catjolpn

There is risk of contracture when pillow is placed under knee after TKR. This causes a shortening or distortion of muscular or connective tissue which can result in deformity of the joint. Also make sure when they are sitting in recliners to place something under recliner bottom so that it doesn't fall downwards. Place rolled towels under heels. Hope this helps. Ortho, Neuro, general Surgery LPN for 3 years Catjo

Our hospital uses the guidelines set by JACHO for med reconcilliation. If a physician fails to sign and check off on the home meds, we (nurses) call them and get the meds reconcilled over the phone and then they are required to sign forms within a specified time limit. Yes! nurses are overwhelmed most of the time but we also have a Charge Nurse on our floor who can handle this function if we are not able to at the time of admission to our floor. Most of our physicians are compliant with filling out the forms before patients are sent to us. We all need to be vigilant concerning our patients safety and well being. We also now have the MAK system in our facility. It is one of the most relliable systems to cut down on medication errors when used properly. Even with that we need to be vigilant.