. These symptoms are normal and usually disappear automatically. But report your symptoms as quickly as possible to a nurse, so that you can get medication if necessary. If you have any questions please ask the nurse. If you have had an epidural, you may encounter problems urinating. This is caused as the sedation reaches as far as the bladder. If necessary, a temporary bladder catheter will be inserted.

The specialist who has operated on you, or the assistant physician will generally come by at the ward.

Informing contact person
The nurse will inform your contact person of your condition by telephone upon your return from the operating room. No medical information is provided then.

Blood transfusion
You may require a blood transfusion during the operation or treatment. This happens with your consent, unless there is an acute situation. During the intake interview, you have been informed on the reasons, risks and any alternatives for the blood transfusion. The blood you will be administered has been thoroughly examined beforehand, ensuring you only receive safe and suitable blood from healthy donors. It is possible that you, as receiver of blood, make or have made antibodies (irregular antibodies) against some blood cells. If these antibodies have been identified at the laboratory you will be given a blood group card and letter stating the type of antibody. These antibodies are also included in a national database. The advantage of this database is that it can also be consulted by another hospital for a next transfusion, if necessary. The information is automatically included in the database unless you object to this within four weeks after taking blood, at the laboratory on telephone number +31 (0)20 755 7228.

Use of body tissue as control tissue
During your admission, blood may be taken for examination. In principle, this material is only used for the examination requested by the specialist. Occasionally, material is collected to use as anonymous control material for laboratory equipment. In those cases, the laboratory staff member will ask for your consent. If you object against this, you can inform the staff member in question.

SNAQ: Tackling undernourishment
Due to your illness, you may unintentionally have lost weight and/or have been able to eat less in the past period. This means that you run the risk of becoming undernourished or that you are already undernourished. Therefore, Amstelland Hospital works with SNAQ (Short Nutritional Assessment Questionnaire). This is a questionnaire with which a nurse determines at the beginning of your admission to hospital if you are undernourished or run a risk of undernourishment. If this is the case, you are offered three additional snacks during your admission. Depending on the extent of undernourishment, the dietician will come by if necessary. For more information on SNAQ, please consult the ‘Tackling undernourishment’ brochures that are distributed to patients who are eligible for them.

To another hospital
Sometimes, it is necessary to have part of your examination or treatment carried out in another hospital. Transport is arranged from the hospital and a family member or acquaintance can keep you company. You can also have one of the volunteers of our hospital accompany you.