outpatient surgery during the COVID-19 pandemic

A message to patients considering outpatient surgery during the COVID-19 pandemic.

Our facility is now open Monday-Friday to perform ALL surgery: elective and urgent. Call 573-443-8773 to discuss telehealth consultation options with a Columbia Surgical Associates Surgeon.

As a small elective same day surgery center, CSASC has always been and continues to be an exceedingly safe place for surgical care as it relates to any type of viral or bacterial exposure. The statistical risk of infection is far less than 1%.

outpatient surgery during the COVID-19 pandemicWhat makes CSA Surgical such a safe place for surgical care?

  • Our facility is small with 8 expert level full-time employees
  • We average fewer than 10 total patients per day to maximize individual patient care
  • We focus on only 2 surgical specialties; providing a completely tailored surgical experience.
  • Our only patients are surgical patients. We do not admit or treat patients for flu-like or contagious illnesses.
  • Due to the nature of elective outpatient surgery, a "sick" patient's surgery will be postponed for their own safety before they ever enter our facility.
  • Our Infection Control team diligently monitors hand washing compliance, facility disinfection, and a myriad of other infection prevention measures.

What COVID-19 specific safety measures are we taking?
Everyone who works in surgery marches to the drum of risk mitigation. We reduce risk for a living. It comes as naturally to us as a Labrador playing fetch. We continue to safely meet the urgent surgical needs of some of the most immunocompromised in our community by implementing measures to reduce exposure risk:

  • Requiring daily symptom screening for all staff, physicians and patients prior to entry.
    *Call before you arrive if you are experiencing any flu like symptoms.*
  • Requiring COVID-19 testing within a few days of surgery for patients.
  • Educating patients about the need to practice diligent hand hygiene, social distancing, mask use and self-quarantining whenever possible once they are scheduled for surgery.
  • COVID-19 masksRequiring the use of masks by everyone throughout the facility and enhancing protective equipment protocols to include N95 masks, face shields and sneeze guards where applicable. If you don't have a mask, we will gladly provide one at check in!
  • Restricting facility access to only those essential for patient care. No students, vendors, or delivery drivers.
  • Restricting patient visitors, allowed to wait in the lobby, to one per patient.
    • We recognize it can be emotionally challenging for patients to go through surgery while separated from their family/caregiver/responsible party. Because of our small size and the individual attention you will receive, we are poised to deliver on all of the extras like facilitating DUO video calls or Facetime calls between you and your loved ones while you wait and recover. We will also provide frequent updates to your loved ones throughout your visit.
  • Continuing to support our employees financially during the stay at home order to ensure the best of the best are still providing surgical care for our patients. We are fortunate that none of our employees have been furloughed during this time.
  • Spacing surgical cases to maximize social distancing opportunities within the facility.
  • Re-organized lobby to ensure safe sitting distance for patients, although you can wait in the car right up until it is time to get you ready for surgery. Our lobby is often empty and this is by design.
  • Enhanced routine facility disinfecting and cleaning measures.
  • We have implemented a new financial tool so patients can easily get a quick quote for the facility portion of their fee online. You can also apply through our website for a healthcare loan. We understand financial constraints could be a concern right now, maybe more than ever. We are confident that our facility costs are among the most competitive and the best value you will find.
  • Our website also hosts a robust amount of information for our surgical patients. Check it out!

What general measures can I take to keep myself, my family and my friends safe?
The most important steps to take as recommended by the Centers for Disease Control (CDC), are the same as for every cold and flu season:

  • Stay home when you are sick
  • Practice good hand hygiene and cough/sneeze etiquette
  • Avoid contact with people who are sick
  • Avoid touching your eyes, nose and mouth
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash
  • Clean and disinfect frequently touched objects and surfaces
  • Practice social distancing (6 feet)
  • Wear a mask when in public
  • Stay informed – check the CDC site regularly for new updates and follow the latest CDC recommendations.

Are there any new or additional instructions I should follow while I await my date of surgery?
We recommend you and those you are in close contact with do the following for your safety until the day of your surgery and as you recover:

  • Practice social distancing of 6 feet from others.
  • Wear a mask anytime that you are out of your house.
  • Prepare your mobile device for COVID-19Practice increased hand washing: hand washing and the use of hand sanitizer.
  • Self-quarantine as much as possible.
  • Notify the surgery center and your surgeon if you develop any flu-like respiratory symptoms including as fever, cough, and shortness of breath.
  • Wear a mask when you arrive at the surgery center. If you do not have a mask, we will gladly provide one when you arrive.
  • Prepare your cell phone to connect through video call with your family/caregiver/responsible party on the date of service.
    • We recommend the DUO app, Facebook messenger, and iPhone facetime options. Note: iPhone facetime will only work with other iPhones.
    • DUO app will work with all phones as long as the app is downloaded and active on the device
    • Facebook messenger works with all phones as long as the app is downloaded and active on the device

What should I expect related to COVID-19 safety measures at the facility on the day of my surgery?
Can you imagine having a direct line to the Administrator/Director of Nursing at your surgical facility?! That's how it is and that's how it has always been at CSA Surgical Center. We take your surgical experience personal and ultimately want what you want: surgery to fit your lifestyle that will return you to a better state of wellness!

Limiting your exposure to COVID-19 is a critical step at this time to ensuring this outcome. Here is what to expect on the day of your surgery:


  • You will be instructed to call us when you arrive out front. Our front door is locked to the outside for your safety to prevent unnecessary traffic into the lobby.
  • If we are not quite ready for you, you can wait in the car right up until it is time to get you ready for surgery.
  • When you enter the facility, you will be greeted at the front door by a member of our clinical team wearing gloves, a surgical mask and a face shield. Please wear a mask to the facility. If you do not have a mask, we will gladly provide one when you enter the building.
  • We will ask you a series of questions and check your temperature with a forehead thermometer.
  • Upon successful screening, you will be asked to perform hand hygiene and then report to the front desk to complete check in procedures.
  • Due to enhanced safety measures, we have installed a sneeze guard at our front desk.
  • Check in takes about 15 minutes. Once completed, our pre-operative RN will whisk you away to prepare for surgery.


  • While in pre-op you will visit with the pre-operative nurse who will prepare you for surgery, the physician providing your anesthesia, and of course your surgeon. This process usually takes around 30-45 minutes.
  • While we are practicing social distancing, tasks like initiating an IV and doing a physical assessment require less distance. Everyone at the facility will wear a mask when they are going to come within 6 feet of anyone else. They will also practice frequent hand hygiene.
  • We encourage you to connect with your loved one or driver through a DUO or Facetime app on your phone while you wait to be taken into surgery. You can also connect while the surgeon and anesthesia are discussing your history and surgical plan. This works best when you have the app set up on your phone ahead of time. If you're not sure how—we can help you out!


  • Once you are in surgery, your surgery nurse will remain in close contact with your driver/loved ones at your request.
  • Surgery time varies depending upon the procedure.


  • You will go to the recovery room after surgery.
  • The recovery room RN will also wear a mask and eye protection.
  • Once you are awake and ready for company, we will help you connect with your driver and/or loved ones through a video call on your phone.
  • We will review your discharge teaching instructions with you and your responsible party over the phone; video call preferred.
  • The amount of time in recovery also varies upon the procedure and individual factors. We will give you an estimate for planning purposes based upon your procedure.
  • Once you are ready to leave the facility, we will escort you to back to your vehicle.
  • Your surgical experience doesn't end when you're discharged from the facility. You will leave with instructions, follow up information, and contact information for any concerns that arise as you recover at home!

We are proud to say the measures we have put in place have been effective and will continue to evolve as additional recommendations develop. We will continue doing our part to meet the challenges of today to make sure you receive high quality, safe, and on-time surgical care!


New Year New You

*Our facility maintains close collaboration with the local health care community, partnership in the Region F Emergency Preparedness Coalition and monitors the COVID-19 safe practice enhancement recommendations of numerous sources including but not limited to our Nuehealth management partners, The Accreditation Association for Ambulatory Health Care (AAAHC), the CDC, CMS, DHSS, Association of Operating Room Nurses (AORN), American College of Surgeons (ACS), Ambulatory Surgery Center Association (ASCA), Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), Society for Vascular Surgery (SVS), American Society of Anesthesiologists (ASA), Association for Advancement of Medical Instrumentation (AAMI), The Association for Professionals in Infection Control (APIC), the Missouri Hospital Association (MHA) and the American Hospital Association (AHA) and the World Health Organization (WHO).*