Surgical Services Center

Physical Address

Madigan Army Medical Center
Second Floor, Hospital Tower
9040 Jackson Ave.
Tacoma, WA 98431

Business Hours

Monday-Friday 8:00 a.m. - 3:30 p.m.
Closed on Federal Holidays and Selected Training Holidays

Contact Information

Phone: (253) 968-3015
(253) 968-3016
Fax: (253) 968-3541
TRICARE Regional Appointment Line: (800) 404-4506

Directions

The Madigan Surgical Services Center is located in Madigan Army Medical Center and can be reached by taking I-5 Exit 122, traveling straight on Jackson Avenue and then turning right onto Madigan Avenue to enter the Hospital Tower East Yellow Parking Lot. The Surgical Services Center is located on the second floor of the hospital tower.

About

The Surgical Services Center prepares patients for surgery after consultation with their surgeon. Patients are seen by appointment made either through the TRICARE Appointment Line listed above or by the assistance of the appropriate surgical clinic. Patients can expect a series of interviews, patient teaching instructions, and diagnostic testing such as electrocardiograms, and lab work. Patients should expect at least one, possibly more visits in preparation for their surgery.

What should I expect?

Once your surgeon has determined the need for surgery, you will be directed to Surgical Services for an initial appointment for evaluation and teaching by the nursing and anesthesia staff. At this appointment, you will have your vital signs taken, your medications reviewed, instructed on preparation for surgery and any additional required pre-operative testing done. This is an excellent opportunity to have any questions about your surgical procedure answered.

What do I need to bring to my initial appointment?

The surgeon's medical notes and physical examination will need to be completed before you can be seen. It is also important that patients bring their list of prescribed medications currently being taken.

Preparation for surgery

There are a few important, yet simple things you can do as a patient to make your surgical process safer and more efficient:

  • Do not wear any makeup including mascara, nail polish, jewelry or contact lenses.
  • Eight hours prior to your report time do not eat or drink anything unless instructed otherwise by your surgeon or anesthesia provider.
  • Shower or bath as you normally would, the night before your surgery.
  • Have identified and then provide to Surgical Services the contact information of your adult support individual(s) of your choice (spouse, domestic partner, family members, or friends) who will stay in the hospital on the day of surgery and who will escort you home, so that we can keep them informed and contact them once your surgery is completed. This is very important in order to avoid delays or even potential cancellation of your surgery.

Day before surgery

Drink eight to ten glasses of water throughout the day, but please avoid liquids and foods after midnight.

Please refrain from or reduce tobacco use twelve hours before surgery. Tobacco use, smoking in particular, increases stomach secretions that lead to nausea after surgery. Not smoking improves the oxygen supply in your blood.

Avoid alcoholic beverages the day and evening before surgery.

Call the Surgical Services Center at (253) 968-3015, Option 2 or (253) 968-3016, Option 2 between 2:00 p.m. and 4:00 p.m. to confirm your report time on the next day.

Checking-In

  • 6 a.m. check-in time report to the Surgery/Recovery Waiting room.
  • 6:30 a.m. and up report to the Day of Surgery check-in desk.

Day of surgery

Brush your teeth the morning of surgery but do not swallow water. Good hygiene helps to prevent post-operative wound infections.

Take only the medicine prescribed by your physician and with your anesthesiologist’s approval with only a small sip of water when you get up.

Leave your valuables such as money, jewelry, watches and rings at home.

Wear loose, comfortable clothing to the hospital. You may want to bring pajamas and a robe to wear along with a comfortable pillow for the trip home.

Upon your arrival, our Surgical Services staff will greet you and have your vital signs taken and be directed to the operating room to check in. Once you arrive in the operating room, you will be asked to change your clothes, and undergo a series of safety check lists designed to ensure we are performing the correct procedure on the correct patient. You will have an intravenous catheter placed while you are in the holding area and then be escorted to the operating room. Your adult support individual(s) will be taken to the operating room waiting area.

What to expect after surgery

Immediately upon your arrival to our recovery room, your surgeon will meet your adult support individual(s) to discuss your surgery, status and next steps.

After an initial assessment by the Surgical Services recovery room staff, your adult support individual(s) will be invited to visit with you during your recovery room, called the Post Anesthesia Care Unit (PACU). While in the recovery room (PACU), the average stay is about 30 minutes. Our staff will ensure that you're made as comfortable as possible. However recovery times vary significantly due to multiple factors such as type of surgery, type of anesthetic, and your personal level of comfort. During this recovery period, you are encouraged to tell the staff if you experience any discomfort and will be asked to rate your pain on a scale of "0" (no pain) to "10" (severe pain), and the surgical services staff will act accordingly.

What if I have questions?

If you have additional questions, the Surgical Services staff available to discuss any aspect or questions you or your support individual may have. We are committed to making you feel as comfortable as possible for your surgical experience.

Please call us at (253) 968-3015 or (253) 968-3016.

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