We provide diagnostic and therapeutic care for patients:
- with musculoskeletal and skeletal injuries except for spinal fractures requiring osteosynthesis and skull and facial skeletal fractures associated with penetrating brain injury or requiring osteosynthesis
- with a diagnosis or suspicion of sudden abdominal stroke
- with gastrointestinal disease
cholecystectomy (gallbladder removal), appendectomy (appendix removal), hernioplasty (hernia repair)
- with abdominal injuries, chest injuries, patients with brain injuries not requiring invasive neurosurgical treatment
- indicated for surgical treatment of malignant processes
of the breast, digestive tract, skin
- vascular diseases
removal of varices, bypasses, ischemic and diabetic defects of the lower limbs
- inflammatory lesions requiring surgical intervention or not responding satisfactorily to outpatient therapy
- with anorectal disease
haemorrhoids, fistulae, inflammatory affections of the rectum, tumour surgery, including low-located tumours of the rectum, using the latest equipment and evidence-based medicine
- with diseases of the mammary gland indicated for surgical treatment
- with non-specific GIT inflammation (IBD)
Crohn's disease, Ulcerative colitis, indeterminate colitis
- with diaphragmatic hernia and gastroesophageal reflux
- with morbid obesity including treatment of diabetes and associated diseases
(R-Y bypass surgery,mini gastric bypass,gastric tubulisation-SLEEVE gastrectomy and reoperation)
Outpatient sphere of activities:
- Diagnosis of abdominal diseases including cancer screening
- traumatology - treatment and control of post-traumatic conditions
- excision of skin affections with or without a skin doctor's recommendation
- comprehensive care of tibial ulcers and chronic wounds
- follow-up examination and aftercare of patients after surgical procedures
- comprehensive care of patients with non-specific intestinal inflammation
- treatment of rectal affections, including outpatient removal of haemorrhoids
Preoperative examination sequence
The basic pre-operative examination will be performed by your general practitioner on an outpatient basis. The examination includes blood tests, an ECG and, if necessary, an X-ray of the heart if you are a smoker or over 50 years of age. We recommend that you arrange this examination in good time (at least one week before the operation, but no more than 4 weeks if you are healthy and 2 weeks if you have a chronic illness). If you do not have the results and medical conclusion on admission, your surgery will be postponed!
- If you have a chronic illness or are over 50 years of age, your GP will refer you for an internal examination.
- If you are taking hormonal contraceptives, take them off one month before your planned surgery!!!
- With all the results and the conclusion from the general practitioner (internal medicine doctor), you will come to the Hořovice Hospital, to the surgical reception (ground floor opposite the orthopaedic outpatient clinic), where an anaesthetic pre-operative examination will be carried out.
- After evaluating the results and talking to you, the anaesthesiologist will recommend the type of anaesthesia that is most suitable for you. It is possible that the doctor may want to repeat some tests or add others. The examinations will be completed during the day in the inpatient ward or in the specialist outpatient clinics of the NH. The anaesthetist will come back to the ward to assess the additional tests and write a 'premedication' (administration of medication before anaesthesia). Pre-operative preparation for surgery aims to prevent serious complications (thrombosis, embolism, allergic reaction,...) .
What to take with you to the hospital
- pyjamas
- underwear
- dressing gown
- change of clothes
- personal hygiene items
- towel, washcloth
- health insurance documents
- hernia belt (for hernia surgery), which you will need after the operation (the voucher will be written by your doctor in advance), crutches, canes if you are going for surgery with DK
- medications to be taken (for the expected duration of the hospital stay)
- Valuable items and money: you can store valuable items and money in the hospital's central safe. You will receive a written proof of safekeeping against which the items will be released to you on discharge from the hospital. The hospital is not responsible for the loss of loose items stored off-site. We recommend that you do not take large sums of money and valuable items to the hospital in your own interest
- Clothes and personal items.
- Medication: during your hospital stay, all medications are prescribed by your attending physician and supplied by the nurse. If you are taking certain medications to treat a specific condition, please take them with you to the hospital and give them to the nurse on arrival at the ward. Your doctor will include them in the range of medicines that will be given to you during your hospital treatment. As it is very important to coordinate your overall treatment, please do not take any medicines during your hospital stay that your doctor does not know about - even those you normally take at home (prescription or purchased). You will receive all necessary medications from the nurses at the prescribed dose and time.
Receiving
On the day of your scheduled admission, come to the NH Surgical Intake on the 2nd floor.
If you are having surgery on the day of your admission, arrive by 8:00 AM on your fasting day.
If you have surgery scheduled for the following day just arrive between 10:00 am - 12:00 pm.
If you are having surgery on a Monday, you must arrive at the reception on Friday. Once you have completed all the necessary admission requirements (see above), you can go home (on your pass) and report to the ward on Sunday between 5pm - 6pm (you can eat and drink!) or on Monday at 7am on a fasting day. Everything is by appointment with the doctor on reception.
Pre-operative examination sequence
The basic pre-operative examination will be carried out by your general practitioner on an outpatient basis. The examination includes:
- blood tests,
- ECG,
- if necessary, an X-ray of the heart if you are a smoker or over 50 years of age.
We recommend that you arrange this examination in good time (at least one week before the operation, but no more than 4 weeks if you are healthy and 2 weeks if you have a chronic illness). If you do not have the results and medical conclusion on admission, your surgery will be postponed!
- If you have a chronic illness or are over 50 years of age, your GP will refer you for an internal examination.
- If you are taking hormonal contraceptives, take them off one month before your planned surgery!!!
- With all the results and the conclusion from the general practitioner (internal medicine) you will come to the Hospital Hořovice, to the anaesthesiology outpatient clinic (ground floor opposite the orthopaedic outpatient clinic), where an anaesthetic pre-operative examination will be carried out.
- The anaesthesiologist will recommend the type of anaesthesia that is best for you after evaluating the results and talking to you. It is possible that the doctor may want to repeat some tests or add others. The examinations will be completed during the day in the inpatient ward or in the specialist outpatient clinics of the NH. The anaesthetist will come back to the ward to assess the additional tests and write a 'premedication' (administration of medication before anaesthesia). Pre-operative preparation for surgery aims to prevent serious complications (thrombosis, embolism, allergic reaction
Rooms:
The ward includes standard and superior single rooms with private bathroom facilities. Room equipment.
Room Reservations:
Superior rooms are widely used by patients and therefore must be booked in advance by calling 311 553 110 or 311 553 010, at least 14 days in advance.
The price of superior rooms is 1200CZK/night.
Billing and payment:
The final amount for the superior room is paid at the end of the hospitalization at the NH cash desk. You can pay on working days until 15:30 by credit card or cash. Outside working hours, on weekends and on holidays when the cash desk is closed, pay the bill at the ward (cash only). In both cases, you will receive a receipt for payment.
IMPORTANT NOTE: The superior room service only includes the superior standard of hotel services. It does not in any way imply a different treatment of patients by the attending staff.
Health information for the patient's relatives
Health information is confidential and may only be disclosed by us with the patient's consent to persons designated in writing by the patient at the time of admission to the hospital in the Consent for Hospitalization. It will be provided by the attending physician in the morning 7:15am-7:45am or in the afternoon 2:45pm-3:00pm. Or by prior arrangement with the ward nurses.
Daily schedule
6:00 - 6:30 a.m. Handover of service and nurse debriefing
6:30 - 7:30 a.m. toileting; bed preparation; collection of biological material; measurement of physiological functions; dressings; serving breakfast
7:30 - 10:30 medical rounds; insulin administration; medication and breakfast administration; room cleaning
8:30 - 10:00 Processing of physician's orders; administration of infusions, injections; rehabilitation; maintenance of nursing records
10:30 a.m. - 1:00 p.m. Processing patient admissions; administering ATB, lunch medication and lunch
13:00 - 15:00 processing of patient appointments and admissions; administration of injections, ATBs; afternoon toileting; bed making
15:00 - 17:00 Filling clinics; measuring physiological functions; serving snacks; laundry collection; visiting hours
17:00 - 17:45 administration of medication and dinner
17:45 - 18:00 handover of service and nurse debriefing
18:00 - 19:00 medical rounds; processing of doctor's orders
19:00 - 21:00 evening toileting; bed making
9:30 p.m. - 5:00 a.m. night rest; ongoing patient check
10:00 p.m. - 6:00 a.m. night rest; ongoing patient check
Medical rounds daily 7:00-7:45 a.m.; 6:00-7:00 p.m.
Primary care rounds
CHIR 1: Tuesdays 7:15 a.m.
CHIR 2: Thursday 7:05 a.m.
Visits are possible daily. Due to the treatment regime and the ward's regime, we recommend visiting between 14.00 and 18.00. Please note that visitors may be asked to leave the patient's room in the case of bedside procedures, personal hygiene or medical appointments. Visitors under the age of 10 are not appropriate.
In case of isolation of the patient due to infectious disease, the visitor is required to equip himself/herself with personal protective equipment (drape, gloves, empire) before entering the room according to the instructions of the ward staff.
In case of hospitalization of the patient in the intermediate care room (IMP), visits of maximum 1 person to the patient's bed are possible. Please respect the staff's recommendation on the appropriate length of visit.
