Anaesthetic Nursing Essay

The work of an anesthesiologist is fulfilling with many benefits. A person would desire to become an anesthesiologist because there is a high standard of excellence due to a low percentage of doctors in this special field, not to mention the high salary. This occupation benefits the doctor through a feeling of personal gratification while receiving a great education. The community benefits through his or her help relieving the pain accompanied by surgery. Becoming an anesthesiologist involves extensive education and training, while also having many requirements and a good salary range.

This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The

The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per

There are many interventions that can assist an ME sufferer in improving their occupational imbalance and regaining a sense of identity.

While there was a policy in place for conscious sedation, even good policies rely on the vigilance of staff to adhere to them. Often times, working conditions allow for distractions, and even the best of practitioners, with the best of intentions, make errors. There were several areas presented in this scenario that require examination and improvement.

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.

This essay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses’ ability to make excellent clinical decisions. It will examine what factors can change a nurses’ capability to be aware of, and act on abnormal assessment findings. As well as assessment being part of the nursing process that is used in every day nursing, it is also a critical part of patient safety (Higgins, 2008). Assessment findings are used to determine what needs to be done for the patient next. Early warning scoring systems currently exist to aid in the early detection of patient deterioration (Goldhill, 2005). The rationale for the use of these systems is that early recognition of deterioration in the vital signs of a

[Introduction:] There is a lot of confusion among the general public on what goes on behind the closed doors of an operating room. Many people don 't even know who or what a Nurse Anesthetist is. Even if you are the patient, all you really know is there are people in scrubs and masks standing around you before you fall asleep. When patients start asking questions about what it is that is putting them to sleep during these procedures, they told either a Nurse Anesthetist(CRNA) or a Medical Doctor Anesthesiologist(MDA) had administered some type of drug and monitored their vitals throughout the procedure. Many are told a CRNA had administered these drugs, to which many people look shocked and shout "A Nurse!?" in fear as they could have just been killed by the "less educated" of the two choices. People are afraid of the unknown, and not many people know much about CRNAs or MDAs, so they resort to the only information available: Nurse vs Doctor. Many People do not understand that advanced practice Nurses, such as CRNAs, are just as capable as, and more common than a MDA. The articles I will be referencing in this literature review try to shed some light on CRNAs for the public by showcasing the long history of Anesthesia and how Nurses are, and will remain, a vital role in its function so future patients won 't not fear them as much. What I am attempting to do in this

A patient’s journey throughout the surgical process can often be a frightening and unpredictable time in a person’s life (Short & Gordon, 2015). It is therefore vital for nurses to provide holistic and safe patient centred care, in order to meet the needs of each patient through their experience (Short & Gordon, 2015). The following essay will explore the surgical journey and nursing considerations of a patient undergoing a surgical procedure. Firstly, it will address important nursing factors relevant to the preadmission and perioperative stages of care. It will then address relevant nursing factors relevant to the anaesthetic stages of care, during the surgical process.

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

Different types of anesthetics can be used for different scenarios and part of an anesthesiologist’s job is to identify

“Advanced nursing practice is the deliberative diagnosis and treatment of a full range of human responses to actual or potential health problems.” (Calkin, 1984). Advanced nurse practitioners attempt to maximize the use of knowledge and skills and improve the delivery of nursing and health care services. The field of advanced nursing practice differs from basic practice as the former requires clinical specialization at the master’s level. At this level, nurses become expert practitioners whose work includes direct and indirect patient care. Direct patient care involves caring for patients and their families; this is the focus of my section on nurse clinicians. Indirect patient care includes work as an educator, researcher, and a

In the article, unplanned extubation (UE) is shown to be one of the complications that occur frequently with mechanical ventilation in neonates in the neonatal intensive care unit. This warranties the trial of other techniques such as Noninvasive ventilation (NIV). According to the author, this technique is only adequate for neonates that display adequate respiratory effort. In the article, a study was carried out to determine the effectiveness of NIV in providing ventilatory support in neonates with unplanned extubation as a result of the use of conventional ventilatory techniques. The study extended to establish instances that NIV failed to restore the condition in neonates.

Other studies evaluating the utilization of apneic oxygenation have been conducted in the hospital setting and have revealed conflicting results on efficacy. However, Wimalasena and colleagues (2015) concluded that implementation of apneic oxygenation during intubation by pre-hospital providers in both an out-of-hospital and in-hospital environment was associated with decreased rates of oxygen desaturation despite all reported variables. Nevertheless, without oxygen saturation values reported, it is difficult to make a direct comparison to the results of other

Thirty patients underwent anesthesia for DO device procedures, 17 male and 13 female patients, no dropouts, age ranged between 8 and 17 years (Table 2). Inhalational induction was performed on 16 patients and awake fiberoptic bronchoscope with sedation was performed on 14 patients. Mouth opening improved significantly (p 0.001*) and Cormack and Lehane score improved significantly (p 0.021*) between the initial presentation for placement of MDO devices and on removal of the destructor under GA(Table 3). There were no instances of either difficult bag mask ventilation or airway obstruction on induction. There were no instances of failed intubation, no patient required emergency tracheostomy and no case resulted in death. At removal of MDO,