Appendix A: Care Protocol for Spinal Surgery Patient During Hospitalization

Index Day before surgery
(day of admission)
Day of surgery 1–2 days after surgery 3–5 days after surgery 6-7 days after surgery 8 days after surgery-discharge
Before surgery After surgery
Care and treatment * Measure height/weight
* Secure intravenous injection
* Remove hair from surgical area
* Fit brace
* Remove jewelry
* Remove dentures
* Remove underwear
* Remove makeup
* Remove nail polish
* Remove hearing aids
* Measure vital signs
* Observe surgical wounds
* Measure/observe total drainage amount
* Mediate pain intervention
* Possible to remove urine tube
* Possible to remove drainage tube depending on amount of bleeding
* Simple dressing
* Possible to remove drainage tube depending on amount of bleeding
* Simple dressing
* Simple dressing * Simple dressing
* Remove the stitches
Examination * Check whether blood test and x-ray were done at an outpatient clinic * Blood test * Move to the ward after x-rays * Blood test (Monday, Thursday)
* Take x-rays (7 days and 14 days after surgery)
* Blood test (Monday, Thursday)
* Take x-rays (7 days and 14 days after surgery)
Diet * Regular diet
* Fast after midnight and do not drink water
* Fasting * 8 hours after surgery (after checking whether diet is possible) water/thin rice gruel are okay * Regular diet * Regular diet * Regular diet * Regular diet
Medication * Taking self-medication according to directions * Taking self-medication according to directions * Inject antibiotic medication
* Inject cough and phlegm medication
* Inject stomach-protectant medication
* Take oral medication * Inject antibiotic medication
* Take oral medication
* Inject antibiotic medication
* Take oral medication
* Take oral medication
Activity * Daily activity * Daily activity and relaxation * Bed rest * Bed rest
* Walking
* Walking * Walking * Walking
Education and explanation * Care information survey
* Instructions during hospitalization
* Various consent (e.g. surgery, anesthesia, etc.)
* Pulmonary function test (if needed), other additional examinations, etc.
* Fasting education
* Instructions about moving to the operating room
* Breathing and coughing methods
* Expelling phlegm
* Preventing getting hurt from falling
* Self-control methods of pain
* Managing various drainage tubes
* Diet education
* Preventing bedsores
* How to wear brace
* how to use brace and how to walk
* How to wear brace
* How to use brace and how to walk
* Precautions after discharge
* Instructions about making appointments for follow-up visits
* Issue certificates as needed
* Explanation on discharge medication
* Education about managing affected areas
Date of completion/
signature
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