Post Operative Instructions

Post Anesthesia - Discharge Instructions

PHYSICIAN'S ORDERS


Weight Bearing

  • Weight Bear as Tolerated
  • Weight Bear HEEL ONLY for ________ weeks / days
  • NO Weight Bearing for _______ weeks / days
  • Use Crutches
  • Use Walker
  • Knee Scooter

Post-Op Shoe / Boot

  • Wear post-op shoe / boot at all times for ________ weeks
  • May remove post-op shoe / boot to sleep only

Driving

  • Driving as tolerated wearing:
    • Regular shoe
    • FLAT black shoe only (no wedge shoe)
  • NO driving for ________ weeks / days

Dressing

  • Do NOT REMOVE bandages
  • Dressing changes:
    • Wash hands prior to dressing change
    • Remove dressing in ________ days
    • Clean incision with alcohol
    • Place smear of antibiotic ointment over incision site
    • Cover incision with gauze
    • Once dressing is changed, change daily and follow instructions above
    • Keep dressing clean and dry for _______ weeks
    • May shower after ________ weeks
    • Apply smear of antibiotic ointment to site prior to showering

Sutures

Return to Dr. Switaj’s office in ________ week(s) for suture removal / wound check

Circulation

  • Check circulation of toes. Notify your doctor's office of changes in color or temperature. Toes should be warm and pink.
  • UseCryocuff (cooling) device as instructed. Do not start until nerve block has worn off and sensation has returned.

Additional Information

  1. The medicine used for anesthesia / sedation will be acting on your body for the next 24 hours, so you may feel sleepy. This feeling will slowly wear off.
  2. While you are taking pain medication (narcotics), you should not drive a car, operate machinery or power tools, drink any alcoholic beverages (including beer) or sign any legal documents.
  3. You will need a responsible adult (18 or older) to stay with you for the next 24 hours for your safety and protection.
  4. You WILL have pain or discomfort after this procedure. Your doctor will prescribe pain medication for you. This should be taken as directed, and if it does not improve the pain, contact your doctor.
  5. After general anesthesia, start with a light diet such as liquids (soft drinks, tea, gelatin or broth), then soup and crackers and gradually increase to solid foods as tolerated. It is very important to drink liquids during the next 24 hours.
  6. If unable to urinate within 12 hours of your surgery, contact your doctor and proceed to the nearest Emergency Room for a void trial, an evaluation of post-surgical delay in urination.
  7. A low grade fever following surgery is common. If you do feel warm, take your temperature. If the temperature is 101.5 F (38.5 C) or higher, call your doctor.
  8. ELEVATE your foot above the level of your heart as much as possible for the first 5-7 days to reduce swelling and discomfort.
  9. Do NOT remove bandages unless specifically instructed to do so.
  10. Some blood soaking through the bandage may be expected. You can reinforce with clean gauze and ace wrap as needed. If bleeding doesn't stop after two (2) days, contact your doctor's office.
  11. Do not get bandages wet while bathing. Cover your leg with a plastic wrap with the open end taped around your leg and a clean dry washcloth inside the bag covering the top of your bandage, and KEEP IT OUT OF THE TUB / SHOWER. If may help to sit on a stool in the tub / shower with the leg out. If your splint gets wet please call clinic immediately.
  12. If you have any questions or concerns, call your doctor.

Return Appointment: Date: ___________________________

Physician: __________________________________________________ Date: __________

These discharge instructions have been reviewed by the patient / responsible adult and they have received a copy.

Nurse: ____________________________________________________ Date: __________

Patient / Responsible Adult Signature: _____________________________________________________