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Fractured HIP patient - Need question answered



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No. 10
from Schmoo1022
Old Mar 07, 2009, 12:49 PM

Default Re: Fractured HIP patient - Need question answered
Ok. This is a little different than the above question, but also about moving. Pt found on floor, no complaints of pain, no noted injuries. CSM fine, no difference in the two legs ect. ect. Patient was placed back in bed by staff, THEN complained of hip pain. Was it wrong to move him? He did get sent out for eval and did have a fracture.
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No. 11
from NRSNFL
Old Jun 27, 2009, 12:16 PM

Default Re: Fractured HIP patient - Need question answered
Originally Posted by lcbaird View Post
We usually do transport to the OR in the bed but in this case the bed the patient was on was not one of our beds and we were going to get an appropriate bed for post op and take it to the OR when it arrived. When we used the gurney to transfer we were accused of some "great" breach in the standard of care that could cause major complications. I agree it's much easier for all to take them over on the bed and bring them back on the bed. The ward nurses thinking was this was not different than taking them to the CAT scan. Transfer to gurney and then to the OR table, post op bring the bed to the OR. Another interesting note is the doctors and their nurse practioners are not using "Bucks traction" much any more, just splinting with pillows.
We use bucks.....on almost every hip fracture....depending on the break of course....but 9/10 we use 5lbs bucks.
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No. 12
from NRSNFL
Old Jun 27, 2009, 12:17 PM

Default Re: Fractured HIP patient - Need question answered
Originally Posted by Schmoo1022 View Post
Ok. This is a little different than the above question, but also about moving. Pt found on floor, no complaints of pain, no noted injuries. CSM fine, no difference in the two legs ect. ect. Patient was placed back in bed by staff, THEN complained of hip pain. Was it wrong to move him? He did get sent out for eval and did have a fracture.
Well, was he 90 and confused as most of the falls are? No, moving him back into bed where he is safe with a very loud bed alarm is a great idea. What was the alternative? Leaving him on the floor? How would you NOT have moved him in this case?
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