You will receive a nasal swab test at at your Pre-Admit Testing (PAT) appointment
with the Ortho Nurse Practitioner. The test will take 3-5 days to get
the result. The results will be communicated to your surgeon before your
surgery. If the test is positive, further treatment will be provided on
the day of surgery to prevent an infection. A positive result means that
Staph is present (this referred to as being “colonized’) but
does not mean you have an infection or illness.
Showering before Surgery
To decrease the amount of germs on your skin, PVHMC is providing you with
a medicated soap called Chlorohexidine Gluconate 2% and instructions to
cleanse the skin the NIGHT before surgery and the MORNING of surgery.
You will receive the shower kit at your PAT appointment with the Ortho
Nurse Practitioner.
Pre-Surgical Clear Drink
At the PAT appointment with the Ortho Nurse Practitioner,
you will receive a pre-surgical clear carbohydrate drink. This drink is
part of your regimen for surgical optimization and recovery. Drink the
entire 10 oz three hours before surgery. Follow good dental hygiene after
drinking.
CHG 2% Showering
PVHMC's Showering Kit contains 2 bottles of the medicated soap called Chlorohexidine
Gluconate (CHG) 2%. Instructions will be provided to you at Joint Replacement
class and at the PAT appointment with the Ortho Nurse Practitioner. Follow
the instructions to ensure good preparation of your skin for surgery.
Day of Surgery
When you arrive to the holding room you will be given CHG cloth wipes to
wipe from the “neck down except the genitals” before you get
dressed in your hospital gown. Before surgery you will receive antibiotics
that are appropriate for you according to the nasal swab results.
Questions?
For any questions, call your Clinical Coordinator at PVHMC or call Pre-Admit
Testing at PVHMC at
909.865.9546.
References:vll 2/2016; EBBP: AAOS, Orthopaedic Infection Prevention and Control: An
Emerging New Paradigm. 2010. EBBP: IHI. How-to Guide: Prevent Surgical
Site Infection for Hip and Knee Arthroplasty. 2012. EBBP: AORN, Evidence
for Using Chlorhexidine Gluconate Preoperative Cleansing to Reduce the
Risk of Surgical Site Infection. Nov 2010.
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