Proper preparation for orthopedic surgery can significantly improve your experience and outcome. For Alaskans, preparation involves standard pre-surgical steps plus unique considerations related to geography, weather, and remote living. This comprehensive checklist helps you prepare for surgery whether you live in Anchorage or a remote village.
Four to Six Weeks Before Surgery
Schedule and complete your pre-operative medical clearance with your primary care physician. This visit ensures any medical conditions are optimized before surgery. Complete any recommended pre-operative testing including blood work, EKG, and chest X-ray. Begin pre-habilitation exercises as recommended by your surgeon to strengthen muscles around the surgical area.
Address dental work before surgery, as dental infections can increase the risk of surgical infection. Review your medications with your surgeon and primary care doctor, as some medications (especially blood thinners) need to be stopped before surgery. Arrange for someone to drive you to and from the surgical facility and stay with you for the first 24 to 48 hours after surgery.
Two to Four Weeks Before Surgery
Set up your recovery area at home. For lower extremity surgery, arrange a first-floor sleeping area if your bedroom is upstairs. Install grab bars in the bathroom, obtain a raised toilet seat, and get a shower chair or bench. Remove throw rugs, electrical cords, and other tripping hazards. Stock your kitchen with easy-to-prepare foods and drinks.
Arrange for help with daily tasks during the initial recovery period, including meal preparation, laundry, pet care, and snow removal during winter months. If you live alone, consider arranging for a family member to stay with you or hiring home health assistance.
For patients traveling from remote communities, book flights and lodging well in advance. Many surgical patients from rural Alaska stay at patient housing facilities associated with ANMC or local hotels near their surgical facility. Plan for a stay of at least 1 to 2 weeks for post-operative follow-up appointments before traveling home.
One Week Before Surgery
Fill prescriptions for post-operative medications so they are ready when you return home. Complete any pre-operative errands including grocery shopping, mail hold requests, and arranging bill payments during your recovery. Confirm your surgery time, arrival time, and any final instructions from your surgeon's office. Pack a bag for the surgical facility with loose, comfortable clothing, your insurance cards, identification, medication list, and any personal items.
Day Before Surgery
Follow your surgeon's specific instructions regarding eating and drinking before surgery. Most patients are asked to stop eating at midnight before a morning surgery. Take only the medications your surgeon has approved on the morning of surgery with a small sip of water. Shower with antibacterial soap as directed. Do not shave the surgical area. Get a good night's sleep.
Day of Surgery
Arrive at the surgical facility at your designated time, typically 1 to 2 hours before the scheduled surgery. Bring your identification, insurance cards, and any required paperwork. Leave jewelry, valuables, and unnecessary personal items at home. Wear loose, comfortable clothing that is easy to put on and take off after surgery. Your surgical team will review the procedure, obtain your consent, mark the surgical site, and prepare you for anesthesia.
After Surgery
Follow all post-operative instructions provided by your surgical team. Take pain medications as prescribed to stay ahead of pain rather than waiting for severe pain to develop. Begin the exercises recommended by your physical therapist. Keep surgical incisions clean and dry as instructed. Attend all follow-up appointments. Contact your surgeon's office promptly if you experience signs of infection, unusual swelling, or other concerning symptoms.
Special Considerations for Remote Alaska Patients
Patients from remote communities should ensure their village health aide or local clinic has copies of their surgical records and post-operative instructions. Establish a telemedicine follow-up schedule with your surgeon for appointments that do not require in-person examination. Bring adequate quantities of prescribed medications home, as refills may be difficult to obtain in remote areas. Plan your return travel for a time when your surgeon confirms it is safe to fly.