VS q 4 hours D/C foley 9:00 AM VS q 4 hours VS q 4 hours Afebrile Pain q 2 hours after CPM Pain q 2 hours Pain q 2 hours Incision intact Treatments Nursing assessment VS q 4 hours Nursing assessment Nursing assessment No and/or per protocol Pain q 2 hours per unit protocol per unit protocol symptoms of infection NV q 4 hours Oral pain management TEDs/SCDs TEDs/SCDs Absence DVT Continous pulse ox IV meds for I/Os I/Os UOP monitoring breakthrough IS education Change dressing Bowel functioning Assess dressings D/C PCA NV checks q 4 hours Shower WNL Monitor and record D/C IV fluids Oral pain management Oral pain management drains Nursing assessment IV meds for IV meds for Demonstrates TEDS/SCDs per unit protocol breakthrough breakthrough anticoagulation I/Os Foley NV check q 4 hours Ambulate with nurse Ambulate with nurse administration Clear diet (ADAT) IS education in afternoon if PT not in afternoon if PT not IS education TEDs/SCDs available available Post op abx I/Os Hct 1800 Check HCT - may transfuse Ambulate with nurse in afternoon if PT not available Patient/Family Total Joint Class will Bed Mobility - PT Weight bearing status Review d/c Review D/C Patient and Family Education review what to expect Incentive Spirometer - - PT instructions - RN instructions - RN verbalize with surgery, pain RN Hip Precautions - PT Discuss car transfers - Review prescriptions - understanding of management, Pain Management - Bed mobility/turning - PT RN discharge instructions anticoagulation, RN PT Anticoagulation Provide dressing Orient to Room - RN Activity/assistive education - RN changes - Ortho team devices - OT ADL equipment - OT Anticoagulation Post op exercises - PT Assistive Device - OT teaching - RN Anticoagulation TEDs teaching - PT/RN education - RN Outcomes Pain level 1 - 3 Pain level 1 - 3 Pain level 1 - 3 Pain level 1 - 3 Discharge VS WNL VS WNL VS WNL Progress activity Pulse ox > 90 % I/Os WNL Progress activity Bowel Movement lungs CTAB Ambulate Progress ambulation Progress ambulating
Treatments VS q 4 hours Pain q 2 hours Nursing assessment per protocol NV q 4 hours Continous pulse ox monitoring Assess dressings Monitor and record drains TEDS/SCDs I/Os Foley Clear diet (ADAT) IS education Post op abx Hct 1800 D/C foley 9:00 AM after CPM VS q 4 hours Pain q 2 hours Oral pain management IV meds for breakthrough D/C PCA D/C IV fluids Nursing assessment per unit protocol NV check q 4 hours IS education TEDs/SCDs I/Os Check HCT - may transfuse Ambulate with nurse in afternoon if PT not available VS q 4 hours Pain q 2 hours Nursing assessment per unit protocol TEDs/SCDs I/Os IS education NV checks q 4 hours Oral pain management IV meds for breakthrough Ambulate with nurse in afternoon if PT not available VS q 4 hours Pain q 2 hours Nursing assessment per unit protocol TEDs/SCDs I/Os Change dressing Shower Oral pain management IV meds for breakthrough Ambulate with nurse in afternoon if PT not available Afebrile Incision intact No and/or symptoms of infection Absence DVT UOP Bowel functioning WNL Demonstrates anticoagulation administration Patient/Family Education Total Joint Class will review what to expect with surgery, pain management, anticoagulation, Bed Mobility - PT Incentive Spirometer - RN Pain Management - RN Orient to Room - RN Weight bearing status - PT Hip Precautions - PT Bed mobility/turning - PT Activity/assistive devices - OT Post op exercises - PT Anticoagulation education - RN Review d/c instructions - RN Discuss car transfers - PT Anticoagulation education - RN ADL equipment - OT Assistive Device - OT Review D/C instructions - RN Review prescriptions - RN Provide dressing changes - Ortho team Anticoagulation teaching - RN TEDs teaching - PT/RN Patient and Family verbalize understanding of discharge instructions Outcomes Pain level 1 - 3 VS WNL Pulse ox > 90 % lungs CTAB Pain level 1 - 3 VS WNL I/Os WNL Ambulate Pain level 1 - 3 VS WNL Progress activity Progress ambulation Pain level 1 - 3 Progress activity Bowel Movement Progress ambulating Discharge