Page 4 - Richardson Shoulder Booklet

PATIENT
SHOULDER REPLACEMENT
SURGERY PLANNER
Patient Shoulder Replacement Surgery Planner
Our surgery desk will call you the afternoon before surgery regarding time of arrival
Surgeon____________________________________________________________________ Office # (208)_____________________Location:___________________________________
Lab Work___________________Location__________________________Time___________
(Labs are done fasting.)
PRE-OP APPOINTMENT (Please arrive 15 minutes prior to your scheduled appointment.)
Location_______________Office # (208)_____________Date___________Time__________
üDo not shave operative arm/shoulder 3 days prior to surgery.
üStop aspirin or other blood thinners 5 to 7 days prior to surgery.
üUse Chlorhexidine cloth (after your shower) the night prior to surgery and morning of surgery. (provided by your surgeon’s office-See page 3)
SURGERY at
( ) Bingham Memorial Hospital | 98 Poplar St., Blackfoot, ID 83221 (208) 785-4100
( ) Caribou Memorial Hospital | South 3rd West, Soda Springs, ID 83276 (208) 239-8000
( ) Skyline Surgery Center | 285 Vista Dr., Pocatello, ID 83201 (208) 478-1704
( ) Integrated Surgery & Vascular Center | 3310 Valencia Dr., Idaho Falls, ID 83404 (208) xxx-xxxx
Date of Surgery:______________________Arrival Time given day before by Surgery:______
The following medications should be taken the morning of surgery with a small sip of water:
___________________________________________________________________________
___________________________________________________________________________
Before Surgery, Remember:
üI cannot eat any food after or drink any liquids after midnight.
üI cannot chew gum, use throat lozenges, chew tobacco, or suck on candy after
midnight.
My Home Health Agency: Name_________________________________Phone________________
POST-OP APPOINTMENT
Location_____________________Office # (208)___________Date___________Time_____
PHYSICAL THERAPY APPOINTMENT Location__________________________________________Phone_____________________ Date__________________________Time____________________
4 Preparing for Shoulder Joint Replacement
4