Overnight Procedures

Yellowstone Surgery Center provides outpatient services where you are not ‘admitted’ and you typically go home the same day that you visited the surgery center. Overnight procedures also known as 23-hour procedure require you to ‘stay’ overnight for observation, so we can better monitor your progress.

Pre-Surgery Screening Appointments Checklist

Bring these to Appointments

  • Your insurance card.
  • Your driver’s license or other form of ID.
  • A current list of all your medications, including the dosage and how often you take them.

Patient Screening Process

A Clinical Nurse Liaison (CNL) will attempt to contact you prior to your procedure to discuss your medical history and to answer any questions regarding specific medications. If you do not receive a call by the day before your surgery, please contact us.

For Total Joint procedures

Complete Pre-Op Physical*

This is done with your Primary Care Provider. For required medical testing and clearance for surgery (blood work, EKG, x-rays, etc).

  • If you are on Coumadin, you will need to make a plan for bridging therapy.
  • If you are a diabetic and require insulin, make a plan with your physician who manages your diabetes for medication doses for the day of surgery, as you will not be eating prior to surgery.

Dental Exam

Have a dental exam done if you have not been to the dentist within the last six months. You may make arrangements for this appointment at your convenience. If your dentist finds any signs of infection, please notify your surgeon’s office as soon as possible.

Pre-Surgery Physical Therapy

If applicable, set-up outpatient Physical Therapy at your facility of choice for an evaluation within a week of surgery. This will require a physical therapy prescription from your Ortho Montana physician.

Blood Type and Screen Drawn

Go to SCL Health Surgery Plus (406-237-4201) to have a Blood Type and Screen drawn. This is the facility that we use to obtain blood products in an emergency situation, therefore this test can only be performed by SCL Health.

  • This can usually be done up to 10 days before your surgery.
  • Ortho Montana’s office will give you the appropriate details needed to get this done.

Pre-Op Appointment

Attend a pre-op appointment with your Ortho Montana physician. This appointment will be set-up for you by your physician’s office. Notify your surgeon if you have any allergies or sensitivities to any metals.

Pre-Registration Paperwork

You have the option to complete your pre-registration in advance by going to either Yellowstone Surgery Center location prior to your procedure.

At this time, if required by your physician, you will be given the supplies needed for Nose to Toes, an important step in preparation for your procedure. This full body prep will need to be completed the evening prior to your surgery.

*If Applicable to your Procedure

Yellowstone Surgery Center provides outpatient services where you are not ‘admitted’ and you typically go home the same day that you visited the surgery center.

Review the checklist for Preparing Your Home and use as a guideline based on the procedure you are having done. These items do not apply to all procedures.

General Household

  • Arrange to have someone help you at home full time for a couple of days, until you are used to being back home and are comfortable.
  • Setup accessible, “nesting” space with furnishings such as:
    • comfortable recliner with arms
    • day bed
    • mini fridge to keep drinks and ice
    • electronics and chargers
    • grabbing reacher
  • Cut the grass, tend to the garden and finish any other yard work.
  • Arrange to have someone collect your mail.
  • Arrange to have someone take care of your pets.
  • Place any household needs at a level that is easy to reach, so you will not have to bend over to pick an item off the ground.


  • Install comfort height toilet or raised toilet seat.
  • Install horizontal and/or vertical grab bar on the walls beside toilet.
  • Get a shower seat or bathroom commode chair for the shower.
  • Install horizontal and/or vertical grab bar on the walls for the shower.
  • Put adhesive slip strips in the bottom of the tub.
  • Install night-light to illuminate the floor and toilet where necessary.

Clear Pathways/Stairs

Applicable to procedures that require walking aides as part of the recovery

  • Remove electrical cords and tripping hazards from walkways.
  • Move furniture and obstructions wide enough for mobility equipment to pass through.
  • Install night-light to illuminate hallways and floor where necessary.
  • Check railings to make sure they are not loose. Think about installing some railings if you do not have them already, especially on stairs.


Applicable to procedures that require walking aides as part of the recovery

  • Install night-lights to illuminate the bed and floor where necessary.
  • Remove rugs, slippery carpets and tack down any loose carpeting.
  • Put clean linens on the bed.
  • Clean, and put away laundry.


  • Prepare meals and freeze them in single serving containers.
  • Bring dishes, utensils, and containers down for easy access.


Healthy food choices build up strength and tissues in your body. Choosing more fruits, vegetables and liquids a few days before surgery will ease the stress on your digestive system.

Physical Activity (Prior to Surgery)

Tracking diet and exercise has been shown to improve weight loss. To calculate your calorie needs, the Mifflin-St.Jeor equation is the most accurate. To use this equation to track your daily calorie needs, go to calculator.net/calorie-calculator.html. There are several apps and other websites that make it easy to track your food intake and exercise. You may also choose to use a pedometer, smart watch, or a fitness band.

Smoking Cessation

If you quit smoking before you have surgery, you can increase your ability to heal. Smoking will:

  • Delay your healing process.
  • Cause post-operative complications and inhibits healing of bone grafts.
  • Reduces the size of your blood vessels and decreases the amount of oxygen circulating in your blood.
  • Increase clotting, which can cause problems with your heart by increasing blood pressure and heart rate.

Take Note: Nose to Toes

Yellowstone Surgery Center’s Nose-to-Toes is an important step in preparation for your surgery. Please pay close attention to the Nose-to-Toes steps using the appropriate CHG Cloths (Chlorhexidine Gluconate).

Night Before Your Surgery

Prepping with 2% CHG Cloths (Chlorhexidine Gluconate)There are only 6 cloths, no extras. Dispose of the cloths in the trash, do not flush.

  • Bathing or showering prior to the wipes is acceptable, but do not shave. Wait 1 hour before applying Nose to Toes wipes.
  • Do not scrub the skin with the wipes, but apply enough pressure that will get a layer ofthe product on the skin. Do not apply any lotions and/or deodorants.
  • Following the Nose to Toes application, sleep on clean sheets without any pets and in clean pajamas.

Areas of body to wipe

Avoid use on the face, mucous membranes and open skin. Apply from jawline to toes.

Morning of Surgery

  • Nothing to Eat: after midnight the night before your surgery
  • Clear liquids only: up to 3 hours before your scheduled surgery
  • Do NOT shower.
  • Do NOT apply any lotions, deodorants and/or make-up.

Complete Patient Procedure Guide

Select from the Following Items for Your Procedure Guide

before procedure

Before Procedure

Suggestions and Recommendations before your Surgery

day of procedure

Day of Procedure

Day of Surgery Timeline and What to Know



Information to Know and Understand Before You’re Discharged