The Street Where They Live

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  • AORN JOURNAL NOVEMBER 1984. VOL 40, NO 5

    Letters to the Editor

    The Street Where They Live

    We were pleased to see A Guide to Lasers in the OR reviewed in the August Jouml . I noticed that you included the addresses of other pub- lishers. Because we are not as well known, I would like your readers to know that they can obtain the Guide from Education Design, PO Box 31975, Aurora, CO 80041. Many thanks.

    JUDITH PFISTER, RN AURORA, Corn

    Going By the Book

    Two months after the April 19, 1983 Journal article, Sterilizing and Preserving Human Bone by Jean Evanoff, RN, an 18-year-old automobile accident victim presented at our hos- pital emergency mom for care.

    In addition to internal injuries, he had commi- nuted fractures of both femurs. The left fracture was open, with loose bone fragments, and one large fragment absent. This large, triangular fragment, measuring about three and one-half inches, and including three-fifths of the entire cortex at its widest end, was found by a bystand- er and sent to the hospital.

    Internal injuries took precedence over or- thopedic ones, and surgery was performed im- mediately. Traction pins were placed for stabili- zation.

    Until I could reread the articles recom- mendations, I rinsed the fragment in sterile saline, and submerged and froze it in antibiotic solution. Then the OR staff and I carefully re- viewed the proper handling and sterilizing of bone, talked with the surgeon, and completed the process of preserving the bone.

    When time came for surgical repair, that piece of bone fit like part of a jigsaw puzzle. Even though we needed bone harvested from the pa- tients iliac crest to fill in the gap, being able to use the large fragment speeded the patients re- covery and greatly reduced his disability.

    A big thank you to AORN writers and editors for getting current information to your readers.

    EVA FRIEsEN, RN

    L~MPOC HOSPITAL DISTRICT OR SUPERVISOR

    WMPOC, CALIF

    614