Pre-Surgery Planning

 

 

Pre-Surgery Planning

Before Your Surgery Is Scheduled:

  • Please have all your required medical clearances completed and reported to your orthopedic surgeon’s office prior to your surgery. If your medical clearance is not received, unfortunately, your surgery may be canceled or delayed until we receive it.

1-2 Weeks Prior To Surgery:

  • Attend pre-surgical education class at the hospital. Remember to bring this book with you to the class.
  • Attend pre-admission testing appointment with the hospital. Please bring this book, your insurance cards, prescription card and bring a list of any medications you are currently taking.
  • 7-10 days prior to surgery, stop all medication that can increase bleeding:
    • Fish oil, Vitamin E, Ibuprofen (Advil, Motrin), Naproxen (Aleve), Pradaxa and any form of aspirin (Bayer, Goodies, Excedrin, etc.).
    • Blood thinners, such as Warfarin (Coumadin) and Plavix, are usually stopped several days before your surgery to prevent bleeding. Three weeks prior to surgery, you must contact your cardiologist or the physician who prescribes this medication to find out when it is safe to stop and when to take again. You must follow these instructions or your surgery will be delayed.
  • Fourteen days prior to surgery, stop ALL diet/weight loss pills.
  • Fourteen days prior to surgery, stop ALL pain killers as directed by your surgeon.
  • If on Enbrel, please check with surgeon as soon as possible. You may be required to stop the medication prior to surgery.
  • Do not shave legs for three days prior to surgery.

Prepping Your Home for Accessibility and Safety:

  • Make sure there is a clear, safe path to your front door from the passenger side of the car. You may want to consider railings if you have steps in front of your door.
  • Remove all small objects from the floor.
  • Arrange your furniture so you have a wide enough pathway for your walker to be used throughout your house (standard walker is 24" to 29" wide).
  • Remove electrical cords and throw rugs that cross your walking path in your home.
  • Make sure your bed and recliner are at least 20 inches off the ground. Your knees should not be higher than your hips. The chair should have arms so you can push up to stand until you can put full weight on your legs
  • Avoid rocking and swivel chairs.
  • Make sure you have adequate lighting throughout your home.
  • In the kitchen and bathroom, keep all the food and utensils you will need between your waist and shoulder height.
  • You may need to install bars in the bathroom before your first home shower. DO NOT USE SUCTION BARS as these may dislodge and cause you to fall. Your therapist will tell you the position and angle of the bar placement.
  • If bars are not possible, your therapist can recommend equipment options such as over-tub benches. Installing a long flexi-hose shower-head and using a recommended seat type will enable you to bathe while seated.

 

Night Before Surgery

Do Not Eat or Drink:

Do not eat or drink anything after midnight, even water, unless otherwise instructed to do so. No chewing gum.

What to bring to the hospital:

  • Personal hygiene items are available at the hospital.
  • Please make sure you pack loose shorts, tops, and well fitting shoes with a back and are non-skid.
  • For safety reasons, DO NOT bring electrical items. You may bring battery-operated items.
  • Bring any ambulation aides (rolling walker/cane/etc.) the hospital so we may inspect it for safety and adjust it to fit your height.
  • Bring this Handbook
  • Bring your CPAP machine (if you use one).
  • Bring a list of any medications you are currently taking.
  • Bring a copy of your advance directives
  • Bring your insurance card, prescription card, driver’s license or photo I.D., and any co-payment required by your insurance company.

Special Instructions:

  • You will be instructed about medications, skin care, pre-surgical bathing, etc.
  • DO NOT take medication for diabetes on the day of surgery.
  • Please leave jewelry, valuables and large amounts of money at home.
  • Makeup must be removed before your procedure.
  • Remove acrylic nails and nail polish.