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Pre-Admission Testing

Soon after you decide to have joint replacement, your surgery scheduler will arrange an appointment at BIDMC's Pre-admission Testing Center.

Where is the pre-admission testing located?

Pre-admission testing is located on the third floor of the Clinical Center on our west campus.

The Clinical Center is on Deaconess Road, off of Brookline Avenue. You may park your car in the Pilgrim Garage on Crossover Street, which can be reached by either Pilgrim Road or Autumn Street. If you prefer, valet parking is available at the Clinical Center entrance. For directions to the hospital, please call 617-667-3000.

How long is the pre-admission appointment?

The goal of this appointment is to ensure that you are well prepared for surgery by having important tests and consultations completed at a single, convenient location. However, this is a lengthy process that may take up to four hours to complete.

What will happen at the pre-admission appointment?

At this appointment:

  • You will meet with an anesthesiologist and/or anesthesia nurse practitioner who will examine you and will ask about your health history.
  • You will receive important information about your surgery and will have the opportunity to ask any questions you may have.
  • Arrangements will be made for you to have x-rays or any additional tests that might be recommended, such as an electrocardiogram (EKG).
  • If you need to see additional specialists before your surgery (such as a cardiologist or pulmonologist), these visits will be arranged for another time.
  • If you have been advised to donate some of your own blood prior to surgery, a separate appointment at a blood donor center will be made.
  • You will be screened to see if certain strains of a bacteria called Staphylococcus aureus are present on your body. This is important information that is helpful in reducing infections in our surgical patients. During your pre-admission visit, a nurse will place a Q-tip-like swab gently inside your nose and rub it against your nasal tissues. The swab is sent for culture in order to screen for the bacteria. You will be given more information about this screening during your pre-admission visit.

Do I have to attend the pre-admission appointment?

In order to have your surgery on the scheduled date, you must attend the pre-admission appointment. This is for your safety.

How do I prepare for my pre-admission appointment?

Please follow these guidelines to be sure you are ready for your pre-admission appointment:

You will be told which medicines, if any, you need to stop before surgery. Be sure you understand how to take and/or adjust your medicine before your operation. Please ask about:

  • Blood-thinning (anticoagulation) medication such as warfarin, Coumadin, Plavix, aspirin, Motrin, Aleve, etc.
  • Prednisone or other steroids, methotrexate, Plaquenil, or other immunosuppressant medications
  • Medicine for diabetes (insulin or oral diabetes medication)
  • Vitamin E and any herbal supplements (eg, garlic, ginger, ginkgo, dong quai [angelica], ginseng, St. John's wort). In general, these should be stopped one week before surgery.

Contact Information

Joint Replacement and Reconstruction
Carl J. Shapiro Department of Orthopaedics
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston, MA 02215
617-667-3940

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