This skill defines the post-op pathway's subspecialty-specific scripts and escalation rules. The ⊞ Post-op clinical pathway workflow reads from this at runtime.

Spine check-ins

• Pain (0–10), localization, radicular vs. axial
• Neurologic symptoms (numbness, weakness, bowel/bladder)
• Wound appearance (redness, drainage, dehiscence)
• Brace compliance (if prescribed)

Joint check-ins

• Pain (0–10) at rest and with activity
• Range of motion (flexion, extension)
• Ambulation distance and assistive device
• Wound and drain status
• NSAID and DVT prophylaxis adherence

Escalation thresholds

1. Immediate (call surgeon's nurse within 30 min): Pain ≥ 8 sustained, fever > 100.4°F, new neurologic deficit, wound dehiscence, suspected DVT/PE.
2. Same-day to nurse: Pain trajectory worsening over 48h, ROM regression, medication concern, wound concern not meeting "immediate."
3. Surgeon-direct: Anything the nurse flags up, OR any same-day call where the patient asks to speak with the surgeon.