Listen to the first Hip Today. Home Tomorrow. patient, Lillian Brandt:
Before Your Arrive to the Hospital
- Preoperative Office visit: sign collaboration agreement and choose your coach.
- Preoperative home assessment and physical therapy evaluation.
- Attend 2 hour education class.
- Receive a letter with time of Preoperative appointment at the testing center: Room 115 at the Physician Office Building. Anticipate 2 hours for your appointment.
- Start Chlorhexidine baths 5 days prior to surgery.
- Fill postoperative scripts.
- Pack hospital bag- loose fitting clothes, pillow, and sneakers. No valuables!
- Finalize plans for your ride home the morning after surgery.
Before Your Surgery
- When you arrive at the hospital you will be directed to 5 North Irving (RCC).
- A nurse will help you change into a gown and you will have an IV started.
- The nurse will complete your medication list, assessment, and may start an antibiotic.
- When it is closer to your surgery time you will go down to the surgical suite with your coach/family.
- Anesthesia will come talk to you and your family in the holding area.
- Surgery (Coach/Family be given a beeper and brought to the waiting area).
- You will wake up in PACU (post anesthesia recovery room) where a nurse will make sure you are comfortable and be frequently checking your vitals.
- Once you are stable/awake you will be transferred to 6 South Irving.
Day of Surgery (POSTOP DAY #0)
- Once you wake up you should begin your breathing and leg exercises.
- You will wake up with SCDs and Teds stockings on your legs.
- Work with nurse on your individual pain management plan.
- Use ICE on your hip for 20 minutes every 2 hours.
- Use your Inspirex 10x per hour while awake.
- Physical therapy will see you for your 1st session: Get into the chair for at least an hour but no more than 2 hours. Begin to walk with assistance. Learn bed exercises.
- Drink plenty of fluids so that we may stop your IV.
- Change into your own clothes when you are comfortable.
- Physical therapy will see you for a 2nd session: Continue to improve your mobility and distance walking. Work on using your assistive device. First stair training session.
- Get out of bed and into the chair for dinner.
Day After Surgery (POSTOP DAY #1)
- Manage your pain with oral pain medications.
- Continue to use ice and Inspirex as instructed.
- Continue to perform exercises as instructed.
- Get out of bed for breakfast.
- Physical therapy will see you for a 3rd session: Continue to improve mobility and transfers independently. Ambulate 100+ feet with assistive device. Successfully climb stairs. Car transfers independent.
- Ambulate in the hallway.
- Review detailed discharge instructions with your nurse/coach.
- Attend home or outpatient physical therapy session as instructed.
Followups
- Continue outpatient physical therapy for 1-2 week post operatively.
- Office visit and suture/staple removal in 2 weeks.
Remember: You may ambulate or get up into a chair at any time-ask your nurse for assistance. You do not need to wait for your physical therapy sessions. Once you are safely cleared by your team- you may ambulate and get out of bed independently.