1. Welcome to the Benefis Joint Replacement Program
Don’t let joint pain slow you down, get back to doing the things you love!

2. Nurse Instructors Doris Hamm -- RN, ONC Lindy Eberl -- RN
Angela McLain -- RN

3. Introducing Our Winning Team
Physical Therapists
Occupational Therapists
Clinical Navigators
Respiratory Therapists
Orthopedic Nurses
Pain Pharmacist
Unit Case Manager
Physicians

4. Total Joint Surgery Facts
Over one million joint replacement surgeries are performed every year
Joint replacement surgery involves replacing the diseased parts of the joint with new, artificial parts

5. Good Things Are Happening Here!

6. Total Joint Surgery at Benefis
2010: 355 joint replacement surgeries
2011: 343 joint replacement surgeries
2012: 392 joint replacement surgeries

7. Benefits and Goals of Joint Replacement Surgery
Reduces or eliminates pain
Improves strength
Resume many of your normal activities
Getting back to work and play
Restores range of motion
Improves appearance of deformed joints

8. Education Binder
You have received your binder…it is packed with education and other information you will need throughout your stay, discharge, and home care
Remember to bring your binder with you on your surgery day!

9. The Ortho/Neuro Unit 8th floor of North Tower
20 private rooms with a private bathroom
Computer charting in all rooms
Waiting room for visitors and family
All staff wear name badges

10. Communication Bedside reporting Purposeful hourly rounding
No pass zone
Any staff members can assist with help
Visiting hours -- 8am > 8pm
After 9:30pm, access is through the South Tower or North Tower by ER

11. Communication Board Plan of care Goals Pain medication times
Pain scale
Diet/activity
Healthcare team members

12. Before Surgery
Surgical scrub, use as directed the night before surgery and the morning of surgery
Instructions are in your binder

13. Night Before Surgery
NPO= nothing to eat or drink by mouth this includes mints, candy, and gum
No smoking or tobacco products
Brush teeth, swish, spit
Take medications with sips of water

14. Day of Surgery
Arrive in AM admit/waiting area (2nd floor, North Tower)
Talk to Anesthesiologist
Family can remain with you until you go to Operating Room (OR)
Once in OR, family can stay in waiting area, lobby or tour the Orthopedic unit on 8th floor
Doctor will visit with family when patient is out of OR
Information board in waiting area

15. More About Your Surgery
Joint replacement animations….
Click on:
Our ServicesOrthopedicsJoints

16. After Surgery
In recovery room for approximately one hour then transferred to room on 8th floor

17. Pain Management
Pain Pharmacist: provides specialized focus on pain control and side effect management
Rebecca (Becky) Allen -- Pharm D, RPH
Communication on white board

18. Pain Medications PCA-patient controlled analgesia
IV pain medication is discontinued next day
Oral
Femoral block

19. Antibiotics
Given
Before surgery
Up to 24 hours after surgery

20. Your Hospital Stay Diet Room service (5523) Repositioning in bed
Abductor pillow/hip precautions
No pillow under knee
Circulation checks

21. Your Hospital Stay Cont.
Bladder-Foley catheter comes out next day
Bowel-scheduled medications
Lab work/IV
Bathing & showering
Blood reinfusion device/drains
Incision care
Keep incision dry/clean-change when there is drainage

22. Your Hospital Stay Cont.
Incentive spirometer

23. Knee Cryocuff

24. Shoulder Cryocuff

25. TED Hose
For your safety, make sure you have shoes or slippers on when walking

26. Sequential Compression Devices (SCD)
For your safety, DO NOT walk with SCD’s on

27. A-V Impulse

28. Length of Stay Knee/Hip Replacement -- 3 days
Shoulder Replacement -- 1 day
Discharge to other facilities
Extended care, rehab, home health
Unit Case Manager
Beth Goeltz -- MSW, CC

29. Discharge Instructions
Printed instructions
Home medications/new prescriptions are filled outside of Benefis
Bathing
Precautions
Signs and symptoms of infection
Dressing changes
Return office appointment

30. Therapy Instructors
Julie Garpestad -- OTR/L
Tami Anderegg -- OTR/L

31. Physical Therapy Starts day of surgery
Continues throughout your hospital stay, 2 times a day
Receive exercise sheet
Abductor pillow
Hip precautions
Stairs
Nurses/CNA’s will continue care/activity

32. Occupational Therapy Shower or bathtub needs Secure bench
Long handled sponge
Shower hose for bathing
Elevated toilet seat
Dressing needs
Sock aid
Long-handled shoehorn
Dressing stick
Reacher/grabber

33. Questions
Any last minute questions/comments/concerns?

34. Thank You for Coming!