NLE TIPS for ORTHOPEDIC *****7.

Casts
*****1.Fractures: Don’t rest on hard surface
Immobilize joint above and below fracture Don’t cover until dry 48+ hours
Cover open fracture with cleanest material Handle with palms of hands not with fingers
available Keep above level of heart
Check temperature, color, sensation, capillary Check for CSM
refill distal to fracture
Close reduction—manually manipulate bone or *****8.Fractured Hip
• Assessments
use traction
Leg shortened
*****2.Buck’s Traction Adducted
Use to relieve muscle spasm of leg and back Externally rotated
If used for muscles spasms only, they can turn • Implementation
to either side. Care after a total hip replacement
If used for fracture treatment, only can turn to • Abduction pillows
unaffected side. • Crutch walking with 3-point gait
Use 8-20 lbs of weight, if used for scoliosis will • Don’t sleep on operated side
use 40 lbs of weight. • Don’t flex hip more than 45-60 degrees
Elevate head of bed for countertraction or foot • Don’t elevate head of the bed more than 45
bed degrees
Place pillow below leg not under heel or behind
knee. *****9.Amputations
• Guillotine (open)
*****3.Russell’s Traction • Flap (closed)
Sling is used • Delayed prosthesis fitting
Check for popliteal pulse Residual limb covered with dressing and elastic
Place pillow below lower leg and heel off the bandage (figure eight)
bed • Figure-8 doesn’t restrict blood flow, shaped to
Don’t turn from waist down reduce edema
Lift patient, not the leg Check for bleeding
Elevated 24 hours (AKA-pillow, BKA-foot of bed
*****4.Cervical Tongs elevated)
Never lift the weights Position prone daily
No pillow under head during feedings Exercises, crutch walking
*****5.Balanced Suspension Traction Phantom Pain: acknowledge feelings, that pain
For femur realignment is real for them.
Maintain weights hanging free and not on floor
Maintain continuous pull

*****6.Halo Jacket
Maintain pin cleansing