Pre-operative Assessment Clinic

 

The Pre-Operative Assessment Clinic is run by experienced nurses and healthcare assistants. The aim of the clinic is to determine if you are medically fit to undergo surgery: this process will usually take two – three hours. Please remember that it is important to bring all medication that you are taking, in its original packaging, to your appointment.


While we aim to have completed this process in one visit, some patients may be required to come back another day.


You will receive a comprehensive education, exercise and advice booklet. You should read your booklet and begin the exercises and healthy living advice before your operation.


At the clinic, you will be seen by:


Nurse: the nurse will examine you and ask you questions about your medical history, they will also take blood samples and start the paperwork that will follow you through your journey as a patient.


Occupational Therapist: Occupational Therapists will discuss and advise you on how you will manage everyday activities, including washing, dressing, getting around, bathing, preparing and eating meals, and any other enquiries you may have. They will assess your individual needs to determine any equipment requirements and arrange for them to be delivered to your home, to make sure they are ready for you to discharge.


Anaesthetist: You may also see an anaesthetist who will explain anaesthetic and pain relief choices available to you.


Joint School: Joint school is a group session with other patients having hip or knee surgery that is aimed towards educating you about the process of your surgery and how you can be actively involved in your recovery.


At the clinic, you may be required to undergo the following tests:


Blood tests: It may be necessary for the team to perform blood tests during your visit. This may include a full blood count, clotting tests and kidney function tests. This can tell us what is normal for you and identify any conditions, such as anaemia, that may need corrected before surgery.


X-ray: We may need to get an up to date X-ray of your Knee when you come to clinic.


Urine test: The team may require a urine test to screen for infection. If positive, a course of treatment will be given and you will be re-tested again before surgery. Infections can delay your operation and it is important to get them treated.


MRSA swab: The team may need to perform an MRSA swab to screen for infection. If positive, a course of treatment will be given and you will be re-tested again before surgery. Infections can delay your operation and it is important to get them treated.


CPE test: Carbapenemase-Producing Enterobacteriaceae (CPE) screening. This is to screen for infection.


ECG: You may undergo an ECG: this is used to detect problems with the heart such as abnormal heart rhythm. This may need to be carried out before your operation if you are over 60 with chest pain or a history of heart disease and are undergoing major surgery.

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