The Joint Replacement Center at
Johnston Memorial Hospital
Plan of Care

The Total Joint Care Team

The Total Joint Care team will be responsible for your care needs from the preoperative course through discharge and

Plan of Care
Hip Replacement
 Knee Replacement
 Quality Measures
 Helpful Links
Handicap Parking Application Form
Blood Transfusions
post-discharge follow-up.

The Total Joint Care Team will:

  • Obtain medical history
  • Assess your needs at home including caregiver availability
  • Coordinate your discharge plan to outpatient services, home or a sub-acute facility
  • Assist you in getting answers to insurance questions
  • Answer questions and coordinate your hospital care

You may call the nurse manager before or after surgery to ask any questions or raise concerns about your surgery at 276-676-9360. Please leave a message and your call will be returned as soon as possible.

Pre-Admission Testing (PAT)

When you are scheduled for surgery, your physician's office also schedules you for pre-admission testing (PAT). Please see the first page of this notebook for date and time. Follow the instructions given to you at your physician's office, and report to the Outpatient Department at Johnston Memorial Hospital at the appropriate time. When you report for pre-admission testing, you will be asked for the following information in order to pre-register you for surgery:

  • Patient's full legal name and address, including county
  • Home phone number
  • Your current insurance card and driver's license or photo ID
  • Patient's employer, address, phone number and occupation
  • Emergency contact information (name, address and phone number)
  • Current medication list (bottles preferable) for accuracy

Pre-Admission Testing will include:

  • Obtain medical history
  • Assess & plan for your specific care needs such as anesthesia and medical clearance for surgery
  • Complete testing: labwork, EKG and chest X-ray

Start Preoperative Exercises

Many patients with arthritis favor their joints and thus become weaker. This interferes with their recovery. It is important that you begin an exercise program before surgery.

Attend Preoperative Class 

A special class is held the first and third Tuesday of each month at 1:30 for patients scheduled for joint replacement surgery. Your surgeon's office has given you a schedule of when this class is offered. You will only need to attend one class. Select a date that is convenient for you to attend; class is held in the cafeteria on the second floor. No registration is required.We recommend that you bring your "coach." The coach's role will be explained in class.

Billing for Services

After your procedure, you will receive separate bills from the surgeon, anesthesiologist and the hospital.

Please review "Patient Bill of Rights"

Pre-op Class Information Includes: 

  • What to Expect Each Day You're in the Hospital
  • Pain Control
  • Drains
  • Signs and Symptoms of Infection and DVT
  • Physical and Occupational Therapy
  • Introduction to Equipment and Assistive Devices
  • Hip and Knee Precautions
  • Role of Your "Coach" / Caregiver
  • Discharge Planning
  • Questions and Answers