Oak Hill Hospital Spine/Joint Boot Camp – Pre Op

Oak Hill Hospital Spine/Joint Boot Camp – Pre Op

– Hi, I’m Vivian and today
I’m going to be talking about your preop, OR, and
recovery room experience. Your first point of contact
with our preop department is typically a phone call the
evening before your surgery. If your surgery is on a Monday you will receive the phone
call will be on Friday evening. These calls are typically made after five o’clock in the evening. During that call we’ll let you
know what time we would like you to stop eating or
drinking and what medications to take the morning of your surgery. If we ask you to take any
medications the morning of your surgery please do
so with just enough water to get the medication down. We will also tell you what time to arrive the next
morning for your surgery. When you arrive please
enter through the lobby and go to the information desk. Give them your name and let them know that you’re here for surgery. You will also be given a name band. We will have you look at
that name band and confirm that your name and date
of birth are correct. You will then be
registered for your surgery and a member from our preop
department will come escort you to your preop room. In the preop room there
will be a stretcher, a bag for belongings, a hospital gown, a pair of socks with grippers
on them, and a blanket. We’d like you to change
into the hospital gown and make sure that the
opening is in the back. You’re more than welcome
to put your belongings into the bag we’ve provided for you. If you’re not warm
enough, please let us know and we’ll provide you with a warm blanket. Your family and friends are
allowed to stay with you until we take you to the back
of the operating room, but we may ask them to
step out briefly during certain portions of your preparation. We also suggest that they dress in layers as temperatures may vary
throughout the hospital. We’ll want to give you some fluids, so our preop nurse will
get you an IV started. We will also prepare the antibiotic that the doctor has ordered for you, but we won’t typically
start administering it in the preop department, it may be started in the
operating room because we like to give antibiotics as close
to your procedure as possible. We follow guidelines that
let us know exactly when to administer the antibiotic so that you get the best
benefit from the medication. We will also obtain your
consent for surgery. Your doctor will come and mark the area that is being operated on. You will then confirm that the area being marked
is the correct area. Our anesthesia personnel
will come and talk to you about their plan of care for you and you’ll meet your operating room nurse. You will be asked a lot of the same questions multiple times. Things like your name, date of birth, what surgery you are having done, and what medications are you allergic to. When it’s time we will take
you around a few corners to the operating room area. Once we get you there we
will match your stretcher up to the operating room bed then
we will have you wiggle over to that bed, but wait
until we give you the okay. We want to make sure
that both beds are locked and safe for you to move over. Once you’re on the operating room bed the first thing we will do is
place some pads on your chest, blood pressure cuff on your arm, and a probe on your finger so that we can monitor your oxygen levels. We will also have you breathe
some oxygen through a mask. Please be aware that the
operating room bed is very narrow and we will attach arm
boards to the side of the bed for your arms to rest on. If the oxygen mask makes you feel uncomfortable please let us know. We want to make sure
that you are comfortable as you drift off to sleep. We like to fill your lungs with fresh air before you drift off. Some people do say that
the oxygen mask smells a little funny or sweet, that’s
just the brand new plastic. At that point, we will
finish up your surgery and get you ready to go
to the recovery room. Typically we will move you
from the operating room bed to the bed that you will be in throughout your stay at the hospital. Then we will take you
to the recovery room. As soon as you arrive we
will get you hooked back up to some monitors, they’ll
include pads on your chest, blood pressure cuff, and
a probe on your finger. We will also ask you to wiggle
your toes and your fingers just to make sure that
everything’s moving properly. We will look at any of your dressings, assess your drains that you may have, and ask about your pain so
that we can give you medicine to help alleviate it. Again, we will ask you many
of the same questions over and over in order to stay
on top of everything. We will also contact
your family or friends in the waiting room and
let them know what room you will be going to and
what time we anticipate you getting to that room. We will also update them on your status. That pretty much covers your stay in our preop, operating
room, and recovery room area. Now I wanna help educate
you on recognizing and preventing complications
after your surgery. Potential complications
after joint surgery include blood clots,
infection, and pneumonia. Prevention is the key to
management of surgical infections. Patients and staff will
work together to try and prevent the incidence of
a postoperative infection. Many patients are tempted to
take a peek at their wounds to see the scar they’re left with, but it’s important to remember
that the dressings need to stay intact to limit the
risk of germs entering the site. Be sure health care workers, family, and friends wash their
hands with soap and water or an alcohol based hand cleaner before and after caring for or visiting you. Do not be afraid to remind them. Post operative pneumonia is a complication that effects many surgical patients. An incentive spirometer
is device used to help you keep your lungs healthy
while they’re healing. It teaches you how to
take slow deep breaths. After surgery it may be
painful to take deep breaths. You may also feel too weak, but when you do not breathe deeply enough it can lead to pneumonia. By using the incentives
barometer 10 times per hour, or as directed by your nurse or doctor, you can take an active
role in your recovery and keep your lungs healthy. To use the incentives
barometer place the mouthpiece into your mouth, make
sure you make a good seal with your lips, breathe out
normally and breathe in slowly. A piece in the incentives
barometer will rise as you breathe in. Try to get this piece to
rise as high as you can. There is usually a marker place
by your healthcare provider that tells you how big
a deep breath you took. Another smaller piece in the
incentives barometer looks like a ball or disk, make
sure that this ball stays in the middle of the chamber
while you breathe in. If you breathe in too fast the ball will shoot up to the top. If you breathe in too slowly the ball will stay at the bottom. To help in the prevention of blood clots your physician may order
a compression stocking, a sequential compression device or both. Compression stockings are
used to provide support for your legs and to keep your
blood and fluid from pooling. They’re tightest at the ankle and ease as the stacking goes
towards the top of the calf. The stockings are designed
to provide compression that enables the blood in your legs to move more efficiently
back to your heart. Sequential compression devices, or SCDs, are shaped like sleeves that wrap around the legs or ankles. They inflate and then
deflate one at a time when air is pumped into them. This squeezes blood from the legs or feet up towards the heart. The squeezing creates
a rapid flow of blood which prevents blood clots from forming. Because a total joint replacement is at a greater risk for blood
clot, compression stockings and ACDs are not enough. All orthopedic surgeons
order an anticoagulant, a medication used to
prevent blood from clotting. There are many kinds of anticoagulants and they have different ways of acting. The three most commonly used options for blood thinning medications
are administered either by an injection or a tablet. Some of the most commonly
used blood thinners are aspirin EC, Xarelto and Lovenox shot. This will be discussed by your nurse upon arrival on the floor. Pain that occurs after
surgery is an important issue and an important part of nursing care. Before the surgery took
place you, hopefully, discussed with your
surgeon about how much pain you should expect and
how it would be managed as different types of surgeries
can produce different types and amounts of pain. Besides keeping you as
comfortable as possible, controlling your pain is
important for your recovery. Good pain control is
needed so you can get up and begin to move around. There are many types of pain medicines and depending on the surgery
and your overall health, you may receive a single medication or a combination of medications. Your job as a patient is to
tell your doctors and nurses when you are having pain
and if the medications you are receiving control it. While the nurse and doctors
around you will be busy do not worry about bothering them. Nausea or vomiting can make you miserable, especially after surgery,
so as a preventative measure or treatment your doctor will order an antiemetic, typically Zofran. Antiemetics work by blocking receptors in the small intestine, while others work by blocking
receptors in the brain. Most narcotics cause constipation. Most doctors anticipate the side effects by
ordering stool softeners such as Colase or laxatives
such as Milk of Magnesia. Stool softeners and laxatives
help prevent constipation and straining or discomfort. Please contact us if
you have any questions between now and your procedure. Thank you for interesting Oak
Hill Hospital with your care.

3 thoughts on “Oak Hill Hospital Spine/Joint Boot Camp – Pre Op

  1. Keep it up! Looking forward for more videos from you, don't stop! Would you like to be YouTube friends? :]

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