Hip and Knee Total Joint Replacement
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Nurse Navigator Line: (585) 353-5945 Presurgical Screening Appointment (we will call you to schedule) Surgeon Date Time Name Questions: (585) 341-0753. Leave a message and we will return your call. Phone # Total Joint Replacement Education Class Surgery Available at: joint.URMC.edu Date of Surgery Confirm Surgery Time Joint Being Replaced r Knee r Hip You will be called between 1:30 p.m. and 4 p.m. the day before your surgery r Left r Right r Left r Right to verify your arrival time. Medical Clearance (doctor statement that I can have surgery) Sign up for MyChart: Visit mychart.urmc.edu Doctor I have questions about Date of Medical Clearance Other Doctors I Need to See Support System (designated person to help during journey) I’m having this surgery so I can Name Phone # ORTH_GUID_P_0321 Physical Performance Physical & Orthopaedics Physical Performance Physical & Orthopaedics Replacement Joint Total Knee and Hip GUIDEBOOK TO GUIDEBOOK joint.urmc.edu 784-2966 (585) Rochester, NY 14620 NY Rochester, Avenue South 1000 Evarts Joint Center at Highland Hospital Highland at Center Joint Evarts at Highland Hospital Highland at P FRONT ANEL Center Joint Evarts stdrightpocket copy.pdf 1 6/28/18 8:45 AM 8:45 6/28/18 1 copy.pdf stdrightpocket Nurse Navigator Line: (585) 353-5945 Presurgical Screening Appointment (we will call you to schedule) Surgeon Date Time Name Questions: (585) 341-0753. Leave a message and we will return your call. Phone # Total Joint Replacement Education Class Surgery Available at: joint.URMC.edu Date of Surgery Confirm Surgery Time Joint Being Replaced r Knee r Hip You will be called between 1:30 p.m. and 4 p.m. the day before your surgery r Left r Right r Left r Right to verify your arrival time. Medical Clearance (doctor statement that I can have surgery) Sign up for MyChart: Visit mychart.urmc.edu Doctor I have questions about Date of Medical Clearance Other Doctors I Need to See Support System (designated person to help during journey) I’m having this surgery so I can Name Phone # ORTH_GUID_P_0321 Physical Performance Physical & Orthopaedics Physical Performance Physical & Orthopaedics Replacement Joint Total Knee and Hip GUIDEBOOK TO GUIDEBOOK joint.urmc.edu 784-2966 (585) Rochester, NY 14620 NY Rochester, Avenue South 1000 Evarts Joint Center at Highland Hospital Highland at Center Joint Evarts at Highland Hospital Highland at ANEL P FRONT Center Joint Evarts stdrightpocket copy.pdf 1 6/28/18 8:45 AM 8:45 6/28/18 1 copy.pdf stdrightpocket Table of Contents Welcome OUR TEAM Thank you for choosing Evarts Joint Center at Highland Treatment Team ........................................................... 2 Hospital, part of UR Medicine Orthopaedics & Physical Performance. Here, you will receive the most advanced Orthopaedic Surgeons ................................................ 2 care in the comfortable setting of a community hospital. SURGERY PREPARATION In fact, Highland was again ranked by U.S. News and World Report as “High Performing” for both hip and knee 10-step Logistical Checklist ......................................... 3 replacement in the 2020-2021 edition of its renowned Getting Physically Ready for Surgery ......................... 5 annual Best Hospitals report. Understanding Anesthesia .......................................... 5 Our team is the only one in the region where every HOSPITAL STAY orthopaedic surgeon is Board Certified and has been fellowship trained in joint replacement surgery, the Day of Surgery ............................................................. 6 highest level of training available. This is important, During Your Stay – What to Expect ............................ 6 because there is considerable evidence linking better Pain Management ....................................................... 7 surgery results with higher levels of training. Physical Therapy .......................................................... 7 We are the only joint center in the region affiliated with Occupational Therapy ................................................. 7 UR Medicine, one of the top-5 National Institutes of Keeping Lungs Clear ................................................... 7 Health funded research organizations in musculoskeletal research. This means our doctors are advancing care in the lab and classroom and can then bring their YOUR RECOVERY breakthrough medical insights to our patients. Discharge Plan ............................................................. 8 The quality of our services has been recognized with Transportation ............................................................. 8 the Gold Seal of Approval™ from the Joint Commission, Discharge Medications ................................................ 8 the nation’s leading organization for setting rigorous Caring for Yourself at Home ....................................... 9 health care standards. And, our state-of-the-art joint Physical Therapy at Home ........................................... 9 replacement surgery center provides the highest level of care with your comfort and ease of recovery as top Incision Care ................................................................. 9 priorities. Controlling Discomfort ................................................ 9 Temporary Changes ..................................................... 10 This guide will help you feel comfortable and confident throughout your surgical journey as you move toward Blood Clot Prevention ................................................. 10 recovery and a life of greater mobility and independence. Infection Prevention..................................................... 10 Dressing Yourself ......................................................... 10 Bring this guide to the hospital and keep it as a handy reference for at least the first year Walking ........................................................................ 11 after your surgery. Getting In and Out of a Chair ..................................... 11 Included are several areas where you can record your Getting Into and Out of Bed ....................................... 11 questions to help you take an active role in your Toilet Transfer .............................................................. 12 surgical journey. Going Up and Down Stairs .......................................... 12 Getting Into and Out of a Vehicle .............................. 12 For more information about the Evarts Joint Center, please visit joint.urmc.edu. Adaptive Equipment ................................................... 13 Living With Your New Joint ........................................ 13 When to Call for Medical Help ................................... 13 After Surgery Milestones ............................................ 14 Your surgeon, nurse, or therapist may add to or modify the recommendations in this guide. Always use their APPENDIX recommendations first and be sure to ask questions if Physical Therapy Hip Exercises..................................... 15 any information or instructions are unclear. Physical Therapy Knee Exercises.................................. 16 Our Our Team Team Treatment Team Nurse SurgeryNavigator – Acts as a facilitator,Surgery educator, and advocate for Nurse – Monitors vital signs, draws blood, places IV, monitors your you throughout your surgical journey pain, administers medication, and tracks your progress. Your nurse is Preparation Preparation your primary point of contact while in the hospital for you and your Orthopaedic Surgeon – Performs your surgery and directs your family. medical care Patient Care Technician (PCT) – Assists nurses with vital signs and Anesthesiologist – Administers anesthesia to manage your pain hygiene routine, and can help you get in and out of bed and keep you safe during surgery; will meet with you immediately before surgery to discuss your anesthesia options Physical Therapist (PT) – Helps you do your exercises, walk, go up Hospital Hospital and down stairs, and get in and out of a bed and a chair Physician Assistant (PA)/Nurse Practitioner (NP)/ OrthopaedicStay Resident Physician Stay– Assists during surgery and Occupational Therapist (OT) – Focuses on Activities of Daily Living helps monitor your recovery; functions as an extension of the surgeon (ADL) that help you achieve independence, such as dressing and personal hygiene Geriatrician – Specializes in the care of elderly patients and is available to assist surgeons in managing complex medical problems Social Worker – Coordinates your discharge needs as part of the Geriatric Fracture Center Home Care Agency Coordinator – Arranges for services and Your Your equipment for your recovery, as needed, in your home OrthopaedicRecovery SurgeonsRecovery Catherine A. Humphrey, M.D. Christopher J. Drinkwater, M.D. Thomas G. Myers, M.D. Chief of Orthopaedics, Associate Professor, Assistant Professor, Highland Hospital Department of Orthopaedics Department of Orthopaedics Associate Professor, Fellowship trained, Fellowship trained, Department of Orthopaedics Washington Orthopaedic Cleveland Clinic Foundation Services Fellowship trained, Vanderbilt University Medical Center John G. Ginnetti, M.D. Kyle T. Judd, M.S., M.D. Benjamin F. Ricciardi, M.D. Chief of the Division of Adult Reconstructive Surgery Assistant Professor, Assistant Professor, Department of Orthopaedics Department of Orthopaedics Director, Evarts Joint Center Fellowship trained, Fellowship trained, Associate Professor, Vanderbilt University Hospital for Special Surgery Department of Orthopaedics