RN with below knee amputation

Nurses Disabilities

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Hi there. I was looking for some people who have experience with working with below knee amputees.

I was involved in a severe accident as a child that left me with a crushed left leg. I went through about 5 years of antibiotics, external and internal fixation, muscle grafts, bone grafts, skin grafts, central lines, 50+ surgeries....it was hell. I was left with a left leg that was 1.5" shorter than the right and decreased function. I am unable to walk without a brace.

Anyways that all cleared up in 2001 when I was 19 and since then I have gone on to get married, run a few marathons and most importantly graduate nursing school. Since 2005 I have worked in the Emergency Department. I did my first few years in a busy level one and never let my bum leg get me down or stop me. And now, within the past 6 months I have been having intense pain in that foot.

After seeing a couple of specialists and discussing quality of life and long term solutions we decided a below the knee amputation was the only real permanent solution. I have come to accept this. It hurts and I'm pretty scared about the whole thing but what I am most scared of is returning to work. What is that going to be like?? As supportive as my coworkers are, how will they act when I come back? Will I be able to keep up??

Any insight would be appreciated. My surgery is scheduled August 20.

I double amputees can run marathons...they you should be able to be a nurse. whether the hospital will see you as fit for duty....I have no idea.

duplicate threads merged

This was my thought. If amputees can run marathons and climb mountains there should be no reason I can't go back to nursing in the ER. Honestly what I am dealing with now is worse than an amputation. I have zero flexion/extension of my ankle, have to wear an AFO and have a 1.5" height difference...and I made due for the past 8 years and that includes running 4 marathons. My being "fit for duty" has never been an issue. I have never asked for accommodations for my disability and don't plan on needing accommodation after returning to work.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
This was my thought. If amputees can run marathons and climb mountains there should be no reason I can't go back to nursing in the ER. Honestly what I am dealing with now is worse than an amputation. I have zero flexion/extension of my ankle, have to wear an AFO and have a 1.5" height difference...and I made due for the past 8 years and that includes running 4 marathons. My being "fit for duty" has never been an issue. I have never asked for accommodations for my disability and don't plan on needing accommodation after returning to work.

Take it from someone who is now disabled with an auto immune disorder of the muscles and fought it tooth and nail....you might not find them as accommodating as you might think....once you go on sick leave trust me they will not let you come back with out a fit for duty test....I hope I am wrong but my experience has not been a good one.

I hope your will be different than mine....((HUGS)) my prayers for a speedy uncomplicated recovery.

I am not asking my employer to accomodate me. I think that you are a negative person and are comparing apples to oranges. I don't have an autoimmune disorder of my muscles, I have a bad leg that is going to be better in a few months. Stop trying to compare your problems with mine and making me feel insecure and anxious. In my experience the nurses that are given the boot after FMLA expires or when trying to come back from a disability are the ones that haven't been able to "toe the line" to begin with. So unless you have personal experience with working with a nurse that was an amputee, I don't care for your input.

Specializes in Going to Peds!.
Specializes in Medical and general practice now LTC.

OK time to remind members that you can post your opinions and experiences without being hostile

If double amputees can run marathons...they you should be able to be a nurse. whether the hospital will see you as fit for duty....I have no idea.

duplicate threads merged

I agree! I think with a good attitude you will be fine!

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
I am not asking my employer to accomodate me. I think that you are a negative person and are comparing apples to oranges. I don't have an autoimmune disorder of my muscles, I have a bad leg that is going to be better in a few months. Stop trying to compare your problems with mine and making me feel insecure and anxious. In my experience the nurses that are given the boot after FMLA expires or when trying to come back from a disability are the ones that haven't been able to "toe the line" to begin with. So unless you have personal experience with working with a nurse that was an amputee, I don't care for your input.
Anyone with a disability of any kind have to have positive attitudes so we face the challenges every day.

I had no intention of upsetting you and I clearly did. I am so truly sorry....:(. I too never asked for an accommodation and didn't need one for many years but that did not matter once I was discovered...... they had no use for someone that was "disabled" or could be disabled in any way...I was a clear liability.....my journey to where I am is a difficult long one filled with tears, heartbreak, frustration, isolation, fear, uncertainty, abandonment ...that continue to haunt me every day.

I very seldom out myself but you pulled at my heart strings....I so wished someone would have reached for my hand to at least slow down my decent and exit from the career I so loved for 35 years and let me know what to prepare myself for .......so I could be prepared....I wanted to give you a heads up. My heart still aches from the isolation and rejection from the career I love so much and gave my heart and soul to only to be left isolated and sometimes very alone.

I wanted to save someone the difficult road to discovery that hospitals aren't nice.

I pray with ALL of my heart and soul that you will not experience the discrimination against nurses with disabilities, any disabilities, in the acute care setting.

In 35 years of being a nurse....I have never seen a nurse that is a LE amputee in the acute care setting....or a cane, or a walker, or crutches, on a scooter...not even administration. Have you? The industry that care for the sick and injured want no part of employing this population.

I encourage for you to have a plan B as your recovery will outlast your FMLA.....Praemonitus praemunitus or forewarned is forearmed

I truly truly wish you with all my heart a safe, rapid recovery and return to work. ((HUGS))

Esme, I really appreciated your posts. In my (short) experience as a nurse , I believe that my facility requires "fit for duty" approvals after any lengthy medical related time off. Just wanted to let you know that I completely understood and appreciated your post. Did not find it slightly negative. I have never seen a nurse with an amputation of any kind but that doesn't mean there aren't any. I guess this is something op can ask ortho dr about maybe he or she has had a nurse as a pt before who had this type of surgery before. I would think alot of this depends on the pt .........

Specializes in Transitional Nursing.

I just wanted to comment on the FMLA thing..... Just be sure you have it all figured out ahead of time. In my state, we're only allowed 12 weeks and when someones FMLA runs out in our hospital system they are terminated with the option to re-apply when they are better. This just happened to me because of foot surgery. I had a 2.5 inch hip bolt placed in my heel.....my FMLA ran out and they let me go. It wasn't because I wasn't a high performer but because it was company policy. No gray area, simply black and white. I would just suggest checking with HR and understanding the policy ahead of time. No one explained any of this to me and I was shocked when I found out that I was being terminated. I didn't know that was even allowed.

I've never seen a Nurse with a BKA but I know a Doctor with one and he gets along just fine. I don't see why you won't be able to return to the field physically after you are recovered.

I have FMLA figured out. We have a program called "transition to duty". Basically it's light or modified duty until the employee can go back to normal duties. I have spoken with my boss and HR and as soon as my ortho releases me to "light duty" I will be assigned to chart reviews/case management stuff. After I have my prosthetic I will be put back on the floor for short shifts until I am able to return to the full 12 hour shifts. They are aware that this could be a long process and are willing to work with me. I have been promised my job even after going past the 12 week mark. I have both STD and LTD that will pay the difference in income due to me not working my full FTE. My hospital and my boss are behind me in this

I am in the similar boat. I had an accident in August of last year which left me with avascular necrosis of the talus. My ankle has been fused in February if this year, but there is a partial non union. My doctor says that I can walk on it for as long as I can tolerate the pain and the two options I have are another fusion with taking talus out or amputation. I am leaning toward amputation. The only thing I am in the third year of the nursing school. I will try to tolerate the pain to go through the nursing school and once I get my associate and Rn license I will have the amputation done while working on my BSN. If pain gets too much, then I will have to take a year off school to have the surgery done

Specializes in Transitional Nursing.
I have FMLA figured out. We have a program called "transition to duty". Basically it's light or modified duty until the employee can go back to normal duties. I have spoken with my boss and HR and as soon as my ortho releases me to "light duty" I will be assigned to chart reviews/case management stuff. After I have my prosthetic I will be put back on the floor for short shifts until I am able to return to the full 12 hour shifts. They are aware that this could be a long process and are willing to work with me. I have been promised my job even after going past the 12 week mark. I have both STD and LTD that will pay the difference in income due to me not working my full FTE. My hospital and my boss are behind me in this

OH, awesome! I'm sorry I wasn't trying to pry I just wanted to share my story. I was horrified when I got terminated, they don't allow CNA's light duty at my work. We're not considered valuable although I think the good ones are. I really think you're going to do well you have a solid plan laid out and if they're going to back you up through your recovery thats awesome. Keep us posted during your post op. I bet you could find support groups for amputee's online and some of them will be nurses..... Good luck I know this must be frightening for you but 31 isn't old by any means and you will never be heather than you are right now. :-)

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