COVID-19 vaccines: Get the latest information here. Please do not call our clinics or hospitals with questions. 

For Patients

Call the trauma/ACS clinic for:

- Fever over 100.4 degrees Fahrenheit.

- Signs of infection such as redness, swelling, warmth around the wound or drainage of pus.

- Difficulty breathing

- Severe vomiting or cannot keep food down.

- Severe pain that is not controlled with pain medicine or is getting worse.

- You have trouble having a bowel movement or have significant diarrhea.

- You have heavy bleeding from incision.

Pain medication:

- Tylenol and Ibuprofen should be used for pain control unless otherwise stated by your providers. Please let your providers know if you have a history of stomach/peptic ulcers, kidney problems or liver disease

- Narcotic pain medication (Oxycodone) is to be used little as possible, as seldom as possible, to be tolerable. Narcotic pain medication should be reserved for severe, intolerable pain. Over the next few days, you should work on increasing the duration of time between doses and taking fewer pills with each dose.

- Do not drive while taking pain medication.

- Use a stool softener + gentle laxative (Docusate + Senna) or stool softener alone (Docusate) and drink plenty of fluids while you are taking narcotic pain medication as these medications commonly cause constipation.

- For your safety, you are to fill narcotic pain medications will only 1 provider

- Trauma/ACS clinic will not replace stolen or lost prescriptions for pain medications

- If you are having issues with pain control or you are running low on pain medication, please call the trauma/ACS clinic to arrange a clinic visit. Pain medication cannot be called into the pharmacy. Please call a few days prior to completely running out of medication. At least 24 hour notice is required for refills. Trauma/ACS hours: Monday thru Friday 9am - 4pm

Over-the-Counter Medications:

Take a Stool softener + Laxative while on narcotic pain medication.

- Take one tablet daily. Please call the Trauma/Acute Care Surgery Clinic if you have issues with constipation.

- Ibuprofen 200mg tablets:

2-4 tablets, three times daily with food as needed for pain. Do not take more than 12 tablets in 24 hours

- Tylenol 500mg tablets:

- 1-2 tablets every 6 hours as needed for pain. Do not take more than 8 tablets in24 hours.

**Take your incentive spirometer home with you and use it often

Diet:

Resume your regular diet. Recommend high protein for improved wound healing

Activity:

- Weight-bearing Restrictions: This is individualized.

- For those that are ambulatory, frequent, short walks are encouraged. Do as much as you can tolerate. You may find that you need frequent short rest periods during your recovery time.

Wound Care

- You may shower 24-48 hours after surgery. Do not soak incisions in a tub, jacuzzi, pool, etc. until your incisions have healed

- Many incisions will have buried absorbable sutures, which do not need to be removed.

- To reduce swelling:

- Elevate affected extremity above the level of the heart

- Apply ice to swollen areas for 20 minutes. Apply 4 - 5 times daily. Wrap ice packs in a cloth to protect your skin from injury.

- Keep bandages and dressings clean and dry

May I drive?

- No driving while taking narcotic pain medications

- No driving if you have severe pain with movement

May I Work?

- Returning to work will be individualized based on your injuries/medical condition.

Drain Care:

- If you have a drain, record the time and amount of drainage on a piece of paper. Empty the drain every few hours or as needed. The nurse will explain how the drain works before you are discharged from the hospital.

If you were told that a chest xray is needed before appointment

When you call for your Trauma Clinic appointment notify the staff that you have a CXR before your visit

Please arrive 30 minutes before your Trauma Clinic appointment and go to:

Diagnostic Imaging at 505 NE 87th Ave #LL50 (lower level same building)

Follow Up Appointments:

- Call the trauma/ACS clinic on the next working day at 360-514-1854 to schedule follow up with your surgical treatment team. You should arrange follow up for 14 days after discharge for most patients. Please call prior to your appointment with any questions or concerns.

Here are some helpful numbers for followup appointments:

- Rebound Orthopedics: Call to arrange/confirm appointment time 360-254-6161

- Rebound Neurosurgery: Call to arrange/confirm appointment time 360-256-8584

- Dr. Mitchell (ENT): Call to arrange follow up (360) 574 - 9293

- Dr. Verschueren (OMFS): Call to arrange follow up (360) 695 - 4300

- Dr. Leung (OMFS): Call to arrange follow up (360) 695 - 9248

PeaceHealth Medical Group Trauma & Acute Care Surgery

505 NE 87th Ave, Suite 301 Building B

Vancouver, WA 98664

PeaceHealth Southwest Medical Center
400 NE Mother Joseph Pl
Vancouver, WA 98664
360-514-2000