OCTOBER 2002, VOL 76, NO 4

Examination WAMSTRING TENDON GRAFC FOR

ANTERIOR CRUCUIX‘E UGAAIIENT RECONSTRUCTION

1 . A common tiad of injuries experienced during severe knee trauma includes all of the following except a. medial meniscus tear. b. partial or complete medial collateral ligament

c. tom anterior cruciate ligament (ACL). d. dislocated patella.

tear.

2.The classic description by the patient of an ACL injury include all of the following except a. feeling the knee give way with an audible pop-

ping sound. b. moderate to severe pain and inability to con-

tinue the causative activity. c. swelling occurs rapidly during the 30 to 60

minutes after injury. d. pain subsides but continues with lateral move-

ment while denying pain with straight-ahead activities.

3. The most sensitive test for determining whether the ACL has been tom is the a. anterior drawer test. b. Lachman test. c. pivot lift maneuver. d. pivot shift maneuver.

4.When the patient enters the OR holding area, the nurse confirms the surgical site by doing all of the following except a. trusting the surgical schedule. b. asking the patient to identify the surgical leg. c. having the patient place an “ X or initials on

d. checking the surgical consent. the surgical leg.

%The surgeon distends the patient’s knee with saline before making the initial stab incision to a. achieve cleaner synovial penetration. b. forcehlly open the anterior compartment.

c. expand the skin. d. loosen any adhesions.

6.The length of the hamstring graft should meas- ure in length. a. 50 mm to 100 mm b. 75 mm to 150 mm c. 100 mm to 150 mm d. 150 mm to 200 mm

7.ARer the procedure is complete, the range of motion brace is locked at a. zero-degree extension. b. 60-degree extension. c. zero-degree flexion. d. 180-degree flexion.

8.The patient will remain on crutches for a. one week. b. two weeks. c. three weeks. d. four weeks.

9.The patient is instructed on early exercises to strengthen the quadriceps muscle, including all of the following except a. bent leg raises. b. heel slides. c. quadncep sets. d. straight leg raises.

1QOne advantage of using the hamstring tendon graft instead of other graft sites is a. less need for extensive postoperative

b. the graft is smaller and stronger than the

c. quicker return to sports activities without the

d. less postoperative pain and a quicker return of

rehabilitation.

patellar tendon.

need for aggressive rehabilitation.

quadriceps muscle function.

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AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center‘s Commission on Accreditation. AORN reccgnizas these activitjes as con~inuing edu- cation far RNs. This recognition does not imply thal AORN or the

American Nurses Credential Center approves or endorses products mentioned in the activiv, AORN is provider approved by the Ca/ifornia Board of Registered Nursin~, Provider Number CEP 130 19.

Internet Course Will Help Improve Care for Older Adults A new, no-cost Internet review course designed to enhance nurses’ competence in caring for older adults has been launched, according to a June 10,2002, news release fiom the John A. Hartford Foundation Institute for Geriatric Nursing. The institute launched this course, which will provide nurses the opportunity to review materials online at their own pace.

The course is intended to help nurses bridge skill gaps in caring for older adult patients. It also will help them prepare for the national certification examination in gerontological nursing. According to the institute, approximately one-half of US hospital beds are occupied by patients 65 years of age or older, yet fewer than 1% of practicing RNs are certi- fied in geriatrics.

Included in the course are reviews and sum-

maries of key clinical information for the care of older adult patients. The causes of aging; pain man- agement; nursing home protocols; and the financial, social, political, and cultural issues that affect nurs- ing care of older adults are addressed.

The course is free and can be accessed on the Internet at http://www.hartfordig.org. It takes approx- imately six to eight hours to complete and includes case studies and practice questions. Those completing the course may earn 9.6 contact hours of continuing education credit.

Innovative Online Review Course to Improve Nursing Care for Elders Launched by Hartford Institute for Geriatric Nursing (news relmse, New York: The John A. Hartford Institute for Geriatric Nutsing, June 10, 2002).

Research Director Takes Nursing Vocabulary to Taiwan AORN’s Director of Research, Suzanne Beyea, RN, PhD, recently traveled to Taiwan to present two sem- inars on the Perioperative Nursing Data Set ( P N D S ) . The trip was sponsored by Johnson & Johnson Medical Taiwan, which considers the education of clinicians an important part of its overall mission. The first educational session was held at the National Cheng-Kung University Hospital in Tainan and was sponsored in part by the Taiwan Nurses Association; the second was held at the Buddhist Tzu Chi General Hospital in Hualien. During her visit, Dr Beyea toured the hospitals’ surgical departments and met with a number of perioperative nurses.

English to Chinese by bilingual nurses working in a variety of clinical settings. During the presentations, participants compared their current clinical records to AOR”s sample clinical records based on the PNDS. Interestingly, their clinical records use English for the name of the surgical procedure, posi- tion of the patient during surgery, type of anesthesia,

Dr Beyea’s presentations were translated from

and type of laser. Nurses attending the sessions have a strong interest in incorporating the PNDS in their documentation and have plans to begin translating the PNDS.

Nursing practice in ORs in Taiwan is based on A0R”s standards and recommended practices. Many of the nurses Dr Beyea met have attended an AORN Congress or World Conference. Nursing care and documentation in Taiwan appears to be very similar to care and documentation in the United States. One difference is that most Taiwanese hospi- tals continue to have an RN circulating nurse and scrub nurse for each surgical patient. There is a high level of professionalism and dedication to patient and family member care. Upon her return, Dr Beyea remarked, “Our professional colleagues in Taiwan are an inspiration for their dedication to quality and safe patient care and their high levels of profession- alism. AORN is fortunate to have such a committed group of individuals working to make AORN stan- dards become international standards.”

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P Answer Sheet

HAIWSTRlNG TENDON GRAFe FOR ANTERIOR CRUClATE UGAMlENT -UCllON

ease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Journal or make photocopies and mail to:

AORN Customer Service c/o Home Study Program

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or fax with credit card information to (303) 750-3212.

A score of 70% correct on the exam is required for credit. Additionally, please verify by signature that you have reviewed the objectives and read the article, or you will not receive credit.

Signature

Event # 03036 Contact hours: 2.5 Fee: Members $12.50; Nonmembers $25

Session # 6544

Program offered October 2002. The deadline for this program is Oct 3 1,2005. 1. Record your AORN member identification num- ber in the appropriate section below. (See your member card.) 2. Completely darken the spaces that indicate your answers to examination questions one through 10. Use blue or black ink only. 3. Our accrediting body requires that we verify the amount of time you required to complete this 2.5 con- tact hour (I25 minutes) program. 4. Enclose fee if information is mailed.

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627 AORN JOURNAL

OCTOBER 2002, VOL 76, NO 4

Learner Evaluation HAMSTRING mNWN GRApe POR

ANTERIOR CRUClATE UGAMENT RECONSTRUCTION The following evaluation is used to determine the extent to which this Home Study Program met your leam- ing needs. Rate the following items on a scale of 1 to 5. OBJEcTlVas To what extent were the following objectives of this Home Study Program achieved?

(1) Identify the normal anatomy of the knee. (2) Discuss common tests used to confirm ante-

rior cruciate ligament (ACL) injury. (3) Explain the surgical setup for ACL recon-

struction with hamstring tendon graft. (4) Describe the perioperative nurse's role

when caring for patients undergoing ACL reconstruction with hamstring graft.

(5) Discuss the importance of early rehabilita- tion to optimize surgical results.

PURPOaElGOAL To educate the perioperative nurse about ACL recon- struction using a hamstring tendon graft.

c o w (6) Did this article increase your knowledge of

(7) Was the content clear and organized? (8) Did this article facilitate learning? (9) Were your individual objectives met?

(1 0) How well did the objectives relate to the

the subject matter?

overall purpose/goal?

T#cTwEItllo"swERs (1 1) Were they reflective of the content? (1 2) Were they easy to understand? (1 3) Did they address important points?

LEARNER INPUT (14) Will you be able to use the information Erom

this Home Study in your work setting? a. yes b. no

a. the Journal I receive as an AORN member. b. the Journal that I obtained elsewhere. c. the AORN web site. d. SSM Online.

(1 5 ) I learned of this Home Study via

(Low) (High) (Low)

(16) What factor most affects whether you take an AORN Journal Home Study? a. need for contact hours b. price c. subject matter relevant to current position d. number of contact hours offered

What other topics would you like to see addressed in a future Home Study Program? Would you be inter- ested or do you know someone who would be inter- ested in writing an article on this topic? Topic( s):

Author names and addresses:

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