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Once you have viewed the educational video, please complete this required brief quiz.
I should shower with chlorhexidine gluconate* (CHG) before my surgery.
True
False
*The soap can be purchased at most drug stores under the brand name Hibiclens and Exidine.
I should cough, deep breathe and do frequent ankle pumps after my surgery.
True
False
I will be asked to rate my pain using a 1-10 scale. 10 would indicate the highest level of pain.
True
False
Your coach, who is a family member or friend, should accompany you on your pre-op day at the hospital.
True
False
After your surgery you should always call a nurse before you try to get up.
True
False
Please complete the following information:
First Name
Last Name
Date of Surgery
Name of Surgeon
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