The Joint Replacement Center at
Johnson City Medical Center
Preoperative Care - Knee
Attend Preoperative Class
Your surgeon’s office will give you a schedule of when the class is offered and the locations. You will only need to attend one class. Select a date that is convenient for you to attend and arrive 15 minutes prior to class to complete required paperwork. No registration is required. We do recommend you try to attend a class at least three to four weeks prior to your surgery. The Joint Program Coordinator, is available for one-on-one sessions if there are conflicts with the scheduling. Please call the program coordinator at (423) 431-6937 if a one-on-one
session is needed.
We recommend that you bring your "coach." The coach’s role will be explained in class.
Pre-op Class Information Includes:
Pre-Admission Testing (PAT)
What to Expect Each Day You’re in the Hospital
Signs and Symptoms of Infection and DVT
Physical and Occupational Therapy
Introduction to Equipment and Assistive Devices
Hip and Knee Precautions
The Wellness Connection Program
Role of Your "Coach" / Caregiver
Questions and Answers
Exercising Before Surgery
It is important to be as fit as possible before undergoing a total knee replacement. This will make your recovery much faster. Eleven exercises are shown here that you should start doing now and continue until your surgery. You should be able to do them in 15-20 minutes, and it is recommended that you do all of them twice a day. It is not harmful for you to do more. Consider this a minimum amount of exercise prior to your surgery. You can document this on your exercise chart in your clinical diary section.
Also, remember that you need to strengthen your entire body, not just your leg. It is very important that you strengthen your arms by doing chair push-ups, because you will be relying on your arms to help you get in and out of bed, in and out of a chair, walk, and to do your exercises postoperatively.
Stop doing any exercise that is too painful.
You have the right to make decisions about your medical care. You have to be informed of treatment and consent to be treated. You can refuse or have taken away any medical treatment, with very limited exceptions. If you have advance directives, please bring copies to the hospital on the day of surgery.
If you wish to donate your own blood, contact your surgeon's office.
Total Joint Surgery does require the use of either general anesthesia or regional anesthesia. Please review "Basics of Anesthesia" (see appendix) provided by our anesthesia department. You will discuss this with the anesthesiologist on the morning of your surgery.
Preoperative Visit To Surgeon
You should have an appointment in your surgeon's office the week before your surgery. (Refer to first page of your notebook for date and time). This will serve as a final checkup and a time to ask any questions that you might have.
Arrival Time at Hospital
When you have your pre-admission testing done, you will be instructed on what time to arrive at the hospital the day of your surgery. You will get a reminder phone call from the Joint Program Coordinator. You will be asked to come to the hospital two hours before the scheduled surgery time to give the nursing staff sufficient time to prepare you for surgery. It is important that you
arrive on time to the hospital because sometimes the surgical time is moved up at the last minute and your surgery could start earlier. If you are late, it may create a significant problem with starting your surgery on time. In some cases lateness could result
in moving your surgery to a much later time.
Parking is available in visitor lots for free.
Prepare Your Home For Your Return From The Hospital
Have your house ready for your arrival back home. Clean. Do the laundry and put it away. Put clean linens on the bed. Prepare meals and freeze them in single serving containers. Cut the grass, tend to the garden and other yard work. Pick up throw rugs and tack down loose carpeting. Remove electrical cords and other obstructions from walkways. Install nightlights in bathrooms, bedrooms, and hallways. Arrange to have someone collect your mail and take care of pets or loved-ones, if necessary.
The Night Before Surgery
Do Not Eat or Drink
Do not eat or drink anything after midnight, EVEN WATER, unless otherwise instructed to do so. No chewing gum. Please do not smoke 24 hours prior to your surgery.
Please do not shave the operative leg 5 days prior to surgery. Three days before surgery, wash with soap given at preadmission
testing according to the instructions.
NOTE: Please be cautious of bug bites, cuts or scrapes. Any open area on the operative site could result in surgery cancellation.
If you have something of concern contact your orthopedic surgeon.
Follow specific instructions given to you at your physician's office and at your pre-admission testing regarding medications.
What to Bring to the Hospital
Personal hygiene items (toothbrush, powder, deodorant) comfortable clothes, and well-fitted, slip-resistant shoes.
You must bring the following to the hospital:
Your patient NoteBook
A copy of your Advance Directives
Your insurance card, driver's license or photo I.D., and any copayment required by your Insurance company
- CPAP machine (Sleep apnea machine)
- A GOOD ATTITUDE
Please leave jewelry, valuables, and large amounts of money at home
Makeup must be removed before your procedure
Nail polish should be removed
Please feel free to contact us if you have any questions (423)431-6937