Patient presents to GP with joint pain and usually decreased mobility
GP refers to Assoc. Prof. Ireland for clinical assessment. Need for patient Joint Replacement identified
Patient to Clinical Nurse Consultant for pathway to admission. Survey questionnaires for pain scores commenced
Patient given pre-op check list and National Joint Registry Information. Commencement of informed consent process and oversight of all education by Clinical Nurse Consultant
Patient referred to Physician / Cardiologist, anaesthetist and joint clinic education program. Referrals given for Pathology, ECG, MRSA, Micro-urine, X Rays prior to physician visit
7-10 days prior to surgery - pre-op instructions, medication review and implementation of cessations
Surgery performed by Assoc. Prof. Ireland
4-5 days post-op, patient transferred from Surgical Ward to Rehabilitation Ward. Patient care monitored by Clinical Nurse Consultant
10-15 days post surgery - discharge from rehabilitation unit
Patient 6 week post-op appointment with Assoc. Prof. Ireland
Pre Operation Information
ASSOCIATE PROFESSOR IRELAND’S FULL SERVICE APPROACH TO PRACTICE
Rationale: Our research has shown that patients have a more realistic expectation and a better experience from their joint replacement surgery from being involved with our holistic approach to patient service.
PATIENTS UNDERGOING TOTAL JOINT REPLACEMENT:
Initial Assessment: After the patient has seen Assoc. Prof. Ireland and found to need a joint replacement they then move through our practice to meet with our Clinical Nurse.
Post Operation Info
The Post-Operation Check List:
- All Joint Surgery is done at Campbelltown Private every 2nd Monday. Most of the elderly and those with underlying medical problems are nursed in the High Dependency Unit, post operatively overnight or for a few days.
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- All patients post operatively have PCA.s [patient controlled analgesia} and femoral nerve blocks for pain. The Spinal Epidural also helps with the pain control for up 7-8 hrs post operatively.
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