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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 can take from 3 to 4 hours. You can eat before your appointment (and you may want to bring a snack), unless your doctor has told you not to.

Pre-Admission Clinic
​​​​​​​Toronto Western Hospital
​Main Pavilion – 1st
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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 the medications you take in their original containers. This includes prescription medications, over-the-counter medicines, vitamins, supplements and herbal or natural products.
  • A copy of your power of attorney for personal care and/or advanced directives.
  • A list of any questions that you may have about the operation and recovery.
  • The name or phone number of your pharmacy, as well as any medical specialists that you have seen in the past 3 years. If you have had a cardiac stress test, echocardiogram and/or a pulmonary function test in the past 3 years, it would be helpful to bring a copy of the final report with you to this appointment.​​
What happens during my pre-admission visit?
  • You will have blood tests and routine skin swabs. 
  • The swabs are taken from your nose and other areas of your body to check for germs that can cause infections.
  • You may also need an electrocardiogram (ECG) to check your heart and a chest x-ray​ to check your lungs.
  • You will meet many health care providers during your pre-admission visit.  Please feel free to ask them any questions that you may have.
  • A pre-admission nurse will review your health history and give you information to prepare you for your operation, including directions for cleaning your skin, eating before operation, taking your medications and pain management. 
  • An anesthetist who will review your health history, discuss your anesthetic plan and pain relief after operation.
  • A pharmacist will review your medications.
Depending on your needs, you may also meet:​
  • ​A member of the medicine team, if you have other complex health problems.
  • A Clinical Nurse Specialist (CNS), or Nursing Coordinator, who specializes in the care of patients having your specific operation​. They will review any preparation that is required before your operation, plans for discharge home after operation and specific instructions regarding your recovery.
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.