Surgery and Internal Medicine Ward

Surgery and Internal Medicine Ward

The Patient ward dedicated to the patients for medical and surgical procedures at the St. Maarten Medical Center is called the Medical/Surgical ward.

Staff within this department, are dedicated to providing exceptional patient care in a friendly, professional environment. SMMC schedules and performs surgery on patients on an average of more than 2000 cases a year. The greater portion of patients admitted for surgery are scheduled for general and orthopedic surgery, however, patients are also admitted through the Emergency Room.

Patients with conditions such as cardio vascular diseases, hypertension, gastro-intestinal diseases, renal diseases, hemolytic, endocrine, oncology (chemotherapy), rheumatology, immunologic diseases and diseases of the liver, pancreas, gallbladder and central nervous system including strokes are also admitted to the Med/Surge ward under the care of our two Internists. Also, patients with mental disorders are admitted by the Psychiatrist.

Many of our returning patients are among our elderly population as well as diabetic and terminal patients. By providing support to these patients and their families, both emotional and with continuing health care solutions, our clinicians are committed to improving each patient’s quality of life.

Expert Staff

Our well-qualified and experienced staff is dedicated to providing exceptional patient care in a friendly, professional environment. Our department consists of the ward supervisor, responsible for the leadership of the Med/Surge Ward and coordinates with the rest of the hospital team. The department further consists of registered nurses, licensed practical nurses, student nurses and a ward secretary.



Referral by your physician:
Once your physician decides you need to be admitted, he or she will give you the necessary paperwork to register at our hospital Admissions Department as well as information to take to your insurance provider. There you will receive a Guarantee letter authorizing coverage of your hospital admission. You should be aware that depending on your health plan, your insurance does not necessarily ensure full payment of charges. We encourage you to familiarize yourself with the health plan benefits which are applicable to the procedure you will have performed at SMMC. 

Pre-Admission Registration:
All your information will be inputted in our hospital administration system during pre-admission. The Admissions Department will verify your doctor’s instructions and schedule an operation date and time. At the same time, you are also given a date and time for a screening test with an anesthesiologist. An anesthesia form will need to be filled out for this screening process. 

Your insurance paperwork will be verified. Depending on your insurance coverage you will be informed of your financial responsibility. 

All patients are requested to read, understand and sign a consent form for surgery by the attending surgeon. In the case of a minor child or dependent adult having surgery, a parent or legal guardian must sign the consent form.

As a patient you should:
Notify your surgeon if there is any change in your physical condition, such as a rash, fever or flu symptom. If there is a chance you are pregnant, please notify your surgeon immediately. 

Arrange for a responsible adult to come to the hospital, receive your post-operative instructions, take you home and stay with you at least overnight following your surgery. You are not permitted to drive yourself home after receiving any anesthesia. 

Before your operation 

  • Do NOT drink alcohol 24 hours before your admission, as it will alter the effects of an anesthetic or sedation. 
  • Do not eat or drink anything after midnight of the day of your surgery; this includes water, chewing gum and sweets. On the evening prior to surgery, please eat a light meal. 
  • Do not smoke on the day before and the day of your surgery. 
  • Follow the instructions of the Anesthesiologist regarding the taking of or refraining from taking of medications the night before or the day of surgery. 
  • You may brush your teeth the morning of surgery but do NOT swallow any water. 

Before you come in you must: 

  • Have a bath or shower. Do not shave your self; if you have to be shaven, it will be done on the ward. 
  • Remove all makeup and nail polish prior to surgery. The natural color of your nails is an indicator of your general health. 
  • Remove all jewelry, including body jewelry, as well as accessories including hair bands and hair pins. 
  • In most cases, contact lenses as well as dentures must be removed.

On the day of your procedure please arrive promptly and report to the admissions department. 

Please bring with you: 

  • A valid ID such as passport, St. Maarten identification card or driver’s license 
  • Insurance card and/or documents 
  • X-rays, scans and any other appropriate reports or letters 
  • Any tablets, medicines, inhalers that you are currently taking 
  • Dressing gown and a pair of socks will be supplied, you can bring your own if you prefer. An operation gown will also be provided to you. 
  • Toiletries such as a comb and/or brush, toothbrush, toothpaste, body cream and deodorant 
  • Glasses/contact lenses, cases and solutions 
  • Your most important phone numbers 

Although you will have been given a provisional time for surgery, this is subject to change based on numerous variables. The order of the operating list is not confirmed until the day of admission by the surgeon. Planned surgeries before yours can be cancelled or can run late which can affect the time of your surgery. You may want to bring a book, magazine or puzzle if for some reason there is a delay in the time of surgery. 

After checking in, you will be escorted to the pre-operative waiting area, where you will be greeted by an admitting nurse who will ask you questions about yourself and your health, take your blood pressure, pulse and temperature. Please inform the nurse if you have dentures, capped or loose teeth or other prostheses, body piercings, or allergies to medication or latex. The admitting nurse will prepare you for surgery, which entails at times, shaving of the operation site and removing of nail polish. 

 

Following your operation, you will be brought to the Recovery Room; this is a monitored care area so family members are not allowed in. The time you spend in the recovery room will vary depending upon the type of surgery performed, the type of anesthesia that was given, and your individual needs. Once you are stable, you will be transferred back to your room and the surgical ward staff will continue your monitored care. Depending on the surgery and your condition a special diet will be assigned to you. Your surgeon will visit you and explain your case, any special instructions, diet, rest, and medications. This is the time for you or your immediate family to ask any questions you may have. It is normal to feel drowsy after receiving general anesthesia so your activities will be limited for the first 8 to 24 hours after surgery. If you have unexpected problems, please inform your primary nurse or surgeon during his rounds. Your surgeon will inform you when you can expect to be discharged.
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