406 S 30th Ave, , Yakima, WA 98902 Map this address

(509) 453-4614 Fax: (509) 225-2712

Monday to Friday, 8 a.m. - 5 p.m.

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Vascular conditions encompass diseases of the arteries, veins and lymph vessels. Our surgeons provide comprehensive diagnosis and treatment of vascular diseases including surgical, non-surgical and minimally invasive endovascular surgery.

Preparing For Vascular Surgery

Prior to your scheduled surgery, there are some steps you'll need to take to prepare yourself. These are just guidelines. You will want to discuss the pre- and post- operative instructions in detail with your surgeon. You will be given these instructions when you visit our office.

Pre-Admission Process

You will receive a call from a registration representative to obtain and verify:

  • Insurance
  • Emergency Contact Person
  • Family Physician
  • Surgeon
  • Date of Surgery

What to bring to your appointment

  • A list of all medications (prescription and non-prescription, including dosage, how often you take them, and why they are prescribed). If it is more convenient for you, bring all your medicines, including inhalers and eye drops, with you to the pre-admission appointment
  • A complete list of allergies
  • All paperwork from your surgeon, including orders and consent for surgery
  • Insurance cards and photo identification
  • If you have had recent lab work, electrocardiogram (EKG), chest x-ray, or any diagnostic testing, bring copies to your appointment. Lab work must be within one month of surgery. The EKG and chest x-ray must be within six months of surgery
  • Copies of your living will and health care power of attorney

You should plan for the pre-admission process to take at least two hours at the hospital. A spouse or family member is welcome to accompany you to your appointment. You will have lab work, EKG, and chest x-ray, if ordered, and a nursing interview. Your surgical history, medical history and discharge planning will be started at this interview. If any preparation for your surgery is required, we will discuss how, when, and what to use.

Ask your surgeon which medicines to stop before your surgery, and when. Over-the-counter medications that thin your blood should be stopped before surgery (Naprosyn, Ibuprofen, Aspirin, Vitamin E, Garlic, Aleve.). Discuss when to stop taking any prescription blood thinners with your surgeon.

If you become ill, have a cold or fever, please call your surgeon within 24 hours of your surgery time.

Medication instructions

  • If you usually take medication in the morning, you should take it with a small sip of water prior to coming to the hospital.
  • If you take Plavix (clopidogrel), you should take your last dose on the 5th day prior to the procedure and then stop taking it.
  • If you take Coumadin (warfarin), you should take your last dose on the 4th day prior to surgery and then stop taking it.
  • If you take metformin (glucophage), you should take your last dose on the morning prior to surgery, and then stop taking it.
  • If you take insulin, you should take half your normal dose the day of surgery.

Day of Surgery

  • Do not take food or liquids for eight hours before surgery.
  • No gum, chewing tobacco, or smoking after midnight the day before your surgery.
  • No eye makeup or hair spray.
  • Please brush your teeth and shower.
  • Take medications as directed by the pre-admission nurse or your surgeon.
  • No jewelry or body piercing will be allowed.
  • Leave all valuables, including medications, at home except inhalers and eyedrops.
  • If you are spending the night, you may bring a small overnight bag with personal care items.
    • You will be asked to change into a hospital gown, slippers, and robe. No undergarments will be worn to surgery.
  • You may be given stockings to prevent blood clots.
  • Your heart rate, blood pressure, height and weight will be recorded. Anesthesia is based on these numbers.
  • Your surgeon will mark your surgical site to confirm the planned operational area.
    • All clothing will be bagged and locked securely until you depart.
  • If you are spending the night, your clothing will be placed in your assigned room after surgery.
  • Please have someone available, in person or by phone, for your surgeon to talk with after surgery.
  • An anesthesiologist will review your medical history, medications and discuss anesthesia options that are best for you.
  • An intravenous (I.V.) line will be established and medication given for relaxation/anxiety. Tell the anesthesiologist any problems you or your blood relatives may have had with anesthesia in the past.

Operating Room

  • You may not remember this because of sedation, but we will apply heart, oxygen and blood pressure monitors. You will receive an antibiotic to prevent infection if necessary.
  • If you receive general anesthesia, you will have medications administered through the I.V. line, and be asked to inhale oxygen. The next thing you will remember is the recovery room.
  • Glasses, dentures, and hearing aids will be removed if still in place.

Recovery Room

  • You will be receiving oxygen when you wake up.
  • If you have pain or nausea, please tell the nurse and medications will be given to you.
  • Pain medicines are available. Ask your nurse. Do not allow pain to become severe.
  • You will be kept warm to help prevent infection.
  • No visitors are allowed in the Recovery Room.
  • If you have glasses, dentures or hearing aids, these items will be returned to you.


  • You will be taken to an assigned room after recovery room. The staff will have placed your clothing and personal belongings in your room.
    • You may have an oxygen mask in place for 2-3 hours to help healing. You will be asked to deep breathe and cough to help prevent pneumonia.
  • Pain medicines are available. Ask your nurse. Do not allow pain to become severe.
  • Nausea medicines are available if needed.
  • Your family will be directed to your room when you leave the Recovery Room.
  • You will get out of bed after surgery, as soon as your physician orders it. A nurse will help you.
  • Routine medications from home will be given to you as ordered by your surgeon.
  • You should have someone available to help after discharge.


  • After leaving the recovery room, you will return to day surgery.
  • Your family will be able to see you.
  • Liquids will be offered.
  • After you are able to tolerate liquids, your I.V. will be removed.
  • All discharge instructions will be given to you and your family.
  • After you are dressed, we will assist you to your car. You must have someone available to take you home.
  • You should have someone available to assist you at your home.

Key Points After Discharge

  • Do not remove any bandages until directed by your surgeon.
  • Take medication as prescribed before your pain becomes severe.
  • Do not allow your surgical area to get wet until directed by your surgeon.
  • Return to work only after your surgeon has cleared you to do so.
  • Follow all discharge instructions given to you at the hospital.