The NAON provides support and educational opportunities through its sponsored activities to promote continued professional development. The National Association of Orthopaedic Nurses (NAON), founded in 1980, is the professional organization that offers a certification program to orthopaedic nurses who wish to further develop their skills in the management and care of orthopaedic patients. Depending on educational background, training, and hospital policies, qualified nurses and technologists scrub in on orthopaedic surgical procedures in the operating room, clinic, or physician’s office. This requires specialized knowledge of orthopaedic nursing, to include skills in the use of traction equipment and appliances, and the ability to manage patients with this armamentarium. The orthopaedic nurse may choose to work in a doctor’s office or an outpatient clinic of a hospital or become directly involved with inpatient management by assuming diverse responsibilities for a plan of quality care from admission to discharge. Casts are generally applied in fracture reduction and immobilization, but they are also helpful in the correction of pediatric deformities, dysplastic hip disease, scoliosis, and foot deformities such as club foot, with the goal being to maintain or obtain a correction of deformity, promote alignment following surgery, and give support to damaged soft tissues in the healing process of fractures, dislocations, and sprains.īecause the care of the orthopaedic patient is a team approach, orthopaedists in private or group practice and in hospital settings are assisted by qualified orthopaedic nurses and other healthcare-related professionals educated in caring for the orthopedic patient. The techniques of cast immobilization, splints, dressings, and traction devices are designed to provide an external means of support or protective covering while healing proceeds under optimal conditions. Some emergency stabilization devices are included at the end of the chapter. The types of cast immobilization materials are described, as are the traction devices and weights designed for hospital or home care. This chapter defines the materials applied and prescribed by an orthopaedist or assigned to an individual in the direct care of patients with fractures, dislocations, and conditions of the musculoskeletal system.
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