Bone & Joint Center
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Below is a general day-by-day overview of your hospital stay
while undergoing Total Joint Replacement at the Bone & Joint Center. While each
patient’s experience is unique, listed are general expectations for Surgery Day
through your return home.
Surgery Day Surgery Day begins at The Medical Center’s Ambulatory Surgery
Center, which is located to the rear of the Hospital on High Street. You will
sign in at the registration desk, and soon afterward your nurse will guide you
to a surgery prep room. There, you will change into your hospital gown, and an
IV will be started. You’ll then meet with your anesthesiologist and your surgeon
will visit before surgery.
For a routine total joint replacement, surgery typically lasts 1-2 hours.
Following surgery, you will go to the Post Anesthesia Care Unit (PACU) for
recovery and monitoring from 1 to 1½ hours. While in recovery, we will monitor
your condition including vital signs and pain control. Upon leaving PACU, you’ll
be taken to your private room. In the comfort of your room, our orthopaedic
nursing staff will continue to monitor your overall condition. Dependent upon
your condition, physical therapy may begin.
Post-op Day One The first day after surgery, lab work will be completed early in
the morning. The doctor, as well as the nursing staff, will continue to assess
and monitor your progress. Your drain may be removed and oxygen use will be
discontinued. Your physical therapist will make two visits, and your discharge
planner will begin to make arrangements. Also on Day One, your family/friends
will consult with nursing and physical therapy staffs to learn about care needs
for when you return home.
Post-op Day Two Lab work will again be completed in the early morning. Your IV,
tubes and drains will be removed. Physical therapy will make two visits. By this
time you will be walking in the hall and sitting up for meals.
Post-op Day Three More blood work may be taken, and dependent upon your progress
you may be discharged today. Your surgical dressing will be replaced and your
nurse will review pertinent information with you and family/friends in
preparation for going home. You will receive valuable written instructions and
education materials to keep you and your caregiver(s) informed on what to expect
in the coming days, weeks and months. Your physical therapist will also visit
again, making sure you can climb stairs, if needed.
Going Home Now that it’s time to go home, your doctor will schedule a follow-up
office visit. Your discharge planner has made arrangements for your continued
rehabilitation and therapy, and those plans will be shared with you and
family/friends. You will also receive detailed instructions for what you can and
cannot do following surgery to protect your new joint until healing is secure
and your doctor releases you from the restrictions.
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