An in-depth analysis of three key aspects of the anaesthetic nurse role
The relationship between the perioperative nurse and the patient has suffered a long process of mutation throughout the last decades. If before all the dynamics experienced within an operating theatre were based upon organizational and logistical aspects, these days the focus lies on the patient and all the comfort and security demanded throughout a process that already reveals itself aggressive for the patient. Being the front-line person in this dynamic, the anaesthetic nurse plays a crucial and intense role on the patient’s experience.
An anaesthetic nurse is knowledgeable and technically skilled. However, as Flin and colleagues extensively analysed (2008),
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In addition, Lingard and colleagues have studied and supported the idea of preoperative checklist and team briefings to prevent or decrease communication failures (Lingard et al. 2008). In fact, the World Health Organization has standardised a surgical safety list (appendix 1) that through effective communication ensures the right patient, right procedure and the necessary steps/actions are guaranteed (World Health Organization 2008).
On the other hand, although a team briefing is not a requirement it enhances communication and teamwork and highlights possible issues that can be dealt more effectively if all the team members are aware and help (for example sharing with the team members an anticipated difficult intubation).
Situation Awareness
Situation awareness has been explained as a three stage process: perception, comprehension and projection (Endsley 2012). According to Endsley, situation awareness begins by perceiving the elements of the environment (Level 1) after which an integration and understanding of those elements (Level 2) will then generate a prediction of near-future events (Level 3).
Situation awareness is one of the non-technical skills that were first acknowledged
In accordance with the World Health Organisation (WHO 2008) checklist and Local trust policies, a team briefing was held before the day’s list started. The checklist is part of a second Global Patient Safety Challenge initiative entitled ‘Safe Surgery Saves Lives’, aimed at reducing the number of surgical deaths worldwide and was launched in June 2008. This not
The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the
Knowledge of physiology, biochemistry, pharmacology, and clinical medicine are absolutely necessary to the anesthesiologist. (“Anesthesiology”)
Nurse Anesthetists are also known as CRNA, which means Certified Registered Nurse Anesthetists. Being a CRNA, one has big shoes to fill when it comes to their job. CRNA’s work with anesthesiologist surgeons and other physicians and medical professionals to give anesthesia to patients undergoing medical and surgical procedures. CRNA’s care for patients before, during and after a medical or surgery by doing a patient assessment , preparing the patient for anesthesia, they must maintain the anesthesia throughout the whole procedure to secure the proper sedation, and pain management, and as a CRNA they must make sure the patient recovers from the anesthesia properly. CRNA’s usually overshadow anesthesiologists. They perform much of the work
Despite increased nurse involvement in anesthetic care, formal education lacked. It wasn’t until 1909 when the first formal education in nursing anesthesia arose at St. Vincent’s Hospital in Portland, Oregon by Agnes McGee. In spite of the advanced education nurses were receiving in anesthesiology, the role of the Nurse
Certified registered nurse anesthetists are advanced nurses who provide anesthetics for surgery and trauma. Many people wonder the difference between nurse anesthetist and anesthesiologist. A CRNA is a registered nurse who specialize in anesthesiology with at least one year of critical experience. Anesthesiologists are physicians and they have to complete a one-year internship, three year residency to become certified. A CRNA can administer all kinds of anesthetic work in any place of practice for any operation procedure. CRNAs provide anesthetics to patients, surgeons, anesthesiologists, dentists, podiatrists and other health professionals.
With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).
This essay discusses and reflects upon patient care in the post anaesthetic care unit (PACU) and is linked to my experiences on placement. It discusses how my approach to patient care has been challenged and analyses how evidence based practice can create a change in the way patients are cared for. It reviews the processes of managing the perioperative environment and evaluates the implications for practice when applying a change in healthcare. Wicker and O’Neill (2010) state that “The lack of immediate medical support in the recovery room means that practitioners work in a more autonomous role than any other area of the operating department” (p.379). By reflecting upon my experiences I am able to link practical and theoretical aspects of the operating department practitioner (ODP) job role. This will provide me with a greater understanding of professional practice and it will develop my personal knowledge and self-awareness (Forrest, 2008). Using a model of reflection is important as it provides a framework that can be systematically followed and acts as a guide through the process of reflection. For this essay I have chosen to use the Gibbs’ Reflective Cycle (1988) as it provides a methodical guide to reflection using a series of ordered questions that each lead to the next stage of the cycle (Forrest, 2008).
Do you want to help save a life in the medical field but not do all the dirty work? Well being a nurse anesthetist is the perfect job for you. You get to be involved with the surgery and you don't need to even touch the insides of another person. Betty Horton, a experienced CRNA, says “Beings a nurse anesthetist is the best job you could ever have. It started my life off and made other things in my life accomplishable.” There are 170,400 jobs available to become a nurse anesthetist. That means there is 170,400 opportunities to help save someone's life. I believe that college is important in order to become a successful nurse anesthetist.
(History of Nurse Anesthesia Practice. 2010, May), (Koch, E., Downey, P., Kelly, J. W., & Wilson, W. 2001).
CRNAs are a way to provide cost-effective services- as they are less costly to employ than anesthesiologists, in a time where healthcare facilities are scrambling to cut healthcare costs. As such, CRNAs will continue to be in high demand particularly in medically underserved areas and as they continue to become more widely recognized and accepted as a source for healthcare (Inner Body, 2013).
At least half a million deaths per year could be prevented with effective implementation of systemic improvements in operating rooms. Specifically, multiple studies have found implementing the use of the WHO Surgical Safety Checklist would significantly reduce surgical morbidity and mortality due to surgical errors.
A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional
By doing this, it emphasizes team awareness of risks, improves the likelihood locating or missing hidden objects, and heightens awareness of patient safety among all of the members—improves a patients’ surgical outcome (Edel, 2010).
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.