Benjamin Domb, M.D.
Discharge Protocol for Hip Replacement and Resurfacing
• Take 10 deep breaths each hour • Get up and walk every hour. Walk as much as possible. • Use walker only as needed. Progress to full weight-bearing as quickly as
• Keep incision dry until 5 days after surgery. Then may begin showering. • Do not bathe or swim until incision completely healed. • Home health nurse, if applicable will visit you in your home. Please share
• Home physical therapist will also visit you in your home for the first 2 weeks
post-op. As soon as possible, you should transition to therapy in an outpatient physical therapy center.
• Keep your post-op visit with Dr. Domb or his Physician Assistant at 10-14 days
Instructions for Home Health Nurse:
• See patient once daily for 3 days, then 3x/week for 2 week. Check vital signs and
• If on Lovenox in hospital, discharge on Lovenox for 2 weeks, then convert to
• If normally on Coumadin at home, discharge on Lovenox and regular dose of
Coumadin, discontinue Lovenox when therapeutic on Coumadin. PLEASE REQUEST PRIMARY CARE PHYSICIAN TO MANAGE COUMADIN.
• Instruct on incision care, pain management, and hip precautions (posterior THAs
• May get incision wet in shower 5 days after your surgery. No baths or swimming
• Silver dressing may stay on for 7 days. Only remove if need for incision checks.
• Let steri-strips fall off on their own. • Patient should return to Dr. Domb’s office for incision check at day 10-14
• Also patient should follow up with Dr. Domb at 14 weeks post-op.
• Anti –embolism stockings to be worn for 4 weeks.
Instructions for Home Physical Therapy:
• See patient for 3x per week until able to transition to outpatient PT center. Please
encourage transition to outpatient PT center as soon as possible.
• Weight bear as tolerate, unless otherwise stated. • May obtain a rolling walker, raised toilet seat and /or any other assistive device if
• Instruct on hip precautions (posterior THA only) and on home safety. • Increase mobility with gait training, transfers, and stair climbing. • DO NOT DRIVE UNTIL CLEARED BY MD.
If Discharged to Skilled Nursing Facility or Rehabilitation Facility:
• Physical therapy twice daily & Occupational therapy to evaluate. • If on Lovenox in hospital, discharge on Lovenox for 2 weeks, then convert to
• If normally on Coumadin at home, discharge on Lovenox and regular dose of
Coumadin, discontinue Lovenox when therapeutic on Coumadin. PLEASE REQUEST PRIMARY CARE PHYSICIAN TO MANAGE COUMADIN.
• Instruct patientt on incision care, pain management, and hip or knee precautions. • May get incision wet in shower day 5 after surgery. No baths or swimming until
• Silver dressing may stay on for 7 days. Only remove if need for incision checks.
• Let steri-strips fall off on their own. • Patient should return to Dr. Domb’s office for incision check at day 10-14
• Also patient should follow up with Dr. Domb at 14 weeks post-op.
• Anti –embolism stocking to be worn for 4 weeks.
R.N: Please fax to rehabilitation center or Home Health Agency
For questions, please email call 630-455-7130.
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Benjamin Domb, M.D. 
