The Total Joint Center
If you would like additional information about the Total Joint Center or
wish to make an appointment, please call 401-793-5852.
Total Joint Center Physicians
What You Should Know About Your Surgical Experience:
Enter through the main entrance of the hospital at the time you were instructed to arrive. Very early in the morning, there is no valet parking; however, your family can park in the lot directly across the street after dropping you off. After 7 a.m. free valet parking is available to you and your family. The time you are asked to arrive is usually 1.5 to 2 hours before your surgery will begin.
Registration: The admitting office is located across from the information desk. The admissions staff will ask to see your identification and insurance. They will provide you with a name bracelet and register you for your surgery and hospital stay. The admitting staff will escort you to the surgical unit, located on the second floor of the Baxt Building.
The Surgical Liaison Desk and Waiting Area: The liaison will familiarize you and your significant others with the surgery suite and waiting area, which has free internet connection, television, and comfortable chairs. There is a monitor in the waiting area that displays the progress of surgery so that significant others can track your progress throughout your surgery. For confidentiality, your name is replaced by a number, and this information is only given to your loved ones. The liaison will provide additional communication as needed.
Pre-Op or Holding Unit: The pre-operative (pre-op) department completes your preparation for surgery. You will be asked to change into a hospital gown, and an intravenous line will be started. Your personal belongings and clothing will be placed in plastic bags and labeled with your name. A team of nurses, surgeons and anesthetists will review your paperwork, vital signs and laboratory results. You will be asked by the hospital staff to recite your name, date of birth, and site and side of surgery. This is a normal part of the routine safety checks done in preparation for surgery. Any additional blood work or testing will be completed.
You will see your surgeon in the pre-op area. After reviewing the surgical paperwork and answering any questions, he or she will mark where surgery will occur with his or her initials.
Anesthesia: Anesthesia is administered to make you comfortable and pain-free during surgery. The anesthetist will talk with you and your surgeon to decide which type of anesthesia is best for you and whether you will be completely asleep or sedated with a spinal anesthetic during your surgery. Depending on your surgery, the anesthetist may give you a local nerve block to help with pain both during and after the surgery.
Surgery: After all the pre-operative checks have been completed and you have seen your surgeon and anesthetist, you will be taken into surgery. You may be given a sedative to make you sleepy at this time. Once you are in the operating room (OR), the OR staff will make you comfortable, the anesthetist will administer your anesthesia, and the surgeon will begin the operation.
Post Anesthesia Care Unit: Once your surgery is completed, you will be transferred to the Post Anesthesia Care Unit (PACU). When you wake, you will have an oxygen mask on your face, a blood pressure cuff, a heart monitor, and devices on your feet or legs that help circulate blood. You may also have a urine catheter.
It is the nurse's responsibility to make sure that you wake from anesthesia safely, that your heart and breathing are normal, and that you remain comfortable after surgery. The nurse will ask you to rate your pain according to a 0 to 10 pain scale and will give you pain medication as needed to keep you comfortable. Your length of stay in the PACU will be at least two hours and could be longer depending on the type of surgery, type of anesthesia, and any medical conditions you may have. For example, if you have sleep apnea, you may stay in the PACU for up to five hours.
Visitors: One visitor will be invited into the PACU to see you for a five-minute visit after you are out of surgery and beginning to wake up. The PACU nurse will call the liaison when it is time for this visit. Your loved one will be escorted to the PACU.
Once you are ready to leave the PACU, you will be taken to 3 North, the nursing unit directly above the surgery suites. Your hospital stay begins once you arrive on 3 North.