Ambulatory Surgery Center

An ambulatory surgery center (also known as an outpatient surgery center, same-day surgery center or surgicenter) is a licensed, freestanding, outpatient health care facility where surgical procedures not requiring an overnight hospital stay are performed.

As part of Dr. Neitzel’s practice, she performs many foot and ankle procedures for patients on an outpatient basis at the nearby Pacific Surgery Center in Poulsbo, Washington. The Pacific Surgery Center is licensed by the state and is accredited by the Accreditation Association for Ambulatory Health Care (AAAHC).

The mission of the Pacific Surgery Center is to provide the highest quality of surgical care in a safe, comfortable, and caring environment. They constantly strive to be at the cutting-edge of outpatient surgical services with unsurpassed highly personalized patient care, excellent physician and staff services, and state-of-the-art equipment.

Their values are driven by their mission and guided by their values – Respect, Integrity, Honesty, Accuracy in Our Words and Deeds, Compassionate Care, Teamwork, and Safety and Satisfaction of Our Patients. To learn more about the Pacific Surgery Center, check out their website.

Location

The Pacific Surgery Center is located at 20669 Bond Road NE, Suite #200, Poulsbo, Washington, 98370. Their phone number is (360) 779-6527.

FAQS

Some of the benefits of an ambulatory surgery center include:

  • Lower Infection Rates (reduced risk of hospital-acquired infections)
  • Shorter procedure times than in a hospital
  • Reduced stress (less time off work or away from family)
  • Shorter Stay
  • Recovery at Home
  • Lower Costs
  • Personalized Care
  • Better Outcomes

In addition to lowering out-of-pocket costs, the biggest benefit a patient will experience is a shorter length of stay. Patients are typically released from an ambulatory surgery center to their home in the first 4 to 6 hours after surgery rather than the traditional hospital stay of 2 to 3 days. In addition, shorter-acting anesthesia is used when the patient is in surgery which allows for an easier recovery.

The main difference between inpatient care at a hospital versus outpatient care at an ambulatory surgery center is that for inpatient care you stay the night in the hospital. Hospitals are also open 24/7 whereas an ambulatory surgery center is only open during business hours (e.g., 6:30 am to 4:30 pm).

For many foot and ankle procedures, outpatient surgery can be a safe and less stressful experience than inpatient surgery. Overall, ambulatory surgery centers are very safe with a low frequency of complications.

Dr. Neitzel will tell you whether or not you are a good candidate for outpatient surgery, but it may be considered very safe for you if you are:

  • In overall good health
  • Not obese
  • Age 65 or younger
  • Having a minimally invasive or low-risk procedure

You would not be a candidate for outpatient surgery if you are over age 65 and are considered overweight or obese or you have

  • Obstructive lung disease
  • Hypertension
  • History of heart attack or stroke
  • Previous cardiac intervention
  • History of prolonged operating room time during past surgeries

Part B of Medicare covers outpatient surgery if medically necessary. Talk to your healthcare provider to see if he or she thinks Medicare will judge the surgery to be necessary.

Rules about what Medicare covers can be confusing. For more information call 1-800-MEDICARE (1-800-633-4227) or visit the website at http://www.medicare.gov. You can also call your local Social Security office to ask questions about Medicare.

Dr. Sarah Neitzel has privileges at Pacific Surgery Center to perform minimally invasive procedures for patients on an outpatient basis. If during your visit to Peninsula Podiatry, your treatment requires surgical intervention, the Pacific Surgery Center is one of your options to receive care.

The surgical procedures performed at an ambulatory surgery center are lower-risk procedures like bunion procedures, hammertoe procedures, fracture and tendon repair, and other reconstructive forefoot procedures. 

The specific training Dr. Neitzel maintains in minimally invasive technologies has made it possible to move surgical treatment for hammertoes and bunions out of hospitals and into more convenient and cost-effective outpatient facilities.

Over the past several years, we have seen many changes occur that brought us to the point that outpatient surgery is possible:

  • Advancements in surgical techniques–Incisions are smaller, reducing the likelihood of infection and pain
  • Improvements in anesthesia allow for rapid recovery and a shorter length of stay
  • Improvements in post-procedure pain management techniques with new longer-lasting local anesthetics and a pharmaceutical approach to limit the use of opioids
  • Improvements in patient and family education, preparation and follow- up

Outpatient surgery is recommended for select patients who are healthy enough to have surgery in such a setting and have the appropriate home setting/support to allow them to be discharged in this manner.