Tisch Hospital Pediatric Acute Care Unit - Child Life Services

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Preparing For Surgery

If your child has been scheduled to be admitted to NYU Medical Center for surgery, the following information has been designed to answer some of the general questions that you may have.

It is important to note that all of the information provided here is general.

Please consult with your physician for all specific information regarding your child's care.

Pre-admission:

  • Several days to a week before surgery your child will be scheduled for an appointment at Pre-Admission Testing located on the ground floor of 400 East 34th St. At this appointment your child will: be seen by a nurse from Pre-Admission Testing who will ask about your child's medical history as well as habits, likes and dislikes; have blood and urine tests and, in some cases chest x-rays and an EKG to prepare for the surgery and will be seen by an anesthesiologist.

  • Generally, one parent is permitted to accompany your child to the operating room and stay with the child until he or she is anesthetized. The parent will then be asked to step out of the operating room. These arrangements should be made with the anesthesiologist prior to surgery. If a parent is unable to accompany your child, Child Life staff are often available to do this. Arrangements should be made in advance by calling (212) 263-5585.

  • A description of how to talk to your child about his or her hospitalization is available on this website at Before You Visit the Hospital. If you have specific questions or would like to schedule a pre-admission tour of the pediatric unit you can contact a Child Life Specialist at (212) 263-5585.

  • A Social Worker is also available to discuss any emotional, financial or practical concerns that you may have. You can contact the Social Worker at (212) 263-5018.

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Additional Preparation:

  • Your child cannot eat or drink anything for some time prior to surgery. The length of this food and liquid fast will depend on your child's age. Discuss specific recommendations with the anesthesiologist at Pre-Admission Testing. In addition, if your child is taking any medications ask if these should be taken on the day of surgery.

  • Due to the limited amount of space in the patient rooms only one parent is permitted to stay over night at your child's bedside. If your child is admitted to the Step-Down Unit or Intensive Care Unit, a shared parent room is available for one guardian per child to stay. There are a limited number of beds. Arrangements can be made through the pediatric nursing staff. The parent who does not sleep over is permitted to visit at any time.

  • Visiting hours are from 1 p.m. to 8:30 p.m. We encourage family visits in the hospital. However, it is important that your child also gets the rest he/she needs. Please monitor your visiting children while on the unit to avoid disturbing other patients and families.

  • Visitors under 13 years of age must be cleared with the nursing staff. Any visitors or family members with infection or illness such as a cold or flu should not visit.

  • The hospital provides diapers, bottles and formula. However, we do not provide Playtex bottles, pacifiers or baby wipes. If you choose to bring your own bottles or diapers please discuss this with your child's nurse. If your child is on special formula, please ask your doctor's office to speak with the pediatric nursing staff to be sure that it is available. Mothers who are breastfeeding are encouraged to continue nursing or pumping breast milk.

  • Sometimes it is comforting for your child to bring his/her own pajamas to wear after surgery. Short-sleeved pajamas (or loose long-sleeved) are preferable, in case the child has an IV in his/her arm.

  • Remember to pack slippers and a toothbrush for your child. The hospital does have disposable toothbrushes available but the children tend to prefer their own. Slippers are not provided by the hospital.

  • A TV/VCR unit is available at each bedside. This also includes a CD and tape cassette player. You can bring in your child's favorite movies and music or borrow from the large collection at the Pediatric Patient's Library located on the unit. The Child Life Service can also provide access to computers and video games during your child's stay in the hospital.

  • The New York City Board of Education provides certified teachers for patients who are enrolled in elementary through high school programs. The teachers assist the children in keeping up with school work during their hospital stay.

  • A small bedside cabinet and locker are provided for each patient (except in the Intensive Care Unit). Since these spaces are small bring only those items you truly need. It is recommended that valuable items are left at home to avoid any risk of loss.

  • To help you know what to expect before entering the Recovery Room, it is useful to ask the nurse there if your child will have any bandages, tubes, etc.

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Day of Surgery

  • Prior to surgery your child will be given a hospital gown. These gowns are the only clothing worn to the operating room.
  • Children are not permitted to wear jewelry or hair accessories into the Operating Room. Children can bring a special stuffed animal or blanket to the Operating Room. Once your child has fallen asleep you will be asked to take his/her special item with you. The Operating Room staff is not responsible for lost items.
  • While your child is in surgery you will be directed to a waiting area in the Same Day Admit Unit, 6th floor of RIRM building.
  • Immediately after surgery, your child will be brought to the Recovery Room on the 6th floor of Tisch Hospital where he or she will stay until the effects of the anesthesia wear off. A staff member will notify you when your child has been brought to the Recovery Room and will direct you to that area. (Cardiac patients often have an overnight stay in the Recovery Room.)
  • The Recovery Room is a very busy place which attends to the needs of both pediatric and adult patients. You may visit your child in the Recovery Room but occasionally you may be asked to wait outside. Generally, from the Recovery Room your child will be transferred to a room on the Pediatric Unit (9th Floor Tisch Hospital).

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While in the Hospital

Diet:
  • Fluids will be given intravenously (by I.V.) until your child can eat or drink.
  • At first your child will be given clear liquids and will advance to solid foods as recommended by the medical staff.
  • Depending on the surgery, your child may not be able to drink or eat for a while.
  • A Kosher menu is available through Food Services. Speak to the nursing staff to arrange for these meals.
  • Due to the special dietary needs of the children on the pediatric unit, food is not permitted in the playroom. This is to provide a space where all children can feel welcome to visit and play. The only time food is permitted in this room is during Child Life special events which will be posted on the door.

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Activity:

  • Your child's surgery and recovery needs are individualized. The medical team will advise you as to when your child should begin resuming his/her usual activity.
  • Child Life programs are provided daily in the playroom or at your child's bedside. A visit to the playroom is a good way to begin encouraging your child to return to his/her normal activity level after surgery. The Child Life staff are trained to provide activities that are adapted to meet your child's age, needs and interests.

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Medication:

  • Your child's pain level will be assessed so that nurses and doctors can provide medications and other measures to make sure your child is comfortable. If your child is able, he/she may be asked to rate the level of pain.
  • In addition to pain medication, your child may receive antibiotics after surgery. This will depend on the type of surgery and your child's specific needs.

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Care of Your Child's Incision:

  • Initially your child's incision may be covered by a dressing that the nurse or doctor will change.
  • Look at your child's incision before you go home so that you can report any changes to your surgeon.
  • Your child's nurse will discuss any special instructions regarding care for the incision.
  • Report any redness, swelling, drainage, puss or elevated fever to your doctor.

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Other Information

  • A Social Worker may contact you to discuss discharge planning and after hospital care. You can also discuss any issues related to how you, your child and family are coping with the hospital stay and management of your child's illness.
  • A pantry is available on the pediatric unit to allow patients and family members to enjoy a meal together. This area also includes a refrigerator, ice/water machine, and two microwave ovens for your convenience.
  • Coffee and cookies (including Kosher cookies) are provided Monday through Friday from 2 p.m. to 5 p.m. in the solarium of the 9th Floor just opposite the public elevators. This is offered free of charge through the Hospital Auxiliary and is available for all family members and visitors of the pediatric patients in Tisch Hospital.
  • There is a Helping Hand Fund which is available for families in need to help defray some of the costs of visiting your child each day in the hospital. Please consult with your social worker or your doctor's office for more information about this program.
  • Pastoral Care is a service provided by Chaplains who are trained to work in the hospital setting. The Chaplains provide spiritual care in an open and respectful way. A Chaplain may also contact clergy of your own denomination for you. Very often when a child is in the hospital families find comfort in knowing that the Pastoral Care Department is available for visits and support. If you would like to contact a Chaplain while in the hospital dial extension 35903. During evenings and weekend hours you can reach the Chaplain on Call by paging (212) 397-9330 ID#26903.
  • The Medical team will provide any appropriate information regarding your child's care after discharge from the hospital. You will be given a discharge plan by your child's nurse. If you have any questions, speak with your child's doctor, nurse, or social worker.

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Child Life Services
NYU Hospitals Center
560 First Avenue
New York, NY 10016
Phone: (212) 263-5585

NYU Medical Center NYU School of Medicine