Biomet is now Zimmer Biomet

Pre-Assess Nurse

"I think the more informed they are the less anxious they get and they feel more supported..."

Janet Musaka

I’m a pre-assessment nurse, so basically what we do is we take a history from the patient and we do any necessary investigations, then make sure really that they are fit to come in for their procedure. 

It means their length of stay in hospital is not as long and it means they’re more active which means it reduces risks of things like DVTs, and it gives them confidence as well to know that they can start mobilising as soon as.

Mainly it’s to do with things like X-rays, because sometimes we do give them a ring a few weeks before the operation date to make sure everything is in order and they still want to go ahead with the operation, and sometimes we ask them to do X-rays and the like, so that will be the time really to tell them where to go for their X-rays.  Some patients are actually brought forward so that would be the time to tell them when to get their bloods done and where to go for their bloods and things like that.

We’re normally the first ones to speak to the patients.  We just ask them if they have any queries really to do with their investigations before assessment. As I said before, what we do is make sure that they are medically fit to go ahead with the surgery so any investigations we do we follow up, and make sure everything is within the expected limits before they come in.

Depending on whether they are having a knee or hip we normally have a booklet with knee or hip information; that’s what they can expect, the diagram of what is going to happen, anaesthetic information, exercise information in the booklet as well.  The pack also encompasses OT stuff, that’s the measurements on the height of chairs and everything else and information about their coach as the person who is going to help them during their recovery after they’ve been discharged.

When we see them in pre-assessment we give them all this information, they take it home with them which means they have enough time to actually read the information pack, so by the time they come to Joint School they actually have an idea of what they can expect; what’s going to happen, and most of them normally fill in the occupational leaflet before they come in.

I think the more informed they are the less anxious they get and they feel more supported, they have confidence in the system, they actually acknowledge that people know what they are doing, so in a way yes, it does help.

At Joint School what normally happens is we are normally the first ones to speak to the patients, we just go over any queries that they have to do with things like investigations; that’s may be blood tests, urine test, X-rays and stuff like that.  We make sure that all these are done beforehand and that they are all within normal range before they actually come in.

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