The CCfJR Team
The CCfJR Team consists of many different health care providers, all of whom work together to care for the joint replacement patient.
The team includes:
Orthopedic Surgeons – Board Certified MDs help patients decide when they are ready for surgery and provide advanced, high quality surgical care at Porter Hospital. They are assisted during surgery and during the post-operative hospital stay by Orthopedic Physician Assistants.- The Surgery Team at Porter Hospital – Nurses and Surgical Technicians with extensive experience in joint replacement surgery ensure that the operating room procedure runs safely, efficiently and smoothly.
- Peri-Operative Nursing Team – Nurses specially trained in pre- and post-operative care attend to the joint replacement patient immediately before and after surgery. These health care professionals staff the new state-of-the-art Post Anesthesia Care Un
it (PACU.) - Anesthesia Team – Expert Nurse Anesthetists (CRNAs) work with board certified Anesthesiologists to manage patients’ pain before, during and immediately after surgery. The team uses the most modern anesthetic techniques to make the experience as comfortable as possible, aiding in patients’ early recovery from surgery.
- Medical-Surgical Nursing Team – accomplished, caring nurses attend patients once they arrive on the Medical-Surgical unit after surgery. These nurses will have the most contact with the joint replacement patient during his or her hospital stay, assisting the Physical and Occupational Therapists in helping the patient transition back to independence after surgery.

- Physical & Occupational Therapists – PT and OTs have the primary responsibility for helping patients regain their mobility after surgery. Accelerated rehabilitation protocols mean that patients start post-operative exercises before surgery, and resume them immediately after surgery. This ensures quick recovery of function and an early, safe return to the home after joint replacement surgery.
- Patient and Family Service Team – Discharge Planning Nurses and Social Workers assist patients and their families in the transition between the hospital and home, or to a short-term rehabilitation facility if necessary.
- Helen Porter Healthcare and Rehabilitation Center – Nurses, Physical & Occupational Therapists and Nurses Aides work together as part of the Post Acute Rehab team in assisting those patients who would benefit from a transition stop between the hospital and returning home.
- Home Health / Visiting Nurse Association Team – Nurses and Physical Therapists from area Home Health / VNA providers work together with the CCfJR team in providing seamless transition from hospital or rehabilitation care to home care. The team follows the joint replacement patient until he or she has resumed full recovery.
- Champlain Center for Joint Replacement/Champlain Valley Orthopedics Office Staff – Nurses and scheduling staff follow the joint replacement patient from the start to the finish of their surgical experience and provide continuity of care at the physicians’ office. They coordinate all of the patients’ pre- and post-operative appointments, and serve as an important resource to the patient and his or her family throughout the process.
The Surgical Care Center at Porter Hospital
All surgery is done at Porter Hospital in Middlebury. Porter is a high-quality, small community hospital, where orthopedic surgery is a major focus. Surgery is done in a new, state-of-the-art surgical suite, which was opened in 2006. The skilled surgical team works closely with the surgeons and ccfjr nurse coordinators to ensure the highest level of pre- and post-operative care. More information...
CCfJR Physician Office
Patients considering joint replacement surgery are evaluated at the Champlain Valley Orthopedics Office on Exchange Sreet in Middlebury, VT. The office is conveniently located just off of Route 7, and is entirely on the ground floor, which facilitates access for patients with limited mobility. Experienced nurses and x-ray technicians provide the highest quality office care. More information...

