39. Nursing in orthopedic surgery

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Orthopedic nursing is a specialty that requires specific skills and knowledge to deal with a variety of musculoskeletal conditions and injuries. The nurse's role in the orthopedic operating room is multifaceted and includes preoperative, intraoperative, and postoperative care.

Pre-Operative

In the preoperative period, the nurse plays a crucial role in preparing the patient for surgery. This includes assessing the patient's health status, explaining the surgical procedure and what to expect during the recovery process. In addition, the nurse must ensure that all preoperative tests are performed and the results are documented. This may include blood tests, X-rays, ECG and other necessary tests.

Nurses are also responsible for ensuring that informed consent is obtained prior to surgery. They must ensure that the patient fully understands the procedure, the risks involved, and possible complications.

Intraoperative

During surgery, the nurse plays a key role in the surgical team. They are responsible for ensuring a sterile environment, assisting the surgeon and monitoring the patient during surgery. This includes monitoring the patient's vital signs, administering medications and fluids, and communicating any problems or changes in the patient's status to the surgical team.

Nurses are also responsible for ensuring that all surgical instruments are counted before and after surgery to prevent any items being left inside the patient. Additionally, they must ensure that all safety measures are followed to prevent infections and other complications.

Post-Operative

After surgery, the nurse continues to care for the patient while he recovers. This includes monitoring the patient's vital signs, administering pain medication, and helping the patient move and perform physical therapy exercises. The nurse should also monitor the surgical site for signs of infection, such as redness, swelling, or drainage.

In addition, the nurse should educate the patient and family about post-operative care at home. This may include instructions on how to care for the surgical site, how to take medications, signs of possible complications, and when to seek medical attention.

Conclusion

Orthopedic surgical nursing is a challenging and rewarding specialty that plays a crucial role in patient care from preoperative to postoperative. Nurses in this specialty need to have a thorough understanding of musculoskeletal conditions, technical skills to assist with surgery, and communication skills to educate and support patients and their families throughout the process.

With the proper training and education, nurses can play a vital role in improving patient outcomes in orthopedic surgery and promoting a safe and effective recovery.

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