HIPS
After a hip replacement, this is how often vital signs should be obtained during the initial post-operative period, according to protocol.
every hour for 2 hours, then every 4 hours.
Post op Knee patients should not wait for PT to begin mobility. Use these two pieces of equipment to safely assist the patient with ambulation when appropriate.
gait belt and walker
Following spine surgery, patients should follow their lifting restriction and avoid lifting more than this amount of weight.
5 pounds (or a gallon of milk)
After administering pain medications, the patient's pain should be reassessed within this time frame to evaluation the effectiveness of the intervention.
1 hour
This piece of equipment should be in the room and ready for use to administer IV fluids or medications to a newly admitted patient.
IV Pole
After hip surgery, patients should be assisted to the bedside commode or bathroom for toileting rather than routinely using these devices
purewicks, foleys, bedpans
After surgery, monitor urine output for at least this amount per hour, and the patient should void within this time frame after surgery
>30 cc/hr and within 6 hours
When turning a patient with spinal precautions, this technique keeps the head, neck, and spine aligned by moving the body as one.
Log roll method
If a patient's pain remains uncontrolled after appropriate interventions, this person should be notified, along with the patient's pain level, interventions performed, and response to treatment.
provider
These devices should be available and ready in the room for your post op patients to help promote venous circulation and reduce the risk of blood clots
SCDs
Following hip or knee surgery, these checks assess circulation, sensation, movement, and other signs of neurovascular status and should be performed at this interval per protocol.
This orthopedic recovery pathway includes a post op day 0 mobility goal of documenting ambulation of at least 20 feet.
ERAS Ortho Post Op 0
After spine surgery, patients should follow this precaution known as no "BLT", which means avoiding these three movements.
Bending, Lifting, Twisting
Before administering PRN pain medications, the nurse must verify that the patient's pain level matches the ordered range and that the medication is appropriate based on these
medication parameters
Before you post op patient arrives, make sure this equipment is available and functioning properly in case supplemental respiratory support is needed.
Oxygen
After hip surgery, this is the recommended interval for checking and changing the ice pack, according to the post op protocol.
every 3 hours
After knee surgery, these precautions help promote proper positioning: do not place pillows or rolls under the surgical knee, keep the knee straight while in bed or in a recliner, and avoid crossing the legs
After spinal surgery, this support device should be applied when the patient is out of bed or sitting in a chair, according to the protocol.
Abdominal binder
In addition to medications, these non-pharmacologic interventions can help manage post op pain
ice/cold therapy, repositioning, elevation, and mobility
This device should be available at the bedside after surgery to encourage deep breathing and help prevent postoperative respiratory complications.
Incentive Spirometer
After a hip replacement, these precautions help protect the surgical hip: do not bend the hip beyond this angle, do not rotate the surgical foot inward, or cross the surgical leg over the body's midline
90-degree hip precautions
After knee surgery, placing a pillow under this part of the leg while the patient is in bed helps promote knee extension and prevents the knee from remaining bent.
foot/ankles
This closed-suction drain should be secured with tape, compressed to maintain suction, and have its output measured and documented every 4 hours
Hemovac
Numbness and pain relief can last up to this long and is expected after receiving Exparel (long-acting local anesthetic)
up to 4 days (96 hours)
These compression stockings may be ordered for your post op hip or knee patient to promote venous circulation and help reduce lower extremity edema.
Ted Hose