Total Joint Camp - Genesis Medical Center, Davenport

"It's A Joint Effort"

Our program offers a vast array of affiliated physicians which specialize in orthopedic trauma surgery, total joint replacement, hand and upper extremity surgery, foot and ankle surgery, and pediatrics.

Please take time to review information that was presented to you at your Total Joint Camp class prior to your surgery.

Your Team

The team who will help you during your stay includes:

  • Physician & Anesthesiologist
  • Surgery Scheduling
  • Pre-Admission Services
  • Nursing
  • Dietitian
  • Social Worker
  • Physical Therapy
  • Occupational Therapy
  • Home Medical Equipment representative

We want to help you to:

  • Have a POSITIVE surgical experience
  • Achieve YOUR goals with the best results

Learning Goals

This class will:

  • Properly prepare you for the day of surgery.
  • Help you better understand typical procedures and equipment.
  • Enhance your physical recovery.
  • Allow you to return to your usual “Activities of Daily Living” (ADL’s) as quickly as possible.

Preparation- Pre-Admission Activities

You will be contacted by a Pre-Admission Nurse to:

  • Schedule pre-surgical testing
  • Obtain medical history
  • Verify medications
  • Discuss equipment needs and discharge plan
  • Discuss safety issues at home after surgery

Before Surgery:

  • Home Safety Checklist
  • Day Before Surgery Checklist
  • Checklists are included in your packet Please review and implement changes prior to surgery.

Day Before Surgery:

  • DO NOT eat solid food for 6 hours prior to procedure. Meal should be light, no fried or fatty foods. Water, black coffee or clear tea (no cream or milk) may be taken up to 2 hours prior to procedure.
  • DO NOT drink alcohol for 24 hours prior to your surgery.
  • DO NOT smoke after 8 p.m. the night before your surgery. (Remember, Genesis is a “Tobacco Free” campus)
  • DO NOT bring valuables, money, or jewelry. All jewelry and body piercings must be removed.
  • CALL your doctor if you are ill or have a fever.
  • Bring CPAP or BiPAP machine to hospital.
  • Bring Blood Band with you to the hospital.

Preparation- While in the hospital

Plan to be hospitalized for 1-3 days.

How long you are hospitalized will depend upon:

  • How well you have met your goals
  • General health, physical strength
  • Available assistance (spouse, family, friends)
  • Structural barriers (stairs, 1st floor bathroom, bedroom, etc.)

Social Services

  • Facilitate discharge by 11:00 a.m.
  • Equipment needs for home, in-home therapy.
  • Outpatient therapy
  • Explore facilities for short stay after hospitalization for therapy.
  • Advanced Directives
  • Identify who is available to help you 24 hours a day for several days if needed.
  • Contact Social Worker for questions or concerns at 563-421-1083.

Home Medical Euipment

Potential Purchases:

  • Walker
  • Toilet riser
  • Bath bench
  • Reacher
  • Grab bar
  • Night light

Genesis Home Medical Equipment telephone number is 563-421-2896.

Nutrition

Nutrition Before Surgery

A well balanced diet with lots of variety is important.

  • Review nutrition information in packet.

Meal Prior to Surgery:

  • Avoid eating a heavy meal prior to your surgery.
  • Instead, eat a light, low fat meal to minimize nausea & vomiting
  • Stay hydrated.

Nutrition For Diabetes:

It is important to have your glucose in good control.

If you take medication that lowers your blood sugar, have items ready for when you get home:

  • Regular soda
  • Hard candy
  • Carbohydrate choice
  • Keep the above items easily accessible at all times

Nutrition In The Hospital:

There is no specific diet for joint repair patients. Depending upon your recovery, your diet may advance as follows:

  • Clear Liquids – broth, tea, gelatin, & juices
  • General Diet – well balanced diet to maintain good health
  • Alert staff to special dietary needs

Nutrition At Home:

Needs can generally be met by eating a well balanced diet. If extra nourishment is needed, you may try:

  • Carnation Instant Breakfast
  • Boost
  • Ensure

Day Of Surgery

Report to Outpatient Care Center in Pavilion 1:

  • Identification bracelet
  • Check of history, allergies, review medications
  • Sign consent forms
  • Prep surgical site
  • Start IV & receive antibiotic
  • Empty bladder
  • The Anesthesiologist will meet with you to discuss your anesthesia options.
  • Surgical Site Marking (done by surgeon)

Ask Me:

  • To wash my hands before & after I care for you.
  • To check your name and birth date before performing any tests or treatments.
  • To verify the name of any medication & confirm that it is for you.
  • To check if you believe you are about to receive the wrong medication or test.
  • To help you with your pain.
  • If there is anything you do not understand.
  • If you have any concerns about your care or treatment.

Pain Management Protocol:

  • Pain medications will be given orally or through an IV before and after surgery.
  • Your pain level is an extreme concern to our medical team.
  • Pain management reduces the need for narcotics and injections.

Anesthesia Options

Spinal Analgesia:

  • Spinal Analgesia eliminates pain from a specific region of the body.
  • The patient may remain awake or be sedated during the procedure.
  • Complications are very uncommon
  • Increased level of pain control
  • Decreased nausea and vomiting
  • Fewer breathing problems
  • Lower level of heart problems
  • Decreased drowsiness

Positions for Spinal Anesthesia:Positions for spinal anesthesia

Positions for spinal anesthesia
     

Operating Room

  • Your family will be shown where to wait while you are in surgery.
  • There will be a nurse with you at all times.
  • For your safety – “Time Out” process in the operating room.

Anesthesia equipment used in the operating room

Anesthesia Equipment Used In The Operating Room:

Anesthesia machine is equipped with monitoring devices and supplies used to keep you safe and comfortable during your procedure.

Operating Room Environment:

  • The operating room will be cool, we have plenty of warm blankets.
  • The room may be a little noisy as the staff are busy getting the supplies ready for you.
  • You will notice bright lights.
  • Your surgeon and the staff assisting during your procedure will be wearing a helmet with a face shield to help protect you from infection.

In Recovery

  • Your family will be notified when surgery is completed.
  • You will be transferred to the Post Anesthesia Care Unit – (Recovery Room or may be called PACU).
  • When you wake up you will feel oxygen blowing softly under your nose.
  • A nurse will be at your bedside monitoring your status and pain level.

Recuperation:

  • You will stay 1-3 days in a private room. Each room has Wi-Fi, and cable TV.
  • Therapy and nursing care will take place in your room on the Orthopedic unit.

Post Operative Nursing Care:

  • You will learn to use an Acapella Airway Clearance Device (pickle) to expand your lungs & clear airway secretions.
  • Turning, sitting at the bedside.
  • Dressing, Drain, Abductor pillow, and CPM.
  • IV and blood transfusion(s).
  • Special precautions will be taken to prevent blood clots.
  • You will be asked to rate your pain on a scale from 0-10.

Post Operative Care

Medications and Pain Management:

  • Home medications after surgery
  • Pain control post-operatively
  • Medications for nausea
  • Antibiotics

Medical Management:

  • Cogent Physician – 24 hour care while in the hospital
  • Primary Care Provider

Occupational Therapy:

  • Occupational Therapy focuses on self-cares: bathing, dressing, toilet transfers and tub/shower transfers.
  • These activities will be reviewed with you during your stay to ensure safety with these activities prior to your return home.
  • OT sessions will be 1x/day until goals are met.

Occupational Therapy- Activities of Daily Living (ADL’s):

Bathing/Showering Shower

  • ChairOccupational Therapy
  • Long handled sponge
  • Shower grab bars
  • Hand held shower nozzle

Dressing

  • Reacher
  • Dressing stick
  • Shoe horn
  • Sock aid
  • Elastic laces

Physical Therapy:Physical Therapy

  • Initial visit- same day OR day after surgery depending on doctor.
  • Discuss home setup, equipment needs & goals to return home.
  • Treatment is individualized based on goals & daily progress.
  • PT sessions: twice a day during the week.

Treatment Focus

  • Bed mobilityPhysical Thearpy
  • Transfers: chair, toilet Walking with walker or crutches (100-150 ft)
  • Home exercise program
  • Total knee range of motion
  • Stair negotiation
  • Car transfer - total hip patient
  • Family training
  • Education: hip precautions & weight bearing restrictions

Physical Therapy Related EquipmentContinuous Passive Motion Machine

  • CPM (Continuous Passive Motion Machine)
  • Gait Belt
  • Goniometer
  • Pain Management
  • Proper footwear/loose clothing

Discharge from Hospital 

When Physical Therapy goals are met (1-3 days).

Next Phase

Outpatient therapy, In-home therapy skilled nursing care with continued therapy.

Genesis At Home:

Physical Therapist

  • Assess safety of home environment, progress exercises for joint strength and range of motion, advance mobility to return to prior activity level.

Occupational Therapist

  • Assess ability to complete basic activities of daily living and assist in achieving independence. Recommend and provide adaptive equipment.

Skilled Nurse

  • Assess surgical site, assist in medicine and pain management, complete home blood draws.

Home Health Aide

  • Assist with bathing and personal care

After The Hospital

Genesis Outpatient Physical Therapy Options:

Outpatient Rehab:

  • Wide variety of equipment
  • Wear appropriate clothing
  • Have a Support System
  • Take your pain medication
  • Time frame for optimal outcome

Things to Contemplate Before Therapy

  • Goals for therapy
  • Functional activities
  • Compliance

Contact Us

For more information about our orthopedic services, please contact:

Patti Said
563-421-2747
Email

Pre-Register Online

© 2014 Genesis Health System - All rights reserved.

1227 E. Rusholme Street Davenport, IA 52803 563-421-1000