Published Jan 18, 2005
I am new to the board but I need some insight from those who are "seasoned" ortho nurses. I am an new educator on an ortho unit.We are doing alot of back surgeries now and need to improve our neurologic assessments (i.e Motor function, strenght/reflexes and grading them)
I need an easy way to teach the nurses how to do a quick yet thorough exam of their postoperative spinal surgery pt. Any tips or advice?
P_RN, ADN, RN
I'm pretty well "seasoned" (or is that decayed?) :) Would 30 yrs as an ortho RN do?
I'd start with teaching the various pulses that would apply:
A nice chart is always useful. A reminder that not all people have all their pulses in those particular places.
Then the various nerves, the norms of sensation and movement, and what could indicate problems .
Medial nerve (one of my favorites)
Know ABduction and ADduction. and we said it like that: A B duction.
Know plantar flexion (plant your foot down)
Know dorsiflexion (raise your foot (toes usually) toward your nose)
Teach Compartment syndrome. VERY IMPORTANT...CAN LOSE A LIMB IN JUST A SHORT TIME.And a fasciotomy is not a pretty thing to happen.
If you can locate one the naon Core Curriculum is fantastic. It's a BIG book with outlines of every possible ortho thing you can imagine. It should be in your hospital library
There is a lot more but my moldy old brain can't pull any more up right now.
Another nice one form eMedicine
Create well-written care plans that meets your patient's health goals.
This study guide will help you focus your time on what's most important.
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