Differences

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--- resident:timothy_irwin [2024/04/09 20:02] – created michael
+++ resident:timothy_irwin [2024/04/09 20:06] (current) – [Operative Reports] michael
@@ Line 1: / Line 1: @@
-**IRWIN HAND (PEDS)
+=====Dr. Irwin Introduction=====
-**Phalanx Fracture Pinning
+  * Blank \\
--Usually Ancef peri-op
+  *
--Hand prep (not truly sterile)
--Scrub with CHG sponge or Soap sponge
--Alcohol to 4x4 boat and scrub hand up to 1010
--Non-sterile tourniquet with 1010
+===== Operative Reports =====
--Sub-sterile draping so 2x down sheets needed (1x for table and 1x over patient)
--Towel out extremity and secure with 2x clamps
--No gown, gloves only
--Reduce and pin
+Phalanx Fracture Pinning\\
--May cap K-wires with JURGAN pin ball and cut flush
+-Usually Ancef peri-op\\
--Requires crank/screw driver to secure on K-wire
+-Hand prep (not truly sterile)\\
+-Scrub with CHG sponge or Soap sponge\\
+-Alcohol to 4x4 boat and scrub hand up to 1010\\
--Usually a few 4x4s over surgical site, sterile 2” cast padding + 2” fiberglass
+-Non-sterile tourniquet with 1010\\
--Typically cast for 3 weeks then remove in clinic, then 3 additional weeks of no sports / rough housing
+-Sub-sterile draping so 2x down sheets needed (1x for table and 1x over patient)\\
--So 6 total weeks of no physical activity)
+-Towel out extremity and secure with 2x clamps\\
+-No gown, gloves only\\
+-Reduce and pin\\
+-May cap K-wires with JURGAN pin ball and cut flush\\
+-Requires crank/screw driver to secure on K-wire\\
+-Usually a few 4x4s over surgical site, sterile 2” cast padding + 2” fiberglass\\
+-Typically cast for 3 weeks then remove in clinic, then 3 additional weeks of no sports / rough housing\\
+-So 6 total weeks of no physical activity)\\