Easy motor exam

  1. Hi All!
    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?
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    About nurseholden

    Joined: Jan '05; Posts: 2

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  3. by   P_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:
    Radial
    Brachial
    Ulnar

    Popliteal
    Tibial
    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 .
    Radial nerve
    Medial nerve (one of my favorites)
    Ulnar nerve
    Peroneal
    Posterior tibialis


    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.
    Paraesthesia
    Pain
    Paralysis
    Pallor
    Pulselessness.

    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.

    http://www.med.umich.edu/lrc/Hypermu...yper.html#foot

    Another nice one form eMedicine

    http://www.emedicine.com/orthoped/topic389.htm
    Last edit by P_RN on Jan 19, '05

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