1775 Thompson Rd, Coos Bay, Oregon 97420
(541) 269-8111
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Guiding our emergency and orthopedic clinic, our talented team of trauma orthopedic surgeons, along with our Joint Replacement Destination Center collaborating with local orthopedic surgeons, ensures you receive the best possible care and education throughout your entire health journey.
Bay Area Hospital has been a designated Joint Replacement Destination Center since 2017. The partnership with our community orthopedic physicians has supported the continued quality of care for total joint patients. In September 2023, Bay Area Hospital creatively responded to a community need and added Bay Area Orthopedics. This support is provided by orthopedic surgicalists who rotate 24/7 responsibility for covering orthopedic emergencies in the emergency department as well as inpatients who have had surgery and follow up care in the clinic afterward.
The orthopedic surgicalists rotate their time here at Bay Area Hospital. They hand off to the oncoming surgicalists. There are consistent staff within our clinic that also help to ensure your needs are being met.
Most orthopedic injuries that require admission to the hospital and surgery will need 1-3 nights in the hospital. That can vary depending on a wide variety of factors like the severity of your injury, your mobility with Physical Therapy and Nursing staff, and what type of assistance you need after you are medically ready to leave the hospital. A team of nurses, case managers, physicians, and physician assistants will all work together to get you back to your previous level of independence.
Bay Area Orthopedics has an outpatient clinic located on the second floor of the Hospital near the surgery family waiting room. Your follow-up appointment will be scheduled before you leave the hospital, and on the day of your appointment you check in at registration then head to Radiology for x-rays, and then to the clinic.
Usually, the surgeon you meet in the Emergency Room will be the one to do your surgery. Occasionally, however, surgery must be delayed for medical reasons and a different surgicalist might take over your care and complete your surgery.
The hospital has equipment for use during your stay, but you may bring your own equipment. Your physical therapist can ensure your equipment is properly fit and in good working order. Be sure to label your equipment with your name.
You will have an Aquacel AG dressing placed at the time of discharge. You will not need to change this dressing. You will leave it in place for seven days, then remove it and discard. By this time, you should no longer need a dressing, however, if you want to cover it with gauze to keep the staples from catching, you can purchase gauze at any pharmacy.
You will be given tools for activities of daily living by your occupational therapist while you are in the hospital. However, if you need a walker or a raised toilet seat, you may want to shop at thrift stores. Not all insurance companies, including Medicare, cover equipment needs, so know your insurance benefits. If you don’t have what you need by the time you have surgery, your case manager can assist.
Your family and friends can wait in the family waiting areas until you are settled in your room and all needed nursing assessments are completed. Rest is important and is frequently interrupted by hospital staff. You can request “No visitors,” even if it’s for only a short time during your day. Family members or friends who are ill should wait to visit until they are feeling well again. All visitors should wash or sanitize their hands before and after the visit. We realize the importance of the support of family and friends for your social and emotional well-being. Your room has been designed to accommodate them.
To allow your body to recover from anesthesia and decrease problems with nausea and vomiting, gradually taking fluids and food is best. You will start on clear liquids and advance to a normal diet as tolerated.
You will be assisted to reposition in bed for your comfort or dangle your feet at the bedside with assistance. You will start your activity with the physical therapist and/or a nurse on the day of your surgery.
If you feel the need to empty your bladder or for a bowel movement, we will provide assistance to the bathroom toilet or bedside commode depending on your abilities and tolerance.
The nursing staff will provide assistance to freshen up daily. As you are able to do more, we will encourage you to bathe yourself daily. We will provide you with disposable bath wipes for your bath because they have been proven to be more effective for infection control than bathing with a basin.
Most surgeons will leave the surgical dressing intact after surgery. Your dressing may need to be changed depending upon any wound drainage. Your dressing will be changed prior to discharge. You will receive discharge instructions on wound care and dressing changes before going home.
Your length of stay depends on the goals to be accomplished and how you progress after surgery. Certain goals will need to be accomplished before you go home, like walking with minimal assistance and pain managed on oral pain medications. Some patients may discharge the same day as their surgery while others may have a one- night stay. Your discharge will be when it’s clinically appropriate.
You may go home in a private vehicle of your choice. Be sure the vehicle has plenty of legroom, a seat that reclines and is not too high or too low to get in and out of safely. You will need assistance with transfers in and out of the vehicle until you are stronger and able to do more for yourself. Local transportation services to home are available. There is a fee for this service. Let your nurse or discharge planner know if you would like this arranged.
Depending on your health history, you may be placed on Xarelto (rivaroxaban) or a coated Aspirin. If you are currently taking a blood thinner, you generally resume taking the medication you are currently prescribed after surgery. You will be provided education and written information on what blood thinner you’ll be taking after you discharge home and what to monitor while on this type of medication.
You will need to continue to take pain medication two or three times a day — more if needed — to adequately control your pain when you go home. Ice can be helpful to control swelling and relieve pain. The need for pain medication should lessen within a week. Notify your physician if your pain is not relieved by medication and other therapies used.
Your physical therapist will teach you how to safely climb up and down steps or stairs. If your environment at home has steps or stairs, you may want to modify your living situation so you do not have to climb up and down steps or stairs on a daily basis.
This is usually done during your first follow-up appointment with your orthopedic surgeon or physician’s assistant about 1 ½ to 2 weeks after surgery.
You need to be aware of certain precautions with regard to positions during intimacy. Talk with your orthopedic surgeon at your first follow-up appointment.
You will have a modified lifestyle during the first six weeks with limited activities and can return to normal daily activities within three to six months.
Certain activity restrictions may keep you from driving safely. You will need to have someone drive you to your appointments until these restrictions are no longer a consideration. Talk with your surgeon during your follow-up appointment.