Demonstrate hip precautions Evaluations Specialty consults Care Conferences - Care Conferences - Follow up with PT evaluations (d/c rounds) (d/c rounds) surgeon Case management PT evaluations PT evaluations Follow up with PCP Care Conferences - OT evaluations OT evaluations (d/c rounds) Diagnostic Tests Labs, X-rays and Post op X-ray Hip 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 scope of services determine which appointments/chosen service/discipline home eligible for available based on home health agency, agency. referrals. Review discharge needs and payor Rehab, SNR or OP PT Answer any last Patient will be planning in total joint source facility patient would minute questions discharged to a safe binder prefer to use. patient/family environment with Send appropriate members may have. appropriate referrals. order(s) to selected Home Health/Home agency. PT/Outpatient PT. Give patient agency Review agency name name and contact and contact information information Medications/IV We will talk with you Pain Management Pain Management: Pain mangement Pain management Anticoagulation about 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 shown how Pulse Ox Wean O2, continue IS, IS independently IS independently Adequate air exchange to use an incentive IS O2 NC continue monitoring CTAB spirometer (IS) O2
Demonstrate hip precautions Evaluations Specialty consults PT evaluations Case management Care Conferences - (d/c rounds) Care Conferences - (d/c rounds) PT evaluations OT evaluations Care Conferences - (d/c rounds) PT evaluations OT evaluations Follow up with surgeon Follow up with PCP Diagnostic Tests Labs, X-rays and possibly an EKG Post op X-ray Hip 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 scope 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 about 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 mangement 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 shown 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