Preparing for Surgery
We encourage you to watch this video if you are due to undergo hip or knee replacement or revision surgery at NOHC. Good preparations reduce your risk of complications and improve your recovery, lifelong health and well-being.
This Pre-Admission Education video offers practical advice and recommendations for improving your physical health and home safety in the approach to surgery. It details the people involved in your care and explains what you can expect on the day of surgery so there are no surprises. It also provides postoperative exercises to assist recovery and a list of contacts you may find helpful.
If you are recommended for surgery, you will receive a letter from the Admissions Department confirming your name has been placed on the surgical waiting list. This letter will include a Preoperative Assessment Pack containing a:
- Medical Questionnaire
- Consent Form and
- Information on your surgical procedure
Please complete and return the Medical Questionnaire immediately, as failure to do so will delay surgery. Responses help us assess your health and surgical suitability and highlight potential risks.
Upon receipt of the completed form, a member of the Preoperative Assessment Clinic will contact you to discuss the information provided and arrange a Preoperative Assessment, if necessary.
Admission Date Confirmation
Once you are approved for surgery by the Preoperative Assessment Clinic, you will receive advance notice of your date for surgery. In addition, you will be given a sample Surgical Consent Form to review so that you can familiarise yourself with the content. You do not need to sign and return this form; another will be provided for your signature on admission.
Upon receipt of this letter, you must contact the Hospital to confirm your intention to attend. Failure to do so will result in the cancellation of your appointment. To confirm attendance or reschedule a surgical appointment, please get in touch with the Admissions Department:
+353 (1) 814 0334
This is an answering service only. Please confirm your name, patient reference number or date of birth and leave a short message indicating if you can attend for surgery on the proposed date. If you cannot attend, we will propose an alternative date for attendance.
Admission Date Reminder
A further letter will issue shortly before admission providing the following information:
- Consultant Orthopaedic Surgeon who will perform your surgery
- Details of your procedure
- Admission date and time
- Hospital charges
- Preoperative Instructions: relating to medication, fasting (if required), items to pack, and other advice relevant to your procedure and hospital stay.
Monday – Friday
We are constantly working to improve efficiencies at the hospital. For this reason, we assign individual admission times for patients over the day. Please refer to the Admission Date Confirmation letter for your personal admission time.
Day case injections: from 7.0am
Patients for admission and surgery who do not require an overnight stay at the Hospital: from 7.00 am
Patients for admission, surgery and inpatient care: from 7.00 am
Pre-arranged admission for patients requested to check in the day before surgery: 2.00 pm
If you cannot attend, please contact the Hospital at your earliest convenience to reschedule. Given sufficient notice, we may be able to offer your cancelled appointment to another patient awaiting treatment.
If you wish to reschedule or cancel an appointment, please get in touch with the Admissions Department:
Failure to Communicate Cancellation
If you miss an appointment and fail to contact us, your details will be removed from the waiting list.
When preparing for surgery, we recommend the following:
- Take a shower or bath the night before admission
- Remove nail varnish, false nails, piercings, false tan, eyelashes, hair extensions, and jewellery.
- Please refrain from applying body lotions.
- If you are having a general anaesthetic, we recommend you take a late supper before 10 pm the night before admission. Please do not drink anything (including water) from midnight onwards. The nursing staff may provide alternative fasting advice if you receive a late admission time.
- If you suspect you might be pregnant, please inform the Admissions Department. If pregnancy is confirmed, we will defer your procedure to a later date.
- If you are under 16 years of age, a parent or legal guardian must accompany you to the Hospital. And should you require inpatient care, a parent or guardian must remain with you for the duration of your stay.
- You should not wear removable braces and dentures during surgery.
Download “What to Bring?” Checklist
Medication and Medical Files
Soap and shampoo
Personal hygiene products
One month’s supply of prescribed medication in the original packaging
Books and magazines
Dressing gown – calf length
Pyjamas or Nightdress
Rubber-soled flat slippers
|Private Health Insurance Documentation||Medical Scans
MRI, CT, PET and X-ray scans, if available
Mobile phone, earphones and chargers
Tracksuit, loose-fitting top and shorts/skirt
For your next of kin and a second contact name and telephone number
Hospital/consultant/ doctor reports, if available
Hand and bath towel
|Comforters for Paediatric Patients
|Please do not bring large sums of money, laptops or valuables to the hospital. Unfortunately, we cannot accept responsibility for lost or damaged items.|
Insulin or Hypoglycemic drugs
If you are taking medication for the treatment of diabetes please do not to take medicines on the morning of surgery. Please bring your medication to the Hospital, for review on admission, ensuring medications are in their original packaging, with clear instructions for use.
Warfarin, Plavix, Nu-Seal Asprin, HRT, Oral Contraceptive Pill, Methotrexate, Arava, Kineret, Humera or Remicade
If you are taking any of the above drugs please refer to the information sheet provided by the Preoperative Assessment Clinic for advice. If you did not attend the Preoperative Assessment Clinic please contact the Medical Registrar at the Hospital for advice on medicine management.
If you are taking medication or herbal remedies, please consult the information sheet provided by the Preoperative Assessment Clinic or contact the Medical Registrar for advice. Please do not discontinue medication without consultation.
We recommend you arrive at the Admissions Department at the designated time. A team member will check your details, contact information and next of kin to ensure they are complete and accurate.
You will then be admitted and assigned to one of the hospital wards. When you arrive at the ward, the nursing staff will review your details again, answer any questions you may have, and help you to settle in. They will also run through your medications, ensure that you have followed preoperative instructions and confirm your expected discharge date so that you can plan your journey home and notify relatives. In addition, they will confirm your medical procedure and ask you to sign a Surgical Consent form.
We know medical terminology can be difficult to understand, especially if English is not your first language. If you require translation services, please contact the Hospital in advance of admission so that we can identify and engage the services of a suitable interpreter to assist you. Contact the dayward on + 353 (1) 814 0400
Before you undergo surgery, it is important that you receive detailed information on the surgical procedure, risks and benefits. This information will help you to decide whether you wish to proceed with the surgery. It will also set your expectations for recovery and assist your postoperative planning.
When you present for surgery you will be asked to sign a consent form confirming you have received and are satisfied with the information provided and that you wish to proceed. This is known as Informed Consent. It is a safeguard to ensure that you understand and accept the process, risks and benefits, and potential outcomes of surgery.
A parent or guardian must accompany patients under 16 years and will be required to sign consent for surgery on their behalf.