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    Total Hip Replacemen: The Short Stay Part 2

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    See Hip Replacement Surgery Part 1 which include What Is Total Hip Replacement?, Your Team at CPMC, Managing Your Pain, Hip Precautions, and Physical and Occupational Therapy Goals.

    Pre-Registration For Surgery

    By Phone

    Please call Sutter Health's Patient Registration Line at 1-855-398-1637 within 1 - 2 weeks before your surgery to pre-register. The Patient Registration Line is open Monday - Friday, 8 a.m. to 5 p.m. Have your insurance information ready when you call. A nurse will take your health history, answer your questions and explain what tests are necessary before your surgery. The nurse may ask you to complete required testing before you come to the hospital.

    Medications
    Once your surgery is scheduled, CPMC will send you an information packet (Surgery, Tests and Procedures - A Pre-Resgistration Guide). Complete the Medication Form included in this packet and bring it with you on the day of surgery.

    Note:If you have diabetes or are taking blood-thinning medicines, please tell your doctor. Before you are discharged from the hospital, your doctor will write a prescription for any medication you will need at home, including blood thinners and pain medication.

    Blood Transfusions
    Blood loss from surgery sometimes lead to the need for a blood transfusion. If you have any personal concerns about blood transfusions, speak with your doctor before surgery. Other choices may be available.

    Anesthesia

    Before surgery, the anesthesiologist works with you and your surgeon to choose an anesthetic. For joint replacement surgery, this is often a spinal block, also known as spinal anesthesia. A spinal block produces a rapid numbing effect from your waist down. It is given in combination with sedatives to relax you and put you in a light sleep. In some situations,your doctors may use general anesthesia.
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    Preparing For Surgery

    Prepare Your Home

    Housekeeping and Food

    • Move furniture and clutter to make a clear path to your kitchen,
      bathroom and bedroom. The path should be wide enough for a walker.
    • Remove any loose rugs or other items you may trip over.
    • Buy groceries to prepare and freeze meals, and put cooking utensils
      where they are easy to reach. Make simple meals that will be ready
      for you when you get home.
    • Place items you need every day at arm level to avoid bending over or reaching too far overhead.


    Bathroom

    • Place a nonskid bath mat in your tub or shower
    • Purchase a raised toilet seat so that you can safely use your toilet

    These items can be purchased at your local pharmacy or online.

    Furniture

    • You will need a stable, high back chair with armrests. You should not sit on a chair that rocks, rolls or swivels during your recovery from surgery.
    • If your bed is lower than your knees, you may need to raise it for safer access after hip surgery

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    Determine Who Is Going To Help You

    Getting Around

    Individuals who undergo joint replacement surgery typically are
    discharged from the hospital at 11 a.m. Arrange for someone to
    drive you home from the hospital and stay with you at home that
    day and possibly longer. You will not be allowed to take public transit
    or a taxi home alone. You will also need someone to drive you to
    appointments for several weeks.

    Help at Home

    You will need help with groceries, meal preparation and housekeeping
    for several weeks. Either find friends and family or consider hiring
    someone to help you until you’re ready to care for yourself.

    Take Care of Your Health

    • Make sure you understand your medications and wound care
      instructions.
    • Know if and when you will have in-home health physical therapy and/or outpatient physical therapy. Your case manager can answer these questions before you are discharged.

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    Preparing For The Hospital

    Cleaning Your Skin Before Surgery

    antispetic to clean skin before surgery

    Before you go to the hospital for surgery, it is important to make sure your skin is germ-free. Using a product with 4% Chlorhexidine Gluconate (CHG), an antiseptic solution, greatly reduces the amount of germs on your skin and has been shown to reduce surgical site infections. "Hibiclens" is a common brand name that can be found at most pharmacies.

    Notes:

    1. Do not shave legs for at least 5 days before surgery
    2. Do not use a loofah or wash cloth that has been sitting in the shower. It will recontaminate your skin
    3. Do not use CHG if you are allergic
    4. Do not use CHG on your face or genitals


    You will need to take three CHG showers
    • 2 days before surgery
    • Night before surgery
    • Morning of surgery


    Showering with CHG

    1. Shower with warm (not hot) water
    2. Shampoo hair and wash face with your regular products
    3. Rinse hair and body well
    4. Turn the water off
    5. Pour the CHG on to a clean, wet washcloth
    6. Apply CHG to your entire body from the neck down
    7. Wash for five minutes, paying special attention to the area where your surgery will be performed
    8. Turn the water back on and rinse thoroughly. Do not wash again with your regular soap after
      using CHG.
    9. After you shower, pat dry with a clean towel
    10. Do NOT apply any lotions, perfumes, powder, or deodorant to your body. This will inactivate the CHG. This is very important!
    11. Wear clean pajamas after each shower and sleep
      on clean sheets
    12. Wear clean, freshly washed clothes to the hospital

    What to Pack
    • Bring loose-fit clothing, nonskid closed-toe slip-on
      shoes and toiletries.
    • Bring cases for glasses, contact lenses and dentures. You will need to remove them before your surgery.
    • Do not wear or bring wedding bands, other jewelry or body piercings, or valuables like cash, credit cards or checkbooks.
    • Pack a small overnight bag with your personal items, if needed.


    Medications

    • Bring your completed Medication Form you received in your
      pre-registration packet.
    • It is best not to bring your medications to the hospital. If you are concerned whether the hospital carries a special medication, bring it in its properly labeled pharmacy bottle so the hospital pharmacist can ensure it is safe to take during your stay.


    The Day Before Surgery

    • Before midnight, drink plenty of fluids to make sure you are hydrated.
    • After midnight, do not eat or drink anything.
    • Take only the medicines you were told to by the nurse or surgeon/primary doctor—with a sip of water.
    • Shower with CHG the night before and morning of surgery, as described in Cleaning Your Skin Before Surgery.


    Going to the Hospital

    • Patients are generally asked to arrive 1-2 hours before the
      scheduled surgery. Please confirm the arrival time with your
      surgeon’s office.
    • Go directly to the campus where your surgery is scheduled.


    California Campus:

    3700 California St.
    San Francisco, CA 94118
    Check in at the Center for
    Outpatient Surgery on Floor 3

    Pacific Campus:
    2333 Buchanan St.
    San Francisco, CA 94115
    Check in at
    2351 Clay St., Floor 6

    Your care, comfort and privacy are our main concern. Our goal is
    to make sure your surgery is within 30 minutes of the scheduled
    time. Sometimes there are delays. We will keep you informed if
    delays occur.
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    Follow-Up Care

    Your Surgeon

    Before you go home, your case manager will help you make a
    follow-up appointment with your surgeon for 2-3 weeks after
    your surgery.

    Date of appointment:

    Physical Therapy

    Depending on your needs, you may receive either in-home or
    outpatient physical therapy. Your care team will determine which
    physical therapy setting is best for you. Some patients may also
    need additional occupational therapy at home. Your care team
    will determine what type of physical and occupational therapy you
    need and whether you should receive it at home or in an outpatient
    setting.

    Date of appointment:

    Concerns

    If you have any questions or concerns about your recovery or any
    health problems after surgery, call your surgeon or come to the
    emergency room, located at CPMC’s Pacific Campus at 2333
    Buchanan Street in San Francisco.

    Warning signs include:

    • Temperature higher than 101⁰ F or 38.5⁰ C
    • Increased redness and swelling around the incision
    • Changes in the amount, look or smell of drainage from the incision
    • Severe pain, difficulty breathing or swelling in either leg

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    To-Do Checklist

    Before Surgery

    • Pre-register by calling our Patient Registration Line at
      1-855-398-1637.
    • Complete the Medication Form.
    • Organize your house to make it easy to move around.
    • Ask for help from friends and family.
    • Buy groceries and prepare food for the first week home.
    • Arrange transportation.
    • Start washing with CHG (see page 10 for directions).
    • Make sure you have slip-on shoes and clothes that are easy to put on.
    • If you smoke, stop smoking as soon as possible.


    After Surgery
    • Schedule or confirm your postoperative office visit with your
      surgeon.
    • Schedule or confirm your in-home or outpatient physical
      therapy session.

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    Health Care Provider Contact List

    Primary Care Physician:
    Name:
    Phone:
    E-mail:

    Surgeon:
    Name:
    Phone:

    Physical/Occupational Therapist:
    Name:
    Phone:
    E-mail:
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    Lodging And Transportation

    If you or your family members require and overnight stay in San Francisco, Hotel Kabuki and Holiday Inn are the lodgings of choice for CPMC.

    Hotel Kabuki
    1625 Post StreetSan Francisco, CA 94115
    Tel. 415-614-5423
    www.hotelkabuki.com
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    Holiday Inn - Golden Gateway
    1500 Van Ness AvenueSan Francisco, CA 94109
    Tel. 855-472-7645
    www.goldengatewayhotel.com
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    To receive the discount CPMC patient room rate at Hotel Kabuki, call 415-614-5423. To receive the rate at Holiday Inn, call 855-472-7645 and reference CPMC.

    In addition to discounted room rates, patients and their families have access to courtesy shuttle services from CPMC's Pacific Campus to both hotels. Shuttle service is available Monday through Friday, from approximately 6:30 am - 6:00 pm.

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