How often should an orthopedic nurse perform a neurovascular assessment post-surgery?

Performing a neurovascular assessment every 1-2 hours for the first 24 hours post-surgery is essential in monitoring the patient’s recovery and detecting any potential complications early on. After orthopedic surgery, particularly involving extremities, there is a risk for changes in circulation, sensation, and motor function due to swelling, hematoma, or complications such as compartment syndrome.

Assessing neurovascular status at this frequency allows the nurse to evaluate the function of blood flow and nerve integrity by checking for color, temperature, capillary refill, pulse, sensation, and movement. This close monitoring helps in identifying any deterioration that may require immediate intervention, thereby enhancing patient safety and recovery outcomes.

As the patient stabilizes and shows no signs of neurovascular compromise, the frequency of assessments can be adjusted accordingly. The options for less frequent assessments may not provide the level of vigilance needed during the critical post-operative period, wherein rapid changes can occur.