Planning For Your Hip Replacement Surgery

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Planning for YourHip Replacement Surgery

About Our UnitWelcome to Santa Monica-UCLA MedicalCenter and Orthopaedic Hospital and thankQuick ReferenceGuideyou for putting your trust in us for your hipsurgery and rehabilitation. This brochure isdesigned to explain what you should expectbefore, during and after your hospital stay.Our mission is to ensure you have the bestpossible patient experience and outcome.We will strive to meet this goal by providingoutstanding care and service to helpOrthopaedic and Spine Unit(310) 319-4800Administrative Nurse II(310) 319-1225Rehabilitation Services(310) 319-4605you achieve the highest possible levelof functioning.Case Manager(310) 319-3325Patient Affairs(310) 319-46702

Before Your SurgeryPlease review the checklist below in preparation for your surgery:Medical clearance – your surgeon may recommend a general medicalevaluation by your primary-care physician to make sure you arehealthy enough for surgery.Tests – blood samples and other tests, such as EKGs, echocardiogramsor urine samples, may be required as part of your routine preoperative evaluation.Education – visit our website, www.uclahealth.org/orthospineinfo,for detailed information about your hospital stay.Medications – make a list of your medications and bring it with you toour hospital. Please do NOT bring your medications. Our Pharmacywill provide you with any medications you need. If you have questionsor concerns about drug availability, consult with your physician.nnnnAbout Your CarennnLength of stay – plan to be in our hospital for 3 to 4 days.Discharge planning – our goal is to help you return home directly fromour hospital, but placement in a rehab facility can be arranged, ifnecessary. You may want to arrange for help at home with activitiesof daily living, including bathing, dressing, cooking and shopping,while you are recuperating.Complications – as with any surgery, there is a possibility ofcomplications such as blood clots, infection and lung congestion.Be sure to review these risks with your physician prior to surgery.WWW.UCLAHEALTH.ORG1-800-UCLA-MD1 (1-800-825-2631)3

Day of Surgerynnnnn4You will check in through our Admissions Department and then bedirected to our Procedure and Treatment Unit (PTU) to be preppedfor surgery. One family member may accompany you to the PTU,where you will meet your pre-operative nurse and anesthesiologist.Once your surgery is completed (usually 2-3 hours), you will be awakened gradually in our Post-Anesthesia Care Unit (PACU). This processtakes approximately 2 hours. No family members are allowed in thisroom. Your surgeon will brief your family while you are in our PACU.Once you are awake, your vital signs are stable and your pain is controlled, you will be transferred to your hospital room. You will havean overhead trapeze attached to your bed to assist you with mobility.Our team members will show you how to properly use it. Your legmay also be in a positioning device called a “Kodel sling” or you mayhave a special foam (abduction) pillow placed between your legs.You will receive antibiotics for 24 hours after surgery to preventinfection. You will also receive a blood-thinning medication toprevent clots.Our staff will focus on helping you with pain control, nauseamanagement, starting a liquid diet and getting restful sleep.

Our Care TeamDuring your hospital stay, you will meet many members of our healthcare team who work together to provide you with excellent care.These include:Registered Nurse – will assess your overall condition, answerquestions, communicate with your doctors and give you medications.Care Partner – is responsible for taking care of your basic needs,including recording vital signs and assisting with personal hygieneand toileting.Resident Doctors – your surgeon works with a team of resident doctorswho will visit you daily and can be reached on a 24-hour basis.Unit Secretary – this person is based at the nurse’s station and willspeak with you when you use the call light.nnnnWWW.UCLAHEALTH.ORG1-800-UCLA-MD1 (1-800-825-2631)5

nnnnnPhysical Therapist – if indicated, you will be visited by a physicaltherapist (PT) to evaluate your mobility both in bed andwhile walking.Occupational Therapist – You also may be visited by an occupationaltherapist (OT) who will evaluate how well you are able to completeactivities of daily living, including dressing, bathing and toileting.Phlebotomist – will take blood samples each morning as directed byyour physician.Case Manager – will assist in planning for your discharge to home or arehab facility.Durable Medical Equipment Vendor – will coordinate ordering anddelivery of any equipment you may need for home, including walkers,crutches, bedside commodes and sock aids.After Surgery – Day 1nnnnnn6You will be instructed about how much weight you can place on yoursurgical leg, called “weight-bearing status.”After your surgery, there will be precautions regarding the movementof your surgical leg that you must follow to prevent hip dislocation.These are called “hip precautions.” One of our team members willreview them with you.PT Evaluation –You will likely be evaluated by a physical therapist themorning after your surgery. The evaluation usually includes gettingout of bed, walking, as tolerated, and basic exercise instruction. Youwill have another PT session in the afternoon.OT Evaluation – You also may be evaluated by an occupationaltherapist to assess your ability to care for yourself and instruct you inusing adaptive equipment (reacher, sock aid), as needed.Our nursing staff will continue to make sure your needs are met andyour pain is well controlled.You will resume a normal diet, as tolerated.

After Surgery – Day 2nnnBegin transition to oral pain medication.Get out of bed for meals and walk to the bathroom with assistance,as needed.Our PT staff will continue working with you on mobility andpreparation for discharge, including techniques for getting out ofbed, improving walking tolerance and curb/stair training. You willcontinue to be seen by our PT staff twice daily while you are in ourhospital or until you meet your therapy goals.After Surgery – Day 3 and BeyondnnnContinue plans of care as described above.Improve mobility.Finalize discharge plans and equipment needs.WWW.UCLAHEALTH.ORG1-800-UCLA-MD1 (1-800-825-2631)7

You will leave our hospital with all the information you need to ensurea smooth transition to home or a rehab facility. Our goal is to help youresume a normal, active lifestyle.After Hospital DischargennnnnContinue to follow your “hip precautions” until your surgeonindicates you can move your surgical leg freely.Continue performing the leg exercises taught to you by our PTs.If you are discharged to home, a PT will likely evaluate you atyour home to determine how much home physical therapy, if any,is needed.The staples used to close your surgical incision will be removed by ahome health nurse 10 to14 days after surgery. You will not be ableto bathe until the staples are removed as soaking the wound cancause infection.Twice weekly, a home health nurse will visit you to draw a smallblood sample to determine the appropriate dose of your bloodthinning medication. Your doctor’s office will contact you if anymedication changes are needed.Talk with your surgeon about the timeline for returning to a higher levelof daily activities, including working, driving and more vigorous exercise.UCLA Orthopaedic ClinicOrthopaedic and Spine Inpatient Unit(310) 319-1234(310) 319-4800WWW.UCLAHEALTH.ORG1-800-UCLA-MD1 (1-800-825-2631)

Quick Reference Guide Orthopaedic and Spine Unit (310) 319-4800 Administrative Nurse II (310) 319-1225 Rehabilitation Services n (310) 319-4605 Case Manager (310) 319-3325 Patient Affairs (310) 319-4670 Before Your Surgery Please review

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