Subtitles section Play video Print subtitles (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.