1-27
1-27. TRACTION APPARATUS
When working with traction apparatus, the following points should be observed routinely and any defect reported to the charge nurse.
a. Weights. The weights must hang free. Each weight bag must be tied securely to its rope. Avoid bumping or knocking the weight bags. They should not be allowed to swing back and forth. Weights should never be removed from a patient with a fracture unless so ordered by the physician or in the case of an extreme emergency. Weight and pulley traction is applied to provide constant corrective extension. If the weights are removed, the purpose of their use has been defeated.
b. Ropes. There should be no frayed spots or knots in the running length. They should not drag on the bedclothes or the bed frame. No ropes should rest against one another.
c. Pulleys. The rope should rest securely in the pulley grooves. Pulley clamps must be securely attached to the bed frame and must not be moved unless ordered by the physician.
d. Spreader Bars. The spreader bars should cause no pressure on adjacent skin areas.
e. Footplate. The footplate should maintain and support the foot in a neutral position, with no pressure on either side of the foot, the heel, or the toes. It must not rest against the foot of the bed, as this interferes with the traction pull.
f. Trapeze. The trapeze should be suspended from the overhead bar of the bed frame so that the patient can reach and grasp it without strain and without twisting out of proper alignment.
g. Hammocks, Slings, and Halters. These should be free of wrinkles and cause no pressure on bony prominence or joints. If padding material is used, it must be clean, dry, and free of wrinkles and crumbs.
