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hi there!

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[color=#a0522d]i too work in a small facility and care for many ortho patients. i work on a med/surg floor that also specializes in ortho and oncology. we do many total joints, mainly knees and hips. i live in vermont, so we also see a lot of fractures in the winter from skiing accidents. i've been a rn for 4 years now, and just love it!

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[color=#a0522d]as far as blood loss, yes, we do see it frequently, especially in the knees. our facility also uses the suretrans system. but i've gotta say, our ortho docs don't seem to sweat the blood loss too much, and i've seen hgb's as low as 8 and the docs don't order transfusions. we keep them well hydrated, and monitor the bleeding. most of the time, it scares me a bit to have h+h's so low, but by god, those numbers start to rise after a few days all by themselves. i really think they push it too much on occasion, but... the numbers rise. once in a blue moon, we have to transfuse, but i must admit, it's not very often with the orthos.

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[color=#a0522d]as far as the temps go? absolutely count on it. i'm not sure i've ever had a post-op ortho that didn't get a temp at some point. from my experience, any time there is trauma to a bone, be it via fracture or operatively, there's going to be a temp. i've gone so far now as to warn my patients that they will at some point have a fever, but assure them that it's par for the course. you know what? sometimes, i won't even medicate for the temp the first time i see they have one, but will wait 4 hours and recheck it then. if, after 4 hours the temp is still elevated, i'll medicate, but more often than not, the temp resolves itself pretty quickly. i don't know, call me crazy, but my methods seem to work.... lol.

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[color=#a0522d]hope this puts you a little more at ease..... took me a long time to realize these things are pretty much "normal".

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[color=#a0522d]ahhhhh.... gotta love nursing.