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- [Instructor] This is Largo Medical Center's

pre-admission class for your upcoming joint replacement.

Thank you for making Largo Medical Center your choice.

In the next few days, you'll be visiting us as a patient.

The information presented in this class

will help you understand and participate

in the care your receive.

We take pride in providing quality patient care.

Our dedicated staff is looking forward

to making your stay with us as comfortable as possible.

In this class, we will focus on things you need to do

before and after hip replacement or hip resurfacing.

We'll also show you what to do before and after

knee replacement or knee resurfacing.

Prior to each surgical procedure,

there will be specific tasks for you to complete.

Your physician will discuss the particulars with you.

For hip surgery, the specific type of approach

used in your hip surgery will be decided

by you and your physician.

Preparation for knee surgery includes

performing range of motion exercises,

hip, knee and ankle strengthening

as directed by your doctor.

These are usually done on a daily basis

before your procedure.

Home safety precautions include

removing loose carpet and cords, using a shower chair,

installing a safety bar or a secure handrail

in your shower and obtaining a stable chair

with a firm seat cushion and back.

A few important things to do prior to any surgery,

do not smoke the day of surgery.

Don't eat or drink anything after midnight

before your surgery.

Don't use lotions or perfumes.

Do not wear jewelry.

Leave all your valuables at home.

Follow your physicians orders about

what medications to take prior to surgery.

Don't take insulin or diabetes medication on the day of,

unless otherwise instructed by your physician.

Bring a list of all your prescribed medications with you.

If you get a fever, rash, or a cold,

call your surgeon immediately.

Prior to your surgery, you'll be asked many questions

regarding your health.

These questions may address, but aren't limited to,

your particular health issues such as

diabetes, heart disease, and high blood pressure,

any allergies you may have, previous surgeries,

tobacco and/or alcohol use.

To ensure that you are physically able to have surgery,

several medical tests will be performed.

Your surgeon may order the following,

blood tests, a urine test, a chest x-ray,

an electrocardiogram, and/or a nasal swab.

Other tests as ordered by your surgeon may be asked for.

Before you head into the operating room,

an admitting nurse will review your medical history

and perform a nursing assessment.

A member of the anesthesia team

will carefully review your medical history,

and answer any of your questions.

Then they'll take you to the operating room

and care for you throughout your surgery.

Your friends and family will be escorted

to the surgical waiting area.

After your surgery, your surgeon will talk to them.

After your procedure, a member of the anesthesia team

will take you to the recovery room.

In the recovery room, the details of your surgery

will be discussed with the recovery team,

and with a post-anesthesia care unit nurse.

When you wake up, you may have a tube

called a urinary catheter in your bladder

and a drain in your surgical site.

There are different types of drains.

Your recovery nurse will explain yours to you.

He or she will also monitor the drainage output

as directed by your surgeon.

The goal is to remove the urinary catheter

and your drain or drains within 24 to 48 hours

after your surgical procedure.

When you leave the recovery area,

the post-anesthesia care nurse will take you

to the orthopedic unit.

There, a specially-trained orthopedic nurse

will continue your care and monitor your recovery

as directed by your surgeon and your primary care physician.

Rehabilitation begins in your room.

Your hospital orthopedic team will check on you every hour

to monitor your vital signs, your surgical site,

your urine output, fluid intake and to help

manage your post-op pain.

Your surgeon will prescribe pain medications

to keep you comfortable after your surgery.

Your surgeon may also prescribe a dose of antibiotics.

This will be given during the first 24 hours intravenously.

The nurses will explain your medications to you

and any possible side effects.

Please tell them if you feel any side effects whatsoever.

Our team will continue checking on you every hour

to make sure you're safe and comfortable.

The nurses will document your level of pain

on your electronic communication board

that's in your room.

Each new shift begins with a bedside report

that includes you and your nurses.

Tell them your requirements and what is important to you.

To keep your circulation flowing,

compression sleeves may be worn on one or both of your legs.

Compression sleeves are hooked up to an air pump

and will inflate periodically.

Your surgeon may also prescribe a medication

to prevent blood clots in your legs.

You may be prescribed an incentive spirometer

to prevent postoperative pneumonia.

Your nurse will demonstrate how it works.

Rehabilitation continues after you leave.

Your surgeon will provide discharge orders

with specific instructions before you go home.

If other physicians are providing care,

they will also provide a release for your discharge.

If you're transferring to a rehabilitation facility,

your case manager will make arrangements

and set up the necessary transportation.

If you're going home and a home healthcare nurse

or a physical therapist is arranged,

they'll visit you at your home the next day.

If you're discharged to go home,

your nursing leader will call you a few days

after you leave to make sure arrangements

have been made for your follow-up care.

As your rehabilitation progresses,

you'll be advised on the activities best suited for you.

The goal of the rehabilitation is

to regain strength and motion.

Hopefully you now have a better understanding

of your pre and postoperative process.

Here's to a speedy recovery.

And if you have any question in the meantime,

please call Largo Medical Center's orthopedic unit

at 727-588-5200.

Thanks for making Largo Medical Center

your hospital of choice.