Total Joint Education

"It's A Joint Effort"

Before joint replacement surgery, patients are offered pre-surgery education where they receive information and meet with nurses, occupational therapists and physical therapists.

Due to COVID-19 all in person classes are suspended indefinitely. While we can't meet in person, we do want to make "a joint effort" and offer this presentation virtually. Click here to view the presentation.

Your Team

The team who will help you during your stay includes:

  • Physician & Anesthesiologist
  • Hospital physician or primary physician
  • Surgery Scheduling
  • Pre-Admission Services
  • Nursing
  • Dietitian
  • Respiratory Therapist
  • Physical Therapy
  • Occupational Therapy
  • Care Coordinator/Social Worker
  • 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:

  • Advanced Directives
  • Plan for your Care after Surgery
  • Prepare your Home
  • Pack for your Hospital Stay
  • Plan for the Day of Surgery
Review these checklists and implement changes prior to surgery.

Pre-operative Skin Preparation:
Reduce bacteria and reduce your risk of developing a surgical site infection.
  • Prep skin the night before surgery
  • Follow instruction sheet given to you by a Genesis Pre-Admission Nurse
  • Wipe down your body, not just your surgical leg
  • Use all six cloths 

Day Before Surgery:

  • Protect your legs from injury - consider wearing long pants doing yard work.
  • Know when you took your medications last - write it down if possible.
  • Do Not take Metformin (diabetic medicine) the afternoon/evening before surgery or the morning of surgery. 
  • DO NOT eat solid food for 8 hours prior to procedure. Meal should be light, no fried or fatty foods. Follow your physician's instructions when to stop eating and drinking.
  • No gum, mints, or hard candy day of surgery.
  • DO NOT drink alcohol for 24 hours prior to your surgery.
  • 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.
  • Genesis is a "Tobacco Free" campus.

Preparation- While in the hospital

Plan to be hospitalized for 1-2 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.)

Care Coordinator

  • Identify who is available to help you 24 hours a day for several days if needed
    Facilitate discharge by 11:00 a.m.
  • Equipment needs for home, in-home therapy.
  • Outpatient therapy
  • Contact Care Coordinator for questions or concerns in Davenport at 563-421-8550, or in Silvis at 309-281-5003

Home Medical Equipment

Potential Purchases:

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

Genesis Home Medical Equipment telephone number in Davenport is 563-421-2896 and in Silvis is 309-281-2400.


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 Admitting / Registration in the main entrance of the hospital
  • Identification bracelet
  • Prep surgical site
  • Warming gown
  • Review medical history, allergies and medications
  • Sign consent form(s)
  • Start IV & receive antibiotic
  • Empty bladder
  • The Anesthesiologist will meet with you to discuss your anesthesia options.
  • Surgical Site Marking (done by surgeon)

For Your Safety

  • You will be asked to state your full name and date of birth many times during your stay.
  • You will be asked several times the reason for your hospitalization.
  • Do not get up without assistance of the staff, even to go to the bathroom.

Ask Nursing Staff:

  • To wash their hands before and after they 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 and medications to prevent nausea will be given orally or through an IV before and after surgery.
  • Your pain management is a top priority for our medical team.
  • Pain management reduces the need for narcotics and injections.

Anesthesia Options

General Anesthesia vs. Spinal Anesthesia with Sedation

Factors to be considered

  • What to Expect
  • Recovery from Spinal vs. General
  • Pain Control

Spinal Analgesia:

  • Eliminates pain from a specific region of the body.
  • You may remain awake or be sedated during the procedure.
  • Complications are very uncommon.

Benefits of Spinal Anesthesia

  • 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 and anesthesiologist with you at all times.
  • For your safety – “Time Out” process in the operating room.

Anesthesia equipment used in the operating room

In the Operating Room

  • Everything you see in the OR is for your safety and to ensure your procedure goes as smoothly as possible.

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. You will be connected to the warming gown.
  • 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

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


  • You will stay 1-2 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 Airway Clearance Device to expand your lungs and clear airway secretions.
  • Turning, sitting at the bedside.
  • Dressing, Drain, Abductor pillow.
  • IV and blood transfusion(s).
  • Special precautions will be taken to prevent blood clots: TED stockings, Sequential Compression Device (SCD’s) Foot Pumps, Medication.
  • 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:

Hospitalist Care: 24 hour care while in the hospital

  • Apogee Physicians
  • Genesis Health Group
  • Family Medicine Resident Physicians
Communication with 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.

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


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


  • Grab Bars
  • Toilet Riser
  • Over Toilet Commode
  • Bedside Commode
  • Safety Rails


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

Physical Therapy in the Hospital
Physical Therapy

  • First visit- same day OR the day after surgery depending on when you arrive to the orthopedic unit
  • Treatment is individualized based on your daily progress and home set-up
  • Expect to have PT sessions TWICE a day for the one to two days you are in the hospital
  • Optimal Pain Control: coordinate therapy sessions around pain pill schedule

Treatment Focus

  • Bed mobilityPhysical Thearpy
  • Transfers: chair, toilet
  • Walking with walker that has wheels (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 Equipment Needs

  • Walker with wheels: optimal support & balance
  • Crutches: only if you have prior experience with their use
  • Cane: used during stair negotiation training

    If borrowing equipment, please bring in to ensure proper fit and correct size for you

Discharge from Hospital

When Physical Therapy goals are met

Activity Guidelines at Home

  • Sitting: Get up & walk every 30 minutes while you are awake
  • Walking: Use your walker, increase distance daily progress to cane when recommended by physical therapist
  • Stairs: Have someone near by when first attempting stairs
    Go up leading with your strong leg & coming down with surgical leg
  • Driving: Do not drive if taking narcotic pain medication. Do not drive until instructed by surgeon; usually after 3-6 weeks

After The Hospital

Genesis Physical Therapy

For a faster recovery, schedule your physical therapy appointments with one of our convenient outpatient Genesis Physical Therapy locations.

Outpatient Rehab:

  • Wide variety of equipment (Bike, NuStep, Treadmill, Leg press, etc)

  • Wear appropriate clothing (Shorts or loose baggy clothing, tennis shoes or shoes with laces)

  • Have a Support System (need rides to and from therapy and doctor appointments)

  • Take your pain medication (to decrease pain during therapy and when performing home exercise program)

  • There is some pain associated with increasing knee range of motion (ROM) and the pain meds are used as a tool to help achieve your ROM goals.

Things to Contemplate Before Therapy

  • Goals for Therapy
    AROM 0*-> 120+*
    Strength & endurance

  • Functional Activities
    Improve gait pattern
    Stairs step over step.
    Activities you are trying to get back to doing.

  • Compliance
    Home exercise program
    Therapy appointments

  • Time frame for optimal outcome
    6 to 8 weeks is typical but everyone is different.

Our Locations

Contact Us

For more information about our orthopedic services in Davenport, please contact:

Tammy Watson

For more information about our orthopedic services in Silvis, please contact:

Jenna Lenz