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​​​Your Pre-Admission Visit

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If you are having a knee replacement, do not shave the hair on your legs 5 days before your operation.

Usually 2 to 3 weeks before your operation, you will have a pre-admission appointment at Toronto Western Hospital. This appointment could take up to 6 hours, or sometimes longer. You can eat before your appointment (and you may want to bring a snack), unless your doctor has told you not to. Please wear clothes that you can easily remove and put back on for examinations and tests.

Pre-Admission Clinic
​​​​​​​Toronto Western Hospital
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What should I bring to my Pre-Admission appointment?
  • Your health card (OHIP card), or another form of government-issued photo ID, such as a driver's license or passport.
  •  Any other insurance cards. You will need the policy number of your extended health insurance, if you have any.
  • Your spouse/partner, a trusted friend or family member (to offer you support and be a second set of ears).
  • All of your current medications in their original bottles or a list of all of your current medications.
  • Name/address of your pharmacy.
  • Name/address of your family doctor.
  • A list of any questions you may have.


What happens during my pre-admission visit?
  • The admitting clerk will register you.
  • We will conduct blood work and, if ordered, we will take an ECG and chest x-rays.
  • The nurse will ask about your health history and complete an in-depth assessment to help us manage your stay safely.
  • You may have an appointment with the anesthetist, if ordered by your surgeon. This is arranged if you have a history of heart problems, breathing problems, problems with anesthetics, or any other conditions in the past that your surgeon may want to assess.
  • You will see the pharmacist, who will record any medication you are currently taking.
  • You will be given instructions on how to take a chlorhexidine shower.
When do I start taking a chlorhexidine shower?
  • Chlorhexidine is an antiseptic soap that will help clean your skin, and help lower the chance of an infection.
  • Start taking a chlorhexidine shower every day, starting 4 days before your operation, and on the morning of your operation. You will take a total of 5 chlorhexidine showers.
  • You can buy this soap (also called Stanhexidine or Chlorhexidine Wash 2%) at the Shoppers Drug Mart in Toronto Western Hospital.
How do I take a chlorhexidine shower?
  1. Use the chlorhexidine soap from your neck to feet, washing the groin and anal areas last. Rinse the soap from your body.
  2. Use your usual soap/shampoo on your face and hair. Chlorhexidine can irritate your eyes and ears.
  3. Use a clean towel each time to dry yourself. Dry the groin and anal areas last.
  4. Do not use any lotion or powder after your shower.
  5. If your skin becomes irritated by the chlorhexidine soap, go back to your usual soap.