1. Orthopedics Lab Infection Control Perioperative Care
Postoperative Nursing Care
Establishing & maintaining sterile field
Providing postoperative care
Managing pain
Adding items to a sterile field
PCA Pump Set-up and initiation- IV Pump Lab
Pouring a sterile solution
Wound Care
Using a pre-packaged sterile kit
Managing wound drainage systems
Performing sterile gloving
Incisional Inspection & Care (Review)
Performing sterile dressing changes
Care of Surgical Wound (aseptic technique) (Review)
Perioperative Care
Aseptic Care of Surgical Sites (Review)
Preoperative Nursing Care
Impaired Mobility Care
Performing a preoperative assessment
Bucks Traction
Promoting family support and participation
Cast Care
Teaching postoperative exercises and pain management
Pin care
TCDB
Compartment Syndrome
PCA
Ace Bandages
Preparing a patient for surgery
Splinting Devices
Slings
Incentive Spirometry
Crutch Walking
Pain Scales – Adult, Incapacitated, Dementia/Alzheimer’s (Review)
Red- Covered in Peri-Op Lecture

2. Surgical Scrubbing Broad-spectrum, surgical antimicrobial solution
Vigorous rubbing that creates friction used from fingertips to elbow
Scrub continues for 3 to 5 min
Scrubbing
Gowning and GLoving

3. Drains Assessment- q1 hour in PACU, at least q8 or with VS on the unit
Penrose drains into dressing
Jackson Pratt- "JP" Drains
Hemovac Drain

4. Mobility- Bucks Traction
Traction- pg 1061, Table 51-2
Asses q8-12 hours
Buck's Traction

5. TRACTION (nursing care)
T- temperature, of limb and patient
R- Ropes hang freely
A- Alignment
C- circulation
T- Type & location of fracture
I- fluid intake
O- overhead trapeze
N- No weights on bed or floor

6. Mobility- Pin care STERILE!! Wash your hands!
50/50 Sterile saline & peroxide
STERILE applicators
STERILE gauze & dressing materials
Dressing per order

7. Mobility- Cast Care Cast Care Table 51-1, pg 1060
Fiberglass is the most common
When wet hold with palms of hands

8. “Ace” Bandages & Slings
R.I.C.E. Therapy:
HOT VS. COLD
Rest Stop the activity immediately. Continued stress can increase the damage done to the tissue.
Heat Therapy Heat therapy is best for chronic pain and injuries without swelling. Heat relaxes tight muscles and stimulates blood flow. Muscle aches, Cramps, Arthritis, Tension  
Ice  Apply Cold Compress. Cold reduces the size of the blood vessels, thereby decreasing the bleeding, reducing swelling, and easing pain.
Cold Therapy Cold therapy is best immediately following an acute injury or after activity with chronic injury to reduce swelling and pain. Sprains/Strains, Bruises, Headaches, Toothaches
Compression  Apply compression with an elastic bandage (ace wrap). Compression helps to reduce swelling.
Elevation  Elevate the injured limb above the level of the heart to help drain excess fluid from the area.

9. Crutch Walking
Crutch Walking
Crutches & Stairs
Walking w/ Cane