powerpoint templates welcome to the benefis joint replacement program dont let joint pain slow you...

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Welcome to the Benefis Joint Replacement

Program

Don’t let joint pain slow you down, get back to doing the

things you love!

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Nurse Instructors

Doris Hamm -- RN, ONC

Lindy Eberl -- RN

Angela McLain -- RN

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Introducing Our Winning Team

Orthopedic NursesPain PharmacistUnit Case ManagerPhysicians

Physical TherapistsOccupational

TherapistsClinical NavigatorsRespiratory

Therapists

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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

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Good Things Are Happening Here!

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Total Joint Surgery at Benefis

2010: 355 joint replacement surgeries

2011: 343 joint replacement surgeries

2012: 392 joint replacement surgeries

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Benefits and Goals of Joint Replacement Surgery

Reduces or eliminates pain Improves strengthResume many of your normal activitiesGetting back to work and playRestores range of motionImproves appearance of deformed joints

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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!

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The Ortho/Neuro Unit8th floor of North Tower20 private rooms with a private

bathroomComputer charting in all roomsWaiting room for visitors and familyAll staff wear name badges

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CommunicationBedside reportingPurposeful hourly roundingNo pass zoneAny staff members can assist with helpVisiting hours -- 8am > 8pm

• After 9:30pm, access is through the South Tower or North Tower by ER

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Communication BoardPlan of careGoalsPain medication timesPain scaleDiet/activityHealthcare team

members

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Before Surgery

Surgical scrub, use as directed the night before surgery and the morning of surgery

Instructions are in your binder

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Night Before Surgery

NPO= nothing to eat or drink by mouth this includes mints, candy, and gum

No smoking or tobacco productsBrush teeth, swish, spitTake medications with sips of water

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Day of SurgeryArrive in AM admit/waiting area (2nd floor, North

Tower)Talk to AnesthesiologistFamily 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 floorDoctor will visit with family when patient is out of

OR Information board in waiting area

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More About Your SurgeryJoint replacement animations….

www.benefis.org

Click on:

Our ServicesOrthopedicsJoints

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After Surgery

In recovery room for approximately one hour then transferred to room on 8th floor

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Pain Management

Pain Pharmacist: provides specialized focus on pain control and side effect management

• Rebecca (Becky) Allen -- Pharm D, RPH

Communication on white board

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Pain MedicationsPCA-patient

controlled analgesia• IV pain medication

is discontinued next day

OralFemoral block

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AntibioticsGiven

• Before surgery• Up to 24 hours after surgery

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Your Hospital StayDiet

• Room service (5523)Repositioning in bedAbductor pillow/hip precautionsNo pillow under kneeCirculation checks

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Your Hospital Stay Cont.Bladder-Foley catheter comes out next dayBowel-scheduled medicationsLab work/IVBathing & showeringBlood reinfusion device/drainsIncision care

• Keep incision dry/clean-change when there is drainage

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Your Hospital Stay Cont.

Incentive spirometer

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Knee Cryocuff

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Shoulder Cryocuff

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TED Hose

For your safety, make sure you have shoes or slippers on when walking

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Sequential Compression Devices (SCD)

For your safety, DO NOT walk with SCD’s on

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A-V Impulse

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Length of StayKnee/Hip Replacement -- 3 daysShoulder Replacement -- 1 dayDischarge to other facilities

• Extended care, rehab, home healthUnit Case Manager

• Beth Goeltz -- MSW, CC

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Discharge InstructionsPrinted instructionsHome medications/new prescriptions

are filled outside of BenefisBathingPrecautions

• Signs and symptoms of infectionDressing changesReturn office appointment

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Therapy Instructors

Julie Garpestad -- OTR/L

Tami Anderegg -- OTR/L

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Physical TherapyStarts day of surgeryContinues throughout your hospital stay, 2

times a dayReceive exercise sheetAbductor pillowHip precautionsStairsNurses/CNA’s will continue care/activity

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Occupational TherapyShower or bathtub

needs• Secure bench• Long handled

sponge• Shower hose for

bathingElevated toilet seat

Dressing needs

• Sock aid

• Long-handled shoehorn

• Dressing stickReacher/grabber

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Questions

Any last minute questions/comments/concerns?

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Thank You for Coming!