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MEGAN FARRELL

SUMMER 2015

Smith and Nephew Internship

Smith and Nephew Vision:

“Smith and Nephew supports healthcare professionals in their daily efforts to improve

the lives of their patients. We do this by making a pioneering approach to the design of our products and services, by striving to secure wide access to our diverse technologies for more customers globally, and by enabling

better outcomes for patients and healthcare systems”

Smith and Nephew Values

“Our values shape everything that we do as a business and form the basis of our relationships with

all our stakeholders. Our values also underpin our approach to sustainable development where we continue to set challenging performance targets,

particularly with regard to managing our environmental impact and increasingly in the area of

social responsibility. Our values are articulated under the headings of

Performance, Innovation, and Trust.”

Smith and Nephew History

Thomas James Smith opened up a small pharmacy in Hull, England in 1856. After his death in 1896, his

nephew Horatio Nelson Smith took over the pharmacy. A few days after WWI began in 1914 the company was awarded £350,000 of surgical and field dressings to be delivered in five months. Smith and Nephew expanded into becoming a diverse healthcare conglomerate with

operations across the globe by the late 1990’s and announced they will be focusing investments on three

major business units – wound management, endoscopy, and orthopedics. Today they are headquartered in the

UK, however do business all over the world. The orthopedic headquarters in the US is located in

Memphis, Tennessee.

Charlotte Office

Smith and Nephew has an office in Charlotte, North Carolina that is used as a “home base” for implants, trays and more.

Office Address:4420 Taggart Creek Rd.

#112Charlotte, NC 28208

The photograph to left is some of the inventory from the Charlotte Office.

Site Locations I worked in:

Greenville Memorial Hospital: 701 Grove Road, Greenville, SC 29605

Greer Memorial Hospital: 830 South Buncombe Road, Greer, SC 29650

Baptist Easley Hospital: 200 Fleetwood Drive, Easley, SC 29640

Patewood Hospital: 175 Patewood Drive, Greenville, SC 29615

Oconee Memorial Hospital: 298 Memorial Drive, Seneca, SC 29672

About Smith and Nephew

S&N is an international company based around four concentrations of medicine: Orthopedic Reconstruction Trauma Sports Medicine Advanced Wound Management

Throughout my internship I focused on orthopedic reconstruction and trauma.

Intern Rotations and Roles

Rotations:Rotation One:

Orthopedic Reconstruction

Rotation Two: Trauma

Roles and Duties: Learn the techniquesRecognize and understand

the instrumentsTray the carts with the

necessary implantsRestock inventoryShip necessary trays and

implants to and from hospitals

Understand sales techniques in and out of the OR

Orthopedic Reconstruction Rotation

I began my internship doing a rotation focused on orthopedic

reconstruction. I spent a majority of my time in the

operating room learning all about total knee replacements

and total hip replacements from the surgeons, nurses, and especially sales reps. The

photographs on the right are two femur implants. The one on the left is oxinium and the femur

on the right is cobalt chrome.

Trauma Rotation

After about two weeks of ortho reconstruction I began to focus on trauma at Greenville Memorial; a level one trauma center. Trauma differed from ortho tremendously. As sales

reps we showed up to the hospitals not knowing if there would be five cases or zero cases. Photographed below was the very

first trauma surgery I saw– a proximal humeral fracture.

Trauma Cases throughout my Experience:

Hip fracture using Trigen IntertanProximal humeral fractureDistal tibial fractureVolar distal radial fractureDistal fibular fractureMedial tibial fracture Trigen Intramedullary Nail (IMN) for proximal humerus

fracture repairIMN repair for a distal tibial fractureDistal femoral fracture using perilock plateHip Hemi (this could be considered recon) Distal humeral fracture using IMNDistal humeral fracture using Perilok plate Distal tibial butterfly fracture with IMN repair

Projects and Assignments

1. Intern Study Guide: I was the first intern Smith and Nephew ever had so it was a learning experience for both sides. They asked me to put together a “study guide” that would be useful for future interns. I compiled my notes, Smith and Nephew files and pictures to create a helpful guide for future interns to reference and study throughout their time.


2. Restock Inventory: Everyday shipments of new implants come in to each hospital due to the high volume of total joints and overall cases that Smith and Nephew handles. After every single surgery the sales representative will reorder the implants used that day and any other implants that are necessary for upcoming surgeries. UPS or Smith and Nephew’s currier will deliver “totes” of either instrument trays or implants that the reps are responsible for stocking in the “Implant Rooms” of these hospitals.

Totes delivered to the hospitals before I unpack and restock them

in the Implant Room.

The implant room at Oconee Memorial. Every sales rep organizes their implants in the most efficient way for that specific hospital. .

Project and Assignments


3. Templating: In the very first week of my internship I learned what “templating” was. Smith and Nephew has technology capable of being calibrated with x-ray files for patient cases. Most surgeons like to have the patients x-rays templated for the implants. Smith and Nephew will template the film with their implants to best fit the patients needs so the doctor has a good visual and reference for what size implant he will give the patient.


X-ray without a template. X-Ray I templated.


In x-ray films where the patient has already had one hip or one knee replaced with the same company’s system it is unnecessary to template again for the other side. The sales representative and surgeon are able to look up the sizes already implanted in the patient which will give an accurate estimate of what the alternative side will call for.

Photographed is an x-ray of a patient who already replaced his or her left hip and will be

replacing their right.


4. Filling out a hospital requisition and re-ordering implants to that hospital post surgery. Below is a

picture of a requisition I filled out with the implant bar codes placed on the back of the sheet for billing and

tracking purposes. Pricing and patient name is confidential and therefor not on this example.

Overview and Conclusion

Throughout this 180 hour internship I worked very closely with five different sales representatives, mainly five hospitals, about fourteen surgeons, and countless nurses and scrub technicians.

I had the privilege of learning from excellent, successful sales associates and prominent surgeons first hand. Not only did this internship help make me a more competitive candidate for any medical sales position, but it also confirmed my preconceptions of becoming a medical sales representative myself.

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