• NorthBay Joint Replacement Program

     Getting You Back to Your Active Lifestyle

    An innovative, integrated program of care for knee and hip procedures allows you to return to the activities you enjoy more quickly than ever. Recently receiving the distinguished certification of the Joint Commission, NorthBay Joint Replacement Program is a comprehensive service focusing on pre-operative education, specialized hospital care, dedicated staff and progressive rehabilitation.  Group support motivates and encourages a speedy recovery, and is proven to help you reach your goals with fewer complications. From the beginning, a team specially trained to care for joint replacement patients guides you on the journey back to an active lifestyle.

    For more information about the NorthBay Joint Replacement Program, call Cynthia Giaquinto, RN at (707) 624-7600.  

    The Joint Replacement Program Team

    A skilled and experienced multidisciplinary team specializing in joint replacement provides the highest level of expertise.

    • Your Orthopaedic Surgeon performs the joint replacement procedure and oversees your care. 
    • Registered nurses specially trained in orthopedic care help you prepare for surgery, assist during the procedure and keep you comfortable and safe in the hospital.
    • Certified nursing assistants help with activities like bathing or dressing.
    • Physical therapists start rehabilitation as soon as the day of surgery so patients are on the road to recovery before they leave the hospital.
    • Dietitians help you make food chices to promote healing and avoid interactions with your medications.
    • Pharmacists help you get the most from your medications, monitoring dosage and minimizing side effects.
    • Program case manager coordinates your care from pre-operation education through recovery at home.  

    How the NorthBay Joint Replacement Program Works

    Education Prepares Patients From the Beginning

    All patients attend a comprehensive 90-minute orientation prior to surgery. Each patient is encouraged to bring a support person, or "coach".  Knowing what to expect in advance prevents anxiety, and preparation speeds recovery.

    • The orientation covers what will happen during the procedure, the hospital stay, and ongoing rehabilitation after leaving the hospital, providing patients with a clearer picture of what to expect throughout the process.
    • Patients learn pre-operative exercises and proper nutrition to help build strength before surgery and help speed recovery.
    • The session give patients and their family members an opportunity for face-to-face interactions with the health care team: nurses, physical therapists, dietician and pharmacist.
    • Patients meet others going through similar procedures. Discussion may help reinforce new concepts, and questions raised by fellow patients often address issues that may otherwise not be considered at the time.


    Support Makes Recovery a Team Effort

    Patients in the joint replacement program have a built-in support system, and experience the camaraderie of a “group experience”. Studies show that patients who recover as a team reach their goals faster and with fewer complications.

    • Patients in the program are admitted to the hospital as a group and have procedures on the same day.
    • Patients go through the recovery process as a group — eating, exercising and enjoying various activities, where together they provide encouragement and support to one another.
    • Most patients will have a close friend or family member act as their “Coach.” The Coach plays an important role in helping the patient reach their goals, continuing to offer support and positive reinforcement at home. The Coach is encouraged to attend the pre-operative classes.



    The rehabilitation process begins in the hospital as soon as the day of surgery. Under supervision of their surgeon, patients begin working with physical and occupational therapists to gain strength and flexibility while getting used to their new joint.

    • Starting as small as standing and taking a few steps away from the bed, most patients are soon able to walk up and down the halls using a walker the day after surgery.
    • Many patients are able to leave the hospital within 2 to 3 days of the procedure.
    • Patients can often return to work and activities they enjoy, depending on the physical demands, within 6 to 12 weeks.
    • An individualized program of strengthening and physical therapy usually continues for 2 to 3 months.