Nurses Procedure – Application of Skelectal and Skin Traction for Patients

Nurses procedure in straightening of broken bones or treatment or relief of patients with skin injury ailment in their medical facilities or hospital.

APPLICATION OF SKELECTAL TRACTION

Requirement needed on a Trolley: Top shelf

  1. A bowl with sterile dressing
  2. Instrument tray with cover containing: a pair of dissecting forceps and 2 pairs of dressing forceps (if wound dressing is necessary)
  3. Galipot with lotion
  4. Small bowl for resting forceps
  5. A tray containing: modesty pant, bottles of lotion e.g TBC or tincture of Benzoic compound
  6. A stirrup traction cord
  7. A kidney dish with the following: a pair of surgical scissors, flannel bandage, strapping, and safety pins.

LOWER SHELF

  1. Weight
  2. Destructor bowl for used dressing
  3. Large kidney dish for used instrument.

METHOD:

  • Shave, wash, and dry the affected limb.
  • Accompany client to theatre.
  • Insertion of stein man’s pin is carried out under local anesthesia.
  • As client comes back from theatre with stein man’s pin in position adequate assistance should be provided to lift him or her into the bed.
  • Put brains splint under the affected limb maintaining a steady gently pull.
  • Assist the doctor to put up the skeletal traction.
  • Attach recommended weight.
  • Elevate the foot of the bed.
  • Make divided bed.
  • Put everything the client may need with his/her reach.
  • Make him/her comfortable.

APPLICATION OF SKIN TRACTION

Requirements on a Trolley

Top Shelf:

  • A bowl containing cotton wool swabs and gauze.
  • Instrument tray with a pair of dissecting forceps, and a pair of dressing forceps.
  • Galipot for TBC (Tincture of Benzoic Compound).
  • Small bowl for resting forceps.
  • Tray containing the following:
  • Traction kit of a tin of extension plaster
  • Crepe and flannel bandages
  • Orthopedic belt
  • Ball and traction cord
  • Modesty dish containing
  • Kidney dish containing
  • Kidney dish containing
  • 2 or more wooden spreader
  • Scissors
  • Tape measure
  • Wooden spatula
  • Safety pains

Lower shelf:

  • Large kidney receiver for used instrument.
  • Destructor bowl for used swabs weight.

At bedside:

  • Padded Thomas splint
  • Bed elevator/blocks

METHOD:

  • Explain the procedure
  • Shave wash and dry the effected limb
  • Screen the bed
  • Take trolley the client’s bedside
  • With enough assistance put client in recumbent position
  • Alley anxiety
  • Dress the Thomas splint with strips of flannel, bandage and safety pins.
  • Assists doctor to apply the skin traction
  • Attach appropriate weight
  • Elevate foot on bed elevator to provide counter tracts
  • Ensure the weight is not resting on anything
  • Make client comfortable during and after the procedure
  • Discard the trolley in the treatment room

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