Kacy E. A. Miller

As a combat support hospital, orthopedic care is provided in a field environments, focusing on the the diagnosis and treatment of musculoskeletal injuries. This is achieved through a multi-disciplinary team comprising of orthopedic surgeons, physical therapists and orthopedic technicians. The US Army Reservist service requirement here is one weekend per month and two weeks in the summer.

• Manage approximately 32 patients per day performing and assisting in orthopedic procedures, including casting, splinting, and brace application ensuring patient comfort and promoting effective healing
• Assess patient comfort related to cast and splints and assisted with comfort measures.
• Fit appliances onto patients and made necessary adjustments.
• Apply various immobilization devices and use orthopedic tools
• Provide compassionate care and guidance to patients, explaining procedures and maintaining a calm environment
• Participate in large-scale training exercises to refine trauma and orthopedic response skills in a simulated emergency/combat environment
• Collaborate with orthopedic surgeons, nurses and other healthcare professionals to ensure cohesive patient care and operational success
• Manage inventory of orthopedic supplies, ensuring tools and materials are always available
• Document procedures and patient interactions accurately, maintaining compliance with military and healthcare standards
• Promote positive patient outcomes by monitoring progress throughout treatment plans and making necessary adjustments to ensure optimal results.

Brooke Army Medical Center, the Department of Defense 's largest and most robust Level 1 trauma center, manages 50-100 daily orthopedic cases, spanning both operative and non-operative care in general and specialized clinics

• Applied variety of traditional and patient-tailored plaster and fiberglass casting, splints, braces, and soft goods to 20-30 patients per day of all age groups in the clinic as well as immediately post operatively.
• Supported teams of 5-10 physicians & physician assistants in providing high-quality care by accurately measuring, fitting, and adjusting orthopedic appliances as needed.
• Provided cast Uni-valving, Bi-valving, windowing and over-wrapping
• Provided wound care, suture, staple & pin removals, wound vacuum application
• Assessed patient comfort related to cast and splints and assisted with comfort measures.
• Fitted appliances onto patients and made necessary adjustments.
• Reduced patient wait time by promptly assisting with the application and removal of casts, braces, and other orthopedic devices.
• Provided compassionate support to patients during difficult times, addressing concerns related to their injuries or treatments in a professional manner.
• Promoted positive patient outcomes by monitoring progress throughout treatment plans and making necessary adjustments to ensure optimal results.
• Maintained a safe environment for patients and staff by strictly adhering to infection control protocols during cast application and removal.
• Prevented complications by closely monitoring patients'' conditions after surgery or injury, reporting any changes or concerns to supervising physician immediately.
• Streamlined inventory management processes for orthopedic supplies, improving overall clinic organization and efficiency.
• Enhanced clinic efficiency by maintaining clean and organized treatment areas for optimal patient care.
• Decontaminated all equipment, instruments and supplies and cleaned and stocked carts, rooms and changed linen, as required.

Cornwall Regional Hospital is one of three Level 1 trauma hospitals in Jamaica and the only one in the north-western region of Jamaica. With a 400+ bed capacity, it services the most specialized and critical cases of a regional population in excess of 1 million people. Typical yearly emergency room visits exceed 70,000 and routine outpatient follow ups exceed 18,000 individuals.

9/2020 - 1/2022: General specialty areas [General surgery, Pediatrics, Obstetrics & Gynecology and Emergency/Trauma]

• Followed scrub-in procedures by gowning and gloving correctly to assist in sterile fields.
• Created safe operating environments for invasive and non-invasive procedures.
• Prepared instruments for terminal sterilization and reset surgical suites for next procedure.
• Created unobstructive operative fields by using retractors, sponges, and suction and irrigating equipment.

2/2022-7/2023: Orthopedic Surgery

• Worked with team of up to 15 physicians divided evenly into 3 teams to provide inter-hospital care to up to 80 patients daily at Cornwall Regional and Falmouth Public General hospitals.
• Worked with a team of up to 5 physicians to carry out follow up management of 100+ patients in weekly outpatient clinics.
• Assisted in reducing joint dislocations to the hip, ankles, shoulders, elbows, wrist and fingers
• Assisted in local & regional nerve blocks.
• Performed alignment & stabilization of fractures in plaster splints and casts.
• Assisted with skin and skeletal traction
• Evaluated patients in orthopedic surgery clinics, emergency rooms, intensive care units and operating rooms
• Managing various casting and splinting techniques for fractures and other orthopedic conditions
• Provided support in pre and post operative surgical orthopedic care
• Performed orthopedic assessment to support treatment plans
• Reduced patient recovery times by efficiently implementing casting and bracing protocols
• Conducted detailed orthopedic assessments and contributed to treatment planning
• Supported patients through rehabilitation exercises and post procedural care