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Discussion

Trapezium bar.

For a patient following total knee replacement transferred from recovery room to a surgical ward, two main methods to place a bed pan for bowel can be using a Trapezium bar or logging roll the legs. However, it is not supposed to log roll the legs to place a pan during the first few days.

If there is no Trapezium bar, what would be the best solution to place a bed pan?

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    • Featured Replies

    I find this to be a strange question. Was this homework? I have never heard it said that a pt cannot be log rolled following TKR. In fact, my facility has these pts up out of bed, weight bearing as tolerated within 4 hrs of discharge from PACU. We also have one surgeon who routinely does TKR as an outpt procedure & we get the pt up immediately after leaving PACU which is usually roughly an 30-60 minutes after completion of surgery. In other words, use of bedpans is rare for these pts, except for in PACU where we don't get any pt up out of bed.

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    • Admin
    6 hours ago, RainMom said:

    I find this to be a strange question. Was this homework?

    You may wish to check OP's posting history.

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    our total knees get up within hours of surgery. There are no precautions for knees as far as moving.

    The best way to roll a total knee (or hip, for that matter) is to roll onto operative side. One can hold the knee, supported at the knee at the calf but there really is not much damage that can be done. hips are a little trickier, but a pillow or abduction pillow fixes that.

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    The OP asked lots of odd questions in the ortho forum and the Australian nursing forum. When called out they never returned.

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    • Expert
    On 7/23/2019 at 7:39 PM, mmc51264 said:

    our total knees get up within hours of surgery. There are no precautions for knees as far as moving.

    The best way to roll a total knee (or hip, for that matter) is to roll onto operative side. One can hold the knee, supported at the knee at the calf but there really is not much damage that can be done. hips are a little trickier, but a pillow or abduction pillow fixes that.

    And get a couple of other staff to help you.

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    • Expert

    So she asked some questions about blood transfusion and QT interval.

    So what?

    I am so tired of the criticism and bashing that occur here when someone decides that a student is asking a question. Like that's a mortal sin.

    If you can't or don't want to help or you think a student is being lazy or otherwise inappropriate, just be quiet.

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    • Admin
    2 hours ago, Kooky Korky said:

    I am so tired of the criticism and bashing that occur here when someone decides that a student is asking a question. Like that's a mortal sin.

    It’s not the questions from students, it’s the lack of effort they put in. Some come and verbatim copy and paste the question then sit back and expect the work to be done for them. However, this particular OP has a history of asking odd questions and then trying to refute or coerce more out of those who answer. Yes, some members get a reputation.

    See K+MgSO4’s post above.

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