What is a key postoperative nursing intervention for an adolescent who has undergone spinal fusion for scoliosis?

The key postoperative nursing intervention for an adolescent who has undergone spinal fusion for scoliosis is log-rolling every 2 hours. This technique is essential in maintaining spinal alignment and minimizing stress on the surgical site. It allows for safe repositioning of the patient while maintaining the integrity of the spine during the early postoperative period when movement is restricted.

Log-rolling helps prevent complications such as pressure ulcers and promotes circulation, which is vital in the recovery process. Proper positioning is crucial for spinal stability, and using this method ensures that the spine remains aligned as the patient is turned, thus reducing the risk of injury during movement.

While encouraging ambulation, monitoring vital signs, and administering intravenous fluids are important nursing interventions, log-rolling focuses specifically on protecting the surgical site and facilitating safe movement in the immediate postoperative phase.