Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Log In | Register | Last 24 Hours
Orthopaedic Nursing /

Joint Replacement Post-op Dressing Changes



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,134 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 2 1 2 >

Mar 24, 2009 06:10 PM

Joint Replacement Post-op Dressing Changes


Hi all! Need your help! I have worked on the Joint Center for GHS for over 5 years now. We have always used gauze and Tegaderm dressings starting PostOp day 2 on Knee and Hip Arthroplasties. We are about to have our annual retreat and want to ensure that we are up to date on our practices.

What type of post-op dressing do you apply and when?? Thanks in advance for all your help!!

Share
Search Tags
what type do you use?
Top

 
Advertisement
Sponsored Links
 
Page 1 of 2 1 2 >
Reply
14 Comments
No. 1
from Mike Huster
Old Mar 25, 2009, 02:14 PM

Default Re: Joint Replacement Post-op Dressing Changes
Sounds good! But if there is alot of drainage it could be a problem. We typically apply an ABD pad over the site on post op day two, when we remo0ve the surgical dressing. I usully check it alot to make sure we are not "leaking" all over the bed. Then I change the dressing at least daily.
Top
2 Readers Gave Kudos
 
No. 2
from NewRN2008
Old Mar 25, 2009, 06:01 PM

Default Re: Joint Replacement Post-op Dressing Changes
agreed with above post, we remove and put on ABD with burn netting over if needed, other than that, nada.
-H-RN
Top
1 Reader Gave Kudos
 
No. 3
from november17
Old Mar 26, 2009, 02:29 PM

Default Re: Joint Replacement Post-op Dressing Changes
For knees: We use 4x4s and ABDs often secured with TED hose or just the netting. It depends on the surgeon.
For hips: ABDs and medipore or paper tape. Again, depends on the surgeon.
For shoulders: Either 4x4s or ABDs torn in half secured with medipore.

We don't use tegaderm except on IVs
Top
1 Reader Gave Kudos
 
No. 4
from P_RN
Old Mar 26, 2009, 03:22 PM

Default Re: Joint Replacement Post-op Dressing Changes
With a teaching program and over 40 different ortho docs, I'd hesitate to offer much hope there could be a standard. It varied from no dressing if no drainage to full sterile field using xeroform gauze, 4x4s and fully occlusive paper tape. The teaching program tended to use a large bandaid or airstrip.
Top
1 Reader Gave Kudos
 
No. 5
from november17
Old Apr 03, 2009, 02:59 PM

Default Re: Joint Replacement Post-op Dressing Changes
It seems like you'd want a nice dry dressing over the incision site. I don't see the logic of having any type of wet or air occlusive dressing over an approximated orthopedic type incision. Is anyone familiar with current research or what the academy/association of orthopaedic surgeons recommends?
Top
 
No. 6
from CoolKell10
Old Apr 06, 2009, 10:33 AM

Default Re: Joint Replacement Post-op Dressing Changes
For TKRs we normally just use 4x4s and wrap the knee with an ace wrap. Most of our total hips are covered with telfa and tegaderm. I'm sure every hospital is different though and it depends a lot on the doctor's preference.
Top
 
No. 7
from natkat2816
Old Apr 09, 2009, 10:20 PM

Default Re: Joint Replacement Post-op Dressing Changes
All our docs like just 4x4's and medipore tape to secure. Of course if it's draining we would reinforce with an ABD.
Top
 
No. 8
from luckijillno1
Old Apr 19, 2009, 07:13 PM

Bandaid Re: Joint Replacement Post-op Dressing Changes
My experience has been the patient comes to the floor with gauze, tegaderm, and tightly wrapped with acewrap. With an order we change the dressing to a primapore dressing, which is a tegaderm with a pad in the middle, then we leave the wrap off.
Top
 
No. 9
from mama_d
Old Apr 20, 2009, 09:07 AM

Default Re: Joint Replacement Post-op Dressing Changes
We use primapores at my facility.
Top
 
Page 1 of 2 1 2 >
Reply




Thread Tools


Who's Online
140 members
1,682 guests
1,822

Nursing News

6

California Imposes Stricter Rules Regarding Drug Abuse In...
18

Are older nurses being forced out of the profession?
3

An outlook in California?
8

Australian surgeons successfully separate conjoined twins
41

Disruptive behavior by doctors, nurses persists a year...
31

Woman sues after police tackle her in ER during premature...
5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...
18

WHO: Give at-risk groups anti-flu drugs early
21

Nursing, medical schools should work together, experts say
6

Army nurse honored after 100th birthday


Nursing Articles

1

Society Needs Care Too
11

Why am I doing this, anyway?
2

Nurse Heal Thyself
9

My Papa, why I am the nurse I am today.
17

I made it through
11

An angel's gaze
14

A Sister Never Forgets
16

Ruby's Marbles
37

What Do Operating Room Nurses Do?
14

My Little Old Jedi
20

I love this job......
23

"I hear voices"
19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...
24

Error and Attitude
10

It's Just a Shower


Does allnurses.com make you a better nurse?


Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address:

Available Topics (tags)


Search By Tag:

New To Site
Need Help
Quick Links

Copyright © 1996-2009, allnurses.com. All rights reserved.  allnurses.com, Inc.
All times are GMT -6. The time now is 02:10 AM.