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Discussion

type of certification

I a an orthopedic RN (certified). With Covid and new EBP, our total joints are doing mostly same day d/c or <24H d/c. The patient population on my unit is going to change, adding surgical trauma. What certifications coincide with this?  I have looked at trauma certifications and most are related to emergency or EMT situations. I am not going to do critical care, just ortho/trauma, GSW, MVC, etc.  I'd like to learn more and add a certification as well, if it is applicable. TIA!

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The Board of Certification of Emergency Nursing's Trauma Certified Registered Nurse (TCRN) addresses all facets of trauma care, from prevention through rehabilitation.  Your ED/Trauma educator should be able to provide additional information.

Best wishes.

I don't have an answer but just wanted to say that I worked ortho as a new grad >20 years ago, and our typical total joint patients stayed on our acute floor 3 days, then transferred to a SNF for more rehab.  The changes that have taken place in ortho is crazy!

On 6/14/2021 at 4:46 PM, Golden_RN said:

I don't have an answer but just wanted to say that I worked ortho as a new grad >20 years ago, and our typical total joint patients stayed on our acute floor 3 days, then transferred to a SNF for more rehab.  The changes that have taken place in ortho is crazy!

Yup! had a friend w a total hip done, home later that nite! I'm old enough to remember patients being   admitted the day before surgery!!

8 hours ago, NutmeggeRN said:

Yup! had a friend w a total hip done, home later that nite! I'm old enough to remember patients being   admitted the day before surgery!!

I'm so out of the loop when it comes to ortho but I do wonder about pain control, constipation and all of the other issues we dealt with in those 3 post-op days and how it's handled at home.

  • Author

pre-op education. Also they are using a lot of nerve blocks to avoid a lot of general anesthesia. The total joints that do come to the floor, there is a lot of preventive measures. It really has evolved in the 9 years I have been doing it. Get up and move early!!

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