CAPE C CAPE COD SPORTS MEDICINE INC. OD SPORTS MEDICINE PO BOX 765 KNEE ARTHROSCOPY ORTHOPEDIC SURGEON 360 GIFFORD STREET ARGE INST RUCT IONS FALMOUTH, MA 02540 Donald E. O’Malley, M.D. OFFICE: (508) 540-0200 Karen A. Trait, PA-C FAX: (508) 540-0201 GENERAL INFORMATION:
1. You cannot drive home after surgery. Someone should drive you home and assist you into the house. Generally
you should not drive until you’ve had your sutures removed by our medical assistant.
2. Anesthetic agents can remain in the body for up to 36 hours after surgery. Therefore you should NOT drink
alcohol or make important legal decisions during this timeframe and have someone assist you over the 1st 24 hours after surgery.
3. Dr. O’Malley discussed your surgical findings with you in the recovery room. It is not unusual for you to have little
to no recollection of that. He will discuss your surgical findings in detail and show you the intra-operative pictures
at your post-operative appointment in 10-14 days.
4. If it was not already scheduled for you, please call our office at 508-540-0200 to book your post-op appointment. 5. Please do not shave your legs for 5 days prior to surgery- there is risk for accidentally cutting yourself and having
surgery cancelled due to having a cut on your surgical knee.
6. No NSAIDS for 7 days prior to surgery. This includes Aspirin, Motrin, Aleve, Ibuprofen and Fish Oil. 7. Absolutely nothing to eat or drink after midnight the night prior to surgery. This includes water, candy, gum,
ACTIVITY:
Generally you should be weight bearing as tolerated on crutches or a walker, whichever is more comfortable. You will be
given crutches at the hospital before going home. The Senior Centers sometimes have walkers available to borrow short-term.
Advantage Home Medical and Cape Medical Supply have walkers to rent or buy. You can discontinue your assistive device as soon as your leg feels comfortable and secure. It is okay to ambulate around the house as much as possible after your surgery. There
is a special Ice Pack on your leg with two gel-pads inside. You should have received two additional gel-packs to place in the freezer. Place ice on your knee for 20 minutes every hour you’re awake for the first three days. Thereafter you can use it as
needed, but especially after an exercise session. Ice is a natural anti-inflammatory and is very beneficial to use. DRESSINGS:
A clean & sterile dressing was placed on your wounds at the end of the operation. You may remove this bulky
dressing on post-operative day #5. Place Band-Aids over the small wounds and sutures. Replace the Band-Aids daily. Keep your bulky dressings clean and dry during the first five days. You may get your wound wet after you remove the bulky dressing on day 5.
MEDICATION:
You received a prescription for narcotic pain medication at your pre-op appointment. You can use extra-strength Tylenol
for mild pain or in between doses of pain medication. Narcotics can make you lightheaded, nauseous, confused and constipated. If these symptoms occur cut your dosage in half. Pain medication should be taken early in the pain cycle. It is harder to get rid of
pain once established. If you have NSAID’s (non-steroidal anti-inflammatory drugs) at home such as Motrin, Advil, Aleve or Ibuprofen you can take these for breakthrough pain and in combination with Tylenol. Please call us with any questions.
DIET: Your regular customary diet is recommended.
FOLLOW-UP APPOINTMENT: Make appt in 10-14 days. Call 540-0200 for appointment www.ccsportsmed.com
2011 Annual Report for HAP ORGANISATION: LUTHERAN WORLD SERVICE INDIA TRUST Introductory comments (history of accountability work in the organisation, HAP membership, accountability framework etc): Lutheran World Service India Trust (LWSIT) became a full member of HAP in May 2011. At the organizational level, there was a grievance redressal committee to address staff related iss
Trust Guideline All Sites Guidance on Prescribing in Situations not covered by the NHS All healthcare professionals must exercise their own professional judgement when using guidelines. However any decision to vary from the guideline should be documented in the patient records to include the reason for variance and the subsequent action taken. 2010 or sooner in respons