What happens during the pre-admission appointment?

At your pre-admission appointment you’ll have an opportunity to discuss your general health, your medical history and any allergies you may have.

  • Please bring any relevant documents and a list of medications. Make sure to tell the nursing staff  if you’re taking blood thinning tablets including aspirin, warfarin, clopidogrel, rivaroxiban or dipyridamole
  • The nurse will fill in a number of forms and make a list of any medication you’re taking, including homeopathic remedies
  • You will be asked about your lifestyle, including whether you smoke and how much alcohol you drink
  • You may have blood tests, an ECG and X-rays which helps us to assess the risk of any complications. We will also take swabs to check your MRSA status
  • You’ll have a chance to discuss your anaesthetic and any concerns you may have about the risks of surgery, as well as to ask questions about any aspect of your surgery or recovery including pain relief
  • If you have a long-term illness, heart, lung or metabolic (diabetes, thyroid) condition the anaesthetist may wish to meet with you to ensure that you’re fit for surgery.
  • At your pre-admission appointment you’ll be given instructions about fasting before your surgery. It’s important to follow these or your surgery may be cancelled.
  • Please let us know about any special dietary needs.

A few days before

A few days before your surgery we’ll give you a call to check everything is OK. We’ll also confirm your times and discuss any medications.

Now is a good time to think about your post-op goals. Think of any activities that you may have had to give up, or restrict, and set yourself some short and long-term goals. This can help you to think more positively about your surgery.

The day before your surgery

Try to have a restful day and get a good night’s sleep. It’s a good idea to have a bath/shower, cut your finger and toenails, and wash your hair so that you’re as clean as possible when you arrive for surgery.

Eating and drinking

We recommend eating a carbohydrate-heavy meal such as a pasta based meal. As you will be fasted for your operation, having a good meal the night before prevents the body going into starvation mode, and will improve the speed of your recovery.

For surgery scheduled in the morning:

  • no eating/drinking from midnight onwards.
  • however, you should drink clear fluids (400mls of clear apple juice, ribena or black tea or coffee with sugar) at 6am.
  • take your normal medications unless we’ve advised you not to.

For surgery scheduled in the afternoon:

  • no eating/drinking from 7am onwards.
  • however, you should drink clear fluids (400mls of clear apple juice, ribena or black tea or coffee with sugar) at 10am.
  • take your normal medications unless we’ve advised you not to.

What to bring with you to hospital

The checklist below is designed to help you prepare for your hospital stay

  • All medication (including any homeopathic remedies) in original containers
  • Spectacles, dentures and hearing aids
  • Any walking aids you already use
  • Your Patient Guide
  • Toiletries
  • Daywear – loose, lightweight comfortable clothing
  • Nightwear and dressing gown
  • Comfortable adjustable shoes/slippers/trainers (your foot may swell after your surgery)
  • Comfortable, loose fitting everyday clothes
  • Tablet/music player with headphones (if you wish) wifi is available
  • Mobile phone (please use this with consideration for others)
  • A small amount of money (for magazines etc)
  • Books, puzzles etc
  • Antiseptic hand wipes to use before and after meals

Fortius Joint Replacement Centre
at Bupa Cromwell Hospital

164 -178 Cromwell Road


Appointments: +44 (0)203 693 2119

Copyright ©2017 Fortius Group Powered by Fortius Digital | Registered in England and Wales. 12345678