Page 4 - Shoulder Book with Video Links

PATIENT
SHOULDER REPLACEMENT
SURGERY PLANNER
Patient Shoulder Replacement Surgery Planner
Our surgery desk will call you the afternoon before surgery regarding time of arrival
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____________________
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4 Preparing for Shoulder Joint Replacement
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