Pediatric Checklist for Day of
o List of current medications and
dosages (best to bring bottles or packages with
o Reports from any special studies
your child may have had (i.e. Echocardiograms).
o An empty bottle or cup and
special toy or blanket.
o Remove nail polish, jewelry and
o Please do not wear contact
o No food or drinks in the
preoperative area because the children are not
eat or drink.
o Preoperative feeding
.instructions. Although some surgical procedures
may be brief, the anesthetic is never minor.
These procedures must be followed for all
o At midnight the evening before
surgery, stop all food including all orange juice,
solids, candy, gum, mile and milk products,
formulas and cereal.
o Your child may breast feed until
3 hours prior to the time you are told to be at
o Your child may drink clear fluids
until 2 hours prior to the time you are told to be
at the hospital. Clear fluids include water,
apple juice, clear juices without pulp, soda,
pedialyte and jello.
o If your child is ill prior to
coming to the hospital (wheezing, fever,
vomiting), call your surgeon.
This information provided by
a division of WAAI.