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  • (upbeat music)

  • - Hi, my name is Megan Laframboise.

  • I'm the orthopedic neuroscience navigator

  • here at St. David's Medical Center.

  • Thank you for trusting us with your care.

  • We have an exceptional program here

  • at St. David's Medical Center.

  • It is important that you complete this online program

  • because we will teach you all you need to know

  • about the joint replacement process.

  • The class will discuss what to expect

  • while in the hospital after surgery

  • with the focus on pain management, mobility,

  • and preventing complications.

  • This class will increase your knowledge

  • to reduce anxiety, decrease the length of hospital stay,

  • and help establish realistic expectations

  • to improve surgical outcome.

  • We hope you'll enjoy this educational video

  • and thank you for choosing St. David's Medical Center.

  • (Light music)

  • (gentle music)

  • - Welcome to our Joint Replacement Pre-Op Education class.

  • Over the next 25 minutes, we will discuss a general overview

  • of the joint replacement process and hospital stay

  • at St. David's Medical Center.

  • Any specifics to your procedure

  • should be discussed directly with your surgeon.

  • This class will provide education and empowerment

  • about the joint replacement process,

  • and can help you to identify techniques

  • to decrease risk factors of complications after surgery.

  • It will also help prepare you

  • for your joint replacement surgery and help reduce anxiety

  • about the surgical process.

  • Our goal is to create expectations

  • of what you will experience here

  • at St. David's Medical Center and to assist

  • with beginning the process for your transition

  • back home after surgery.

  • Our mission at St. David's Medical Center

  • is to provide exceptional care to every patient every day

  • with a spirit of warmth, friendliness and personal pride.

  • Our vision is to be the finest care

  • and service organization in the world.

  • Our St. David's staff follows what we call the ICARE values,

  • which include integrity, compassion, accountability,

  • respect and excellence.

  • The goals of our facility are exceptional care,

  • customer loyalty and financial strength.

  • We function under a patient centered team approach

  • when providing care at our facility.

  • You can see here that you and your family members

  • are at the center of our care team.

  • Your surgeon and their physician's assistant are at the top;

  • they are the individuals performing your surgery

  • and they will see you every day while you're here

  • at the hospital with us.

  • A hospitalist is an internal medicine doctor

  • that is consulted by your surgeon to assist

  • with your medical care after your surgery.

  • A pharmacist is heavily involved in our care team

  • and manages all of your medications that you will take

  • while in the hospital.

  • The nursing team, both registered nurses

  • and patient care technicians, will be with you

  • 24 hours a day.

  • We have a day shift and night shift team

  • that works 12-hour shifts.

  • Our physical and occupational therapists will see you

  • for therapy sessions twice a day and our nurse case manager

  • will assist with discharge planning

  • and durable medical equipment.

  • Once you have made the decision for surgery,

  • we recommend improving your nutrition

  • through healthy eating.

  • We encourage iron and protein rich foods, lean meats,

  • fruits, vegetables and grains.

  • Notify your dentist of your upcoming

  • joint replacement surgery.

  • Your orthopedic surgeon does not want you

  • to have any dental procedures for three months

  • following your joint replacement surgery.

  • Dental procedures can introduce bacteria

  • into your bloodstream,

  • which can increase your risk for infection.

  • After this three month period,

  • you will require oral antibiotics

  • prior to any dental procedure for at least one year

  • following your joint replacement.

  • If you wish to obtain a handicap placard for your vehicle,

  • contact your surgeon's office to get a prescription

  • to bring to the DMV.

  • Pre-Surgical Testing is ordered by your surgeon

  • to be completed prior to your surgery,

  • to ensure that you are well enough

  • to have your joint replacement procedure.

  • Here are a few examples of tests that may be ordered.

  • The tests that are ordered depend

  • on your medical and surgical history.

  • An EKG is a heart function test.

  • Stickers are applied to your chest to determine

  • if your heart is well enough for surgery.

  • A chest x-ray is an x-ray of your lungs and heart,

  • and a urinalysis is a sample of your urine.

  • Blood tests are lab tests run on blood samples,

  • and a MRSA swab is a swab of the inside of your nose.

  • You will complete your testing seven to 10 days

  • prior to your surgery.

  • However, this testing can be done up to 60 days

  • prior to surgery.

  • You will complete your testing here

  • at St. David's Medical Center

  • or at your Primary Care Physician's office,

  • if your surgeon has instructed you to do so.

  • Our Pre-Surgical Testing nurses will call you

  • and obtain a list of your home medications

  • and medical and surgical history.

  • They then will assist you in making an appointment

  • to come in, in order to have your testing done.

  • If your surgery is coming up and you have not heard

  • from one of our Pre-Surgical Testing nurses,

  • please call the Pre-Surgical Testing department

  • at 512-544-3333 to make an appointment.

  • Please bring your driver's license and insurance cards

  • with you to your appointment.

  • If you have an Advanced Directive

  • or Medical Power Of Attorney document

  • and would like us to have this on file

  • in your medical record, you may bring it with you

  • to your appointment and we will make a copy.

  • If you have been seen by a specialist to have testing done

  • prior to your surgery, the Pre-Surgical Testing nurses

  • will instruct you to bring any copies of these medical tests

  • in with you to your appointment.

  • We do also ask that you bring in a list

  • of your home medications.

  • Though we go over this list with you on the phone,

  • we would also like to have a written-out copy to ensure

  • that our list is complete and accurate.

  • Please allow two to three hours for this appointment

  • to complete the ordered testing.

  • The Enhanced Surgical Recovery program

  • at St. David's Medical Center was developed to help you

  • have an improved surgical outcome by recovering

  • more quickly and safely after surgery.

  • The benefits of the ESR program include faster recovery,

  • eating sooner after surgery, better pain control

  • with fewer side effects, reduction of nausea

  • or upset stomach after surgery,

  • increased early movement and walking,

  • shorten hospital stay, and returning to your normal life

  • at a quicker rate.

  • Get specific instructions from your surgeon

  • regarding when to stop taking blood thinning medications

  • prior to surgery.

  • We typically ask that you stop taking these medications

  • seven to 10 days prior to surgery.

  • These medications include Non-Steroidal

  • Anti-inflammatory Drugs, or NSAIDS, such as Motrin,

  • Ibuprofen, and Aleve. Celebrex and Meloxicam;

  • certain herbal supplements like fish oil, vitamin E

  • and glucosamine, and prescription blood thinners

  • like Coumadin, Aspirin, Plavix and Xarelto.

  • Please ask your doctor about taking your medications

  • before surgery.

  • The pre-operative nurses will instruct you

  • only on what medications to take on the day of your surgery.

  • Before surgery we recommend performing

  • a safety check of your home.

  • This includes removing throw rugs

  • and tacking down loose carpeting.

  • If you are able, remove electrical cords

  • and other obstructions from your path,

  • so you will not have to lift your assistive device

  • over these items when walking.

  • Having adequate lighting during the nighttime