Outpatient Surgery Magazine

Manager's Guide to Joint Replacement - January 2016

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 Patient education Managing post-op pain is the linchpin of our center's outpatient total joint program. It's ingrained into every stage of the periop- erative process, and making sure that the patient is aware of that pays off in a big way. Once patients decide to undergo same-day joint replacement, we have them in for a pre-op consultation visit. Scheduling time to edu- cate patients well in advance of their surgeries is routine, but how you structure the meetings can make a huge difference in patient out- comes. During this appointment, patients should meet with each of the members of their care team — the surgeon, nurses, anesthesia provider and physical therapist. For patients, the object is to learn, step by step, what will happen during their surgery. This includes how we intend to manage their pain, both pre-emptively and responsively, mobility considerations following surgery and exercises they can do to "prehabilitate" themselves. For clinicians, pain management education is also an important con- tributor to the success of the procedure. It lets us hit the ground run- ning on the day of surgery, as nearly all of our instructions have been covered during the initial pre-op visit, and patients are generally more at ease when they know what to expect. 2 Seamless care A unified, team-based approach to patient care has a positive impact on how that care is delivered. While our joint replace- ment program is multidisciplinary in scope, it's also focused on the patient and their surgery. Each member of the care team specializes in outpatient joint replacement, and our orthopedic surgeons, nurses, anesthesia 2 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 1 6

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