Orthopedics 101
Gradual loss of cartilage with pain and limited ROM is called?
Osteoarthritis
What type of joints does OA effect?
knees, hips, cervical, lumbar, feet
What type of a roll does a spine patient need to do to get in and out of bed?
Log Roll
What device do we give to all joint and spine patients to prevent pneumonia?
Incentive Spirometer
Are orthopedic patients encouraged to use bedpans?
NO
Physical Therapy instructs our hip and knee patients to follow this sequence when safely navigating the stairs?
Lead up with the non-operated leg (good leg) and lead down with the operated leg (bad leg)
What interactive online care platform is used for orthopedics at all HHC Hospital?
Force Therapeutics
Spine precautions are referred to as BLT? What does BLT stand for?
No bending, lifting or twisting
In addition to pain medication, what is an alternate method to help with pain relief?
Icing, elevation, repositioning, ambulating, music
For total knee surgery, what item should never be placed behind their knee?
A pillow
What can you put under a patients ankle to help keep the leg straight?
A rolled towel
Where do you document ambulation in the EPIC?
Daily care
When a spine patient has a dural tear during surgery what level of activity is ordered?
Bedrest
I just medicated my patient with oral narcotic at 1200. The patient needs reassessment for pain before what time?
1300
For posterior total hip surgery, please list the three don'ts?
No pivoting or twisting, no bending more than 90 degrees at waist, no crossing your legs
Does ice help with pain and swelling?
yes
Do orthopedic patients receive both preop and postop antibiotics?
Yes
90
How often should vital signs be performed on a post-op orthopedic patient?
Q4hrs x 24hrs then Qshift
If an orthopedic patient arrives from the OR with SCD sleeves on but no compression pump what is the first thing you should do?
Find a machine immediately if none available ARCC up to your manager or supervisor
If I am a 12 hour RN caring for an orthopedic patient I only need to document once during my shift for Incentive Spirometer and Neurovascular?
False
Where can you find the Clinical Practice Guidelines(CPG's) on the computer?
On the WH Intranet under department/orthopedics
How often should neurovascular assessments be done on a post-op spine patient?
Q4hrs x 24 hrs then Q shift (days, evenings, nights)
Q shift orders for orthopedic patients are defined as days, evenings and nights. Even if your shift is for 12 hours.
True
The patient is complaining of chest pain and their heart rate is 45 and blood pressure is 80/55. What do you do?
Call for a medical response