Getting ready to start a nursing job on an orthopedics unit and want to get ahead of the game?
... What if you had the ultimate orthopedics nurse playbook to study and prepare your very first day on the unit?
Get started now!
Acute care orthopedics nursing has its own challenges…
It’s an environment that’s so fast-paced, just 3 minutes after report you’re somehow already hours behind with pain meds, therapy appointments, wound care, and more.
You’re caring for patients undergoing extremely intense surgeries - who then get discharged only 24-48 hours later.
You routinely round with intimidating orthopedic surgeons who have very specific, yet often unspoken, expectations for the nurses on the unit
The warning signs of common postoperative complications are subtle but critical, which is difficult to detect while simultaneously caring for multiple similar patients
And promptly discharging patients with various medical equipment, follow-ups, therapy, and complex medications regimens is no easy feat!
But, what if you could have an ortho nurse playbook that told you how to navigate these challenging scenarios, right at your fingertips?
… and what if that playbook only contained the need-to-know information?
From Kati Kleber, MSN RN
American Nurses Association published author, nurse educator, and national speaker
Maybe you’ve landed the job, or maybe you’re getting ready to apply for a staff nurse position on an acute care orthopedics floor. You want to do all you can to prepare for your first day, but when you’re new you don’t know what’s need-to-know information and what’s nice-to-know information.
Let’s be honest, we don’t have time to learn every single thing about orthopedic surgery right now.
While that would be nice, it’s one thing to read it. It’s another to recall that information in the midst of a busy and chaotic shift where you’re learning on the fly.
As an experienced bedside nurse, I know what it’s like to learn incredibly important information on the fly during a shift. There’s a lot of stuff you pick up along the way that would have made a massive difference had you been able to brush up on it earlier, or even know it was a priority.
Nursing school provides so much information over a longer period of time that it’s hard to retain and recall that information when it counts. It’s like it’s only an inch deep and a mile wide of basics.
But, when you get into the real nursing world and step onto a specialty unit, it’s like what you need to know is an inch wide and a mile deep. Even switching specialties can make you feel like a new grad all over again!
Creating education and encouragement to meet nurses where they truly are, and not where they think they should be is my passion. And we have now added an orthopedics course to our FreshRN® family of courses!
You clock in, see your assignment for the shift, take a deep breath.
You take report from the off-going nurse with ease. You can quickly write down their information and ask important questions
While getting report, you’re planning your time management for the beginning of the shift. You know which patients you need to pay extra attention to, who needs more encouragement and education, and what information on the chart you’ve got to review. You give your patients who you know won’t be discharged today ample attention in the morning, because once you start getting those post-ops in the late morning/early afternoon, you’ll have less time to play with.
Soon, the orthopedic surgeon walks on the unit to round on her patients. You greet her with a smile, prepared for questions and know how to navigate the questions she may have that you’re not so sure about.
You can speak in terms of decreasing her patient’s length of stay, rather than ticky-tacky details that don’t move the needle. She’s impressed. She likes how you work. Her nurse practitioner is equally impressed with you, because you not only can identify situations that require you to notify him, but do so with astute timing, and with concise yet thorough details.
You make their job easier.
They happily do the same for you.
Your patients know you mean business, but also feel safe and comfortable under your care. You know when to push and motivate, but also when to pause and comfort. You know the complex pathophysiology behind common complications so well that you can break them down into easy-to-understand terms so they get why they need to do all of those tedious, uncomfortable, and exhausting things post-op. You educate them with a calm confidence that encourages trust and builds rapport. They willingly do the things they know they need to do because you met them where they are, not where people think they should be.
Now... I know what you’re thinking.
“I won’t get there until I’ve been on the unit for years!”
It doesn’t have to take years. There is a lot you can do right this very moment that can set you up for success on your orthopedic unit.
Our goal is to make it so that while you’re on orientation, your focus is learning how to do the things you can only do at the hospital. Leave the pathophysiology, pharmacology, lab, and common surgery refresher to us.
You can look like a pro on day 1 by asking the right questions at the right time.
And what if I told you that you can peel back the fear of the unknown, and start devouring the playbook now?
Ortho STRONG: A Crash Course for New Orthopedic Nurses
With the Ortho STRONG, here’s some of what you’ll learn:
- What is actually done in the OR for a total knee and total hip replacement [THA & TKA modules]
- The pathophysiology behind the top postoperative complications, and how to prevent and detect them like a pro [Common Adverse Events module]
- The breakdown of what you need to know about spinal patients [Spinal Procedures module]
- How to confidently give discharge instructions - with an example! [Discharge Education module]
- Why your leaders and the providers care so much about discharge, and how you can take steps to move the needle towards discharge in a safe and meaningful way [Decreasing Length of Stay section]
- General tips and encouragement, examples of effective pages, and talking points for working with orthopedic surgeons and advanced practice providers [Working with Surgeons & APPs section]
- How talk to your patients about pain medications and management [Inpatient Medications module]
- How to walk that thin line between too much and not enough pain medication to ensure your patients can participate in therapy [Inpatient Medications module]
- Demystifying the incredibly complex anticoagulation game specifically for the bedside nurse [Inpatient Medications module]
- The difference between the most common orthopedic devices you’ll see [Orthopedic Devices module]
- When to worry about incisions and drains [Wound Care & Drain Management modules]
- Which subtle vital sign changes really matter, and how to effectively notify the provider [Vital Signs module]
Enroll now and get access to…
- Over 30 modules
- 4.0 contact hours
- Pick your format - audio versions of all modules so you can choose to read or listen
- 9 videos illustrating the pathophysiology behind common complications and videos walking through what happens in the OR
- Insider information from an orthopedics nurse practitioner and nurse educator
- Sample provider notification pages for common issues and needs
- Lifetime access
- A pre and post test to check your knowledge (with rationales!)
- Sample discharge instructions
- Multiple downloads, including sample discharge instructions, various assessment checklists, and more!
Elizabeth is currently a Family Nurse Practitioner at Northwestern Memorial Hospital in Chicago, Illinois working for their award-winning inpatient orthopedic surgery team. She has been a nurse since 2006, working medical, surgical, and cardiac units. She obtained her national certifications in both med-surg and critical care before completing her MSN in 2014. In 2020, she was nominated for Nurse Practitioner of the Year at Northwestern Memorial Hospital. Elizabeth is passionate about medical missions and serving those without means/access to medical care.
"It provided me with a deeper understanding of what occurs during hip and knee replacements, the recovery process, and how I can implement interventions as a nurse to make the healing process smoother. Also the explanation of the paging system and what constitutes a quality page was really important and something I wish I learned about earlier!"
- Madeline Nowak, RN
"I really liked that they didn't unnecessarily explain complex surgical terms or surgery details and instead just highlighted the big takeaways and key points that the nurse would need to know. I also really liked how relevant to floor nursing the course was and they mentioned helpful tips for having a successful shift like coordinating with PT/OT about pain medication"
- Anonymous, RN
Thank you for this course. It is a great resource and very informative. Kudos to Katie!
- Caressa D. Tan
"Very helpful tool for a new Ortho nurse."
- Anonymous, RN
This was very informative! Thank you so much. Feel better about starting on an ortho floor.
- Alexandra Fonseca
"It’s worth the investment."
- Anonymous, RN