Diagnostic Tests Labs, X-rays and Post op X-ray Knee CBC CBC CBC possibly an EKG Hgb/Hct PT/INR if appropriate PT/INR if appropriate PT/INR if appropriate Diet Please tell us if you are Clears ADAT Regular diet Regular diet Regular diet Tolerating diet on a special diet Discharge Planning Plan Ahead: Identify patient's Briefly meet with Meet with Meet with patient Patient is discharged Ride to hospital primary payor source patient/family patient/family /family members to to appropriate level of Ride home to determine what members to explain members to remind them of care with appropriate Help/assistance at services patient is of services determine which appointments/chosen service/discipline home eligible for available based on home health agency, agency. Answer any referrals. Review discharge needs and payor Rehab, SNR or OP PT last minute questions Patient will be planning in total joint source facility patient would patient/family discharged to a safe binder prefer to use. Send members may have. environment with appropriate order(s) appropriate referrals. to selected agency. Home Health/Home Give patient agency PT/Outpatient PT. name and contact Review agency name information and contact information Medications/IV We will talk with you Pain management Pain management: Pain management Pain management Anticoagulation any medical PCA peripheral nerve D/C PCA PO meds PO Meds teaching complete problems and what blocks PO/IV meds Lovenox/Arixtra/ Lovenox/Arixtra/ Pain level 1-3 , POD #3 medications you take IV fluids D/C fluids Rivaroxaban Rivaroxaban pain level 2 and what you can take IV antibiotics Anti-emetics Bowel regimen Bowel regimen Bowel functioning before the day of Anti-emetics Lovenox/Arixtra/ WNL surgery Resume home meds Rivaroxaban Bowel regimen Respiratory You will be how to Pulse Ox Wean O2, continue IS, IS independently IS independently Adequate air exchange use an incentive IS O2 NC continue monitoring CTAB spirometer (IS) O2 Treatments 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 VS q 4 hours
Diagnostic Tests Labs, X-rays and possibly an EKG Post op X-ray Knee Hgb/Hct CBC PT/INR if appropriate CBC PT/INR if appropriate CBC PT/INR if appropriate Diet Please tell us if you are on a special diet Clears ADAT Regular diet Regular diet Regular diet Tolerating diet Discharge Planning Plan Ahead: Ride to hospital Ride home Help/assistance at home Review discharge planning in total joint binder Identify patient's primary payor source to determine what services patient is eligible for Briefly meet with patient/family members to explain of services available based on needs and payor source Meet with patient/family members to determine which home health agency, Rehab, SNR or OP PT facility patient would prefer to use. Send appropriate order(s) to selected agency. Give patient agency name and contact information Meet with patient /family members to remind them of appointments/chosen agency. Answer any last minute questions patient/family members may have. Patient is discharged to appropriate level of care with appropriate service/discipline referrals. Patient will be discharged to a safe environment with appropriate referrals. Home Health/Home PT/Outpatient PT. Review agency name and contact information Medications/IV We will talk with you any medical problems and what medications you take and what you can take before the day of surgery Pain management PCA peripheral nerve blocks IV fluids IV antibiotics Anti-emetics Resume home meds Pain management: D/C PCA PO/IV meds D/C fluids Anti-emetics Lovenox/Arixtra/ Rivaroxaban Bowel regimen Pain management PO meds Lovenox/Arixtra/ Rivaroxaban Bowel regimen Pain management PO Meds Lovenox/Arixtra/ Rivaroxaban Bowel regimen Anticoagulation teaching complete Pain level 1-3 , POD #3 pain level 2 Bowel functioning WNL Respiratory You will be how to use an incentive spirometer (IS) Pulse Ox IS O2 NC Wean O2, continue IS, continue monitoring O2 IS independently IS independently Adequate air exchange CTAB Treatments VS q 4 hours Pain q 2 hours D/C foley 9:00 AM after CPM VS q 4 hours VS q 4 hours Pain q 2 hours VS q 4 hours Pain q 2 hours Afebrile Incision intact