DOCUMENT SUITE
Surgical Care Path and Measurement Framework
The Hip & Knee Surgical Care Path and Measurement Framework represent the core essence of better bone and joint health in Alberta. This integrated path has demonstrated that evidence based, collaborative, and integrated approach to surgical management has positive system and patient outcomes.
2024_Hip and Knee Surgical Care Path (PDF)
2024_Hip and Knee Measurement Framework (PDF)
The care path and measurement framework are provincially endorsed documents made up of instructions and performance indicators that are evidence-based and derived from clinical consensuses. It guides the collaborative workflow between the interdisciplinary teams at hospital and central intake clinics.
Learn more:
Surgical Order Sets
The provincial H&K Arthroplasty Order Sets were released in 2019 to complement the H&K Surgical Care Path. These order sets incorporate specific care recommendations for patient activity, fluid and nutrition intake, medication treatments and discharge plan throughout the patient’s journey.
There are three types of order sets, including:
1. Total Hip/Knee Pre-operative Clinic Orders
2. Total Hip/Knee Pre-operative Same Day Admission Orders
3. Total Hip/Knee Post-operative Orders
The paper versions of these order sets are available through the DATA group.
Teaching Materials
All patients referred to the clinics can be provided with the following OA Education Self-Management Toolkit. This booklet and appended tools provides the patients with introductory information about OA and conservative treatment options to explore while they wait for a consult with a surgeon, and possibly surgery:
OA Education Self-Management Toolkit
All designated surgical patients are provided with comprehensive guides and required to attend a teaching class two weeks prior to their surgery. These guides provide essential information on what to do before, during and after the replacement surgery, how to manage your pain and use walking aids for rehabilitation.
When You’re Having A Hip Replacement [DATA: 605073 (2020-07)]
When You’re Having A Knee Replacement [DATA: 605074 (2020-08)]
Hip and Knee Arthroplasty: Managing Pain After Surgery (PDF)
Walking Aids for Hip and Knee Replacement Patients (PDF)
Day Surgery
The Day Surgery materials complement the existing Hip & Knee Surgical Care Path, and the Supporting Suite of Documents (i.e. H&K Measurement Framework, H&K Provincial Order Sets, etc). Consider the below materials for a surgical Hip & Knee Arthroplasty patient who may be considered a day surgery candidate, and to reduce length of stay.
Exclusion Criteria for Day Surgery Candidacy
Medication Protocol for Day Surgery
Managing Waitlists – Guidelines for H&K Consultation and Surgical Waitlists in Alberta
Surgical Discharge Summary Form
This provincial tool assists nurses with summarizing discharge instructions and best recovery practices for patients after a hip or knee replacement.