Total Shoulder Replacement Pre-Surgery Checklist

o I have attended my preop physical exam with my (PCP) primary care doctor

• I know which medications to hold or continue before surgery. If I do not know, I will ask my PCP or the optimization RN.
• I will inform the optimization RN if I am taking any of the following medications: GLP-1, blood thinners, Estrogen or HRT, Chemotherapy, and Immunosuppressive drugs including biologics.
• I had my blood drawn and MRSA nasal swab.
• I will call my PCP and surgeon if I have any skin concerns (i.e. rash, open wound, skin redness) or if I become ill (i.e. fever, shortness of breath, productive cough, vomiting/diarrhea etc.) prior to surgery.

o Prior to surgery

• My support person should be willing and physically able to assist with driving to post op appointments/physical therapy, help with meals, assist with dressing and activities of daily living if needed, keep track of medications, assist with physical hygiene if needed etc. An adult will stay with me 24/7 for at least 72 hours at home.
• I will not drink alcohol, smoke/vape/chew tobacco or do recreational drugs including but not limited to marijuana/THC gummies 1 week before surgery or longer if directed by the optimization nurse or surgeon. If I do not follow these instructions, surgery could be cancelled.
• If ordered by my surgeon, I have my CPM (continuous passive motion) machine and cooling machine. The equipment company will contact me 7-10 days before surgery. They will go over cost, deliver to my house, and instruct me how to use the equipment.
• If ordered by my surgeon, I am scheduled for my 1st post op physical therapy appointment
• I will not shave my surgery site 7 days before surgery.
• I have my skin prep soap with an instruction sheet and understand how to use it.
• I will pick up my post op medications the day before surgery and leave them at home (i.e Tylenol, stool softener/laxative, blood thinner if needed and prescribed pain medication).
• I will receive a text message or phone call from the surgery center 1 business day before surgery with my registration time and when to stop eating/drinking.
• I should drink a serving of Gatorade prior to the clear liquid cut off time.

o Day of surgery:

• I will walk into the main entrance and go to the left for registration.
• I will bring my photo ID, insurance card, sling (If I received one before surgery; If not, one will be dispensed day of surgery), and an extra set of loose comfortable clothes (elastic waist bottoms and an oversized shirt).
• I will not bring any controlled substances (i.e. narcotics).
• I will not bring money or valuables to OSI unless I have been instructed that I have a copay.
• My support person should wait at OSI the whole time if possible. Let the registration staff know if the support person is leaving to get lunch etc. and communicate when they should return. The support person must be present for home instructions. If there is more than one support person, one person will be allowed back in recovery at a time.
• The nurse will be going through home instructions on the day of surgery including incision care and dressing changes, showering, activity level instructions, infection prevention, etc.
• After surgery, the goal is to be out of bed within 1 hour or as soon as physically capable. Anticipate being discharged within 2 hours after surgery.
• I will be discharged to home the same day of surgery after I meet the following criteria:
• Urinate (without symptoms of urinary retention)
• Eat/drink well
• Adequate pain control

o A few reminders once I am home:

• My support person should walk with me every time I get up for a minimum of 24 hours to prevent falling.
• It is not uncommon to feel dizzy or lightheaded after surgery. Sit down or lie back slowly and elevate your legs. Place a cool compress on the forehead. Once symptoms improve, gradually rise from a seated or lying position. Be sure to drink adequate fluids (i.e sports drink, electrolyte drink, broth or soup). Avoid bearing down with bowel movements.
• I can call my surgeon’s clinic (920-560-1000) 24/7 if I have a concern that cannot wait until normal business hours.