Powerpoint Templates Welcome to the Benefis Joint Replacement Program Dont let joint pain slow you...
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Transcript of Powerpoint Templates Welcome to the Benefis Joint Replacement Program Dont let joint pain slow you...
Powerpoint Templates
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!