Sunday, January 1, 2023

Ortho Discharge Instructions (.Phrases)

 

ORF (Ortho Trauma) Discharge .Phrases:

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Bandage Care:

o   ACE Wrap - ACE wrap may be removed 72 hours following surgery, and then re-applied daily for swelling as needed, taking care not to remove the sterile OR dressing underneath. If they are becoming rolled up and are creating strictures or tourniquet like pressure areas, they can be removed earlier and re-wrapped as needed. (Smartphrase: .ACE)

o   Surgical Dressings - Surgical bandage should remain clean, dry, and intact and should not be removed until follow-up appointment. If bandage becomes wet, soiled, or falls off it may be replaced with a clean dry gauze or covaderm dressing as needed. (Smartphrase: .BAN)

o   Old Pin Site Dressings - May remove bandages from old traction pin and/or ex-fix pin sites 2-3 days after surgery; if dry, may then leave open to air or place additional dry dressing as needed. (Smartphrase: .TR)

·         Traction/Pin Site Care:

o   Traction/Ex-Fix Pin Sites - Leave pin site gauze clean dry and intact. If pin site gauze becomes soiled, remove soiled gauze and clean pin sites with mild soap and water with hygiene or as needed. May re-wrap pin with clean dry gauze as needed for drainage. (Smartphrase: .PIN)

·         Brace/Splint Care:

o   Remove brace at least once per shift for skin check and hygiene. While brace is removed, keep limb in neutral (flat) position. For information regarding how to remove/apply specific braces, please access the Wound Care Handbook under Woundcare Resources on CareWeb. (Smartphrase: .BRA)

o   Plaster splints must remain clean, dry, and intact at all times. If there are concerns regarding the splint, please page the orthopedic resident. (Smartphrase: .SP)


Posted Dec 2022 (Shannon Johnson, C Reynolds/A Bernard)