Curso AOTrauma para Personal de Quirófano. Principios Básicos del Tratamiento de las Fractura. 2015s

 AOTrauma Course—Basic Principles of Fracture Management for ORP 2015

AO Trauma Course—Basic Principles of Fracture Management for Operating Room Personnel (ORP) has been from 9th to 10^th February 2015 in Barcelona (Spain).

The AO Trauma ORP is a course targeted at nurses who work or will be in the traumatology operating room. It includes different activities:

•        Lectures
•        Practical Exercises
•        Discussion groups

During the Barcelona course, all lectures  (by nurses and surgeons) were clear, orientated to nursing and the faculties were confident, good communicators.

Some lecturers have used the lecture presentations translated to Spanish by Elena Miguel from the website of AO Trauma. Elena Miguel has been faculty and instructor in this course.

In the practical exercises, participants watched the video and afterwards they did the respective practical exercise. There were five tables with 6 posts and a nurse and a surgeon as table instructors in each table. All these allowed to all participants to do the exercise and to ask doubts to instructors and they said that they have learnt a lot doing these exercises.

In the discussion groups, the participants were divided into 5 groups (same groups as practical exercises). There were a nurse and a surgeon as leaders in each group. They could discuss several topics:

•         Peri-operative preparation for an osteosynthesis of different fractures
•          Infection control

During this activity the participants were active and enthusiastic.

This kind of course is very interesting for operating room personnel because participants are trained in the application of fixation techniques and familiarization with the instrumentation. And discussions in small groups help participants to understand the decision-making process in fracture management and the importance of appropriate nursing preparations.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 C/ Explanada 16 (28040 Madrid-Spain)  Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Perioperative Nursing

Perioperative Nursing

Nurses provide care and support to patients before, during and after surgery during the perioperative process. The surgical team is formed by a group of healthcare professionals with common goals that coordinate their efforts to achieve them:

•         Surgeons (primary and second surgeon)
•        Anaesthesiologist
•        Holding room nurse
•        Scrub nurse
•        Circulating nurse
•        Nursing assistant
•        Recovery nurse
•        Support staff 

We can do a summary of the different functions of the Nursing in this field:

•         Holding room nurse. The nurse who receives patients in the surgical area and prepares them for surgery in the preoperative area. In some hospitals the circulating nurse and the scrub nurse take this role once prepared the operating room (OR).
•       Nurse anaesthetist. A nurse who assists the anaesthesiologist monitoring the patient during surgery, administering medication, etc. The circulating nurse assumes this role in most hospitals.
•       Circulating nurse. The nurse who is responsible for non-sterile tasks in the operating room. Firstly, she has to prepare with the scrub nurse all devices, instrumentation, medications, etc. in the OR, to receive the patient, to help anaesthetist and during the surgery to care for the patient and to assist the scrub nurse.
•         Scrub nurse. A nurse who "scrubs in" to assist surgeons with sterile procedures at the operating table. She has to check that all the instrumentation is sterile, that there are all things that are required for this specific surgical operation and also other instruments that will probably be useful (anticipating the needs of the operation). She is responsible for maintaining a sterile environment. She helps the surgeons draping the patient, handing and arranging the instrumentation during the surgery, collecting it in the end and separating and removing the sharps properly. Once the instrumentation is clean, sometime the nurse has to review all instruments and preparing them for sterilization.
•       Recovery nurse. The nurse who cares for patients in the post-anaesthesia care unit after surgery.

They are responsible for making sure the OR team provides the patient with the best care possible.

Here I have wanted to do a summary of the roles of perioperative nursing that are unknown to the public and relate from personal experience the concepts of nursing care that we put into practice on a daily basis with our patients from the IMTRA INCOMA Clinic when they are in the operating room.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Care in patient care

Care in patient care

In Medicine, the patient is someone that suffers pain or discomfort. From the sociological point of view, the patient is a person receiving services from a healthcare professional to do a test, treatment or a surgical intervention.

Patients are in a vulnerable position, depending on doctors, nurses, therapists, etc. They have to go through bad experiences with injections, ailment, pain, medical techniques they do not understand, loss of privacy, loss of control of the environment, etc.

It is very important that the patient feels secure in all treatment process and the persons around him (doctors, nurses, family, etc.) give him this security.

Nurses know very well the importance of a proper relationship with the patient. In English, there is a term that defines this concept: “Bedside manner”.  We don´t have this phrase in Spanish, but all healthcare professionals know the importance of the meaning.

In the relationship of patient-nurse/doctor, it is very important:

•      Communication (verbal and non-verbal)
•           Forms and expressions of communication
•           Help relationship

Patients need to feel that they are in the best hands (professional and personal). During a treatment or test the patient needs:

•           To feel that he is important for the nurse/doctor
•           To understand technique (it is necessary that you explain it to him)
•           To understand that this is a phase to be better  (improvement or healing)
•           To feel comfortable and confident

It is necessary that the nurse/doctor knows how to handle:

§  Kindness

§  Empathy

§  Accompanying

§  Sympathy

§  To make the patient participant in the technique

§  To transmit relaxation

With all these ideas, I have wanted to do a summary of the principles of nursing care in general and relate from personal experience the concepts of nursing care that we put into practice on a daily basis with our patients in the IMTRA Incoma clinic.

Key words: nurse, patient, communication, help relationship, enfermería, paciente, cuidado, care, relación de ayuda.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Obtaining Rich Plasma in Growth Factors (PRGF)

Rich Plasma in Growth Factors (PRGF) is a novel and relatively recent technique applicable to tissue repair. It consists of platelet proteins obtained from a blood sample of the patient.

In the scope of Traumatology and Orthopaedics, the application of PRGF improves the evolution of patients with tissue regenerative necessities in different pathologies such as:

•    To accelerate bone healing in the postoperative period,
•    To decrease pain and improved mobility in incipient osteoarthritis,
•        To improve the healing of tendon injuries,
•        Wounds healing, etc.

The effects of PRGF on the cells of organisms are:

•         Proliferation of osteoblasts (cells that help with bone formation)
•        Proliferation of fibroblasts (cells that help with soft tissue formation)
•        Chemotaxis (movement to specific point of injury)
•         Synthesis of extracellular matrix (tissue repair).

The process of obtaining PRGF has several phases:

           1.- Extraction of blood (venous puncture) 

             

     2.- Cell separation (centrifugation) 

    3.- Catching and activating the serum with highest concentration of platelet rich growth factors (PRGF). 

 

  4.- Application to the patient (surgery intraoperative in the Hospital or intrarticular, on the tendon injury, etc. in the clinic)

In our IMTRA INCOMA Clinic, the preparation of the rich plasma in growth factors is made with the latest technology. We use a laminar airflow cabinet to separate the two different serum - the serum which poor in growth factors from the serum which rich in growth factors. This cabinet is designed to prevent air contamination of biological samples having a system where air is drawn through a HEPA filter and provides clean air to the work area.

After a study of your pathology in the IMTRA INCOMA Clinic, Dr Galindo Andújar may treat you with rich plasma in growth factors.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.es

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

10th Update Course for scrub nurses in Traumatology and Orthopaedic Surgery

Next update course for scrub nurses in Traumatology and Orthopaedic Surgery organised by the Spanish Traumatology and Orthopaedic Nursing Association AEETO (Asociación Española de Enfermería en Traumatología y Ortopedia) will be from 22^nd to 24^th of October 2014 in Fuenlabrada Hospital. This course is accredited by the Commission of Continuous Health Professional Training of Madrid (Comisión de Formación Continuada de los Profesionales Sanitarios de la Comunidad de Madrid, Sistema Nacional de Salud) with 4.3 Credits CFC EXP-07-AFOC-03458.8/2014.

Elena Miguel is the educational coordinator of these courses. She always seeks new topics for the nursing courses each year. During this course the participants will be able learn among others about:

•        Kyphoplasty
•        Limb replantation
•       Custom prosthesis (hip and knee)
•        Obtaining stem cells
•        Knee prosthesis with navigator

She expects all students to learn new knowledge and acquire new skills in this theoretical and practical course.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz