Case Analysis Using An Alcoholic Pad Disinfect The Venipuncure

Cut pieces of tape, check the labels match individual I.D. for blood tubes and/or unit bags.

A full examination was done by the nurse practitioner from head to toe with a bed side ECG and

Assessing an arterial line the nurse looks at the insertion site does it look red, swollen, is the transducer even with the patient’s right atrium and does the BP readings look accurate? To monitor for accurate circulation, you look at circulation below the site, is there a pulse and are the extremities looking blue? A benefit of this is having a constant BP reading and tells the patients temperature. Some negatives is that it can be an extra risk for infection. Potential complications is the lower part of the extremity is not receiving adequate

Upon arrival at a facility a patient should have an initial assessment. At assessment, baseline vital signs are recorded. Obtaining a patient’s history about recent infections such as the flu or dental abscesses is critical. A neurological baseline should also be established (septic infections will temporarily alter a patient’s mental status). Upper and lower extremity tissue perfusion should be noted, so pulse oximeters values should be monitored

It is important for the nurse to instruct the patient of the importance of their compliance with positioning. The patient will be instructed to keep the affected extremity extended for 4 – 6 hours as prescribed by the surgeon to prevent arterial occlusion. When the antecubital site is used during the procedure the arm can be

Explain to your patient that you need to take their temperature to make sure they are not running a fever.

Introduce yourself to the patient, let the patient know what you will be doing, get the patients permission to proceed. Identify the patient, have the patient say and spell their first and last name and verify their date of birth, ask the patient which arm they would prefer. Apply the tourniquet three to four inches above the draw site, palpate, look away, check for size, depth and direction. Remove the tourniquet and clean the area with an alcohol pad, let dry. Attach your needle to your hub, get your tubes, gauze and tape ready. Retie your tourniquet, anchor, inset needle into the vein, bop on tube, let fill, bop off and invert the tube. Remove the tourniquet, get your gauze ready, remove needle and apply gauze, discard the needle. Check the draw site, if still bleeding apply more pressure, more gauze and apply tape. Label the tubes, dispose of trash and other equipment, get the tubes to the lab. Dispose of PPE equipment and wash hands

The surgical technician worked closely with the surgeon to pass him the correct surgical tools and pass him anything he would need should they be out of his reach or if a complication arose. She prepared and pre-counted all of the tools including any type of gauze that would need to be accounted for at the end of the procedure to avoid leaving any tools inside the patient. The circulating nurse’s job was to monitor vital signs to make sure the patient is stable during the procedure, keep track of surgical tools, and provide the surgical technician/surgeon any tools they may need. The circulating nurse also charted all of the information about the patient such the start and end time of the procedure, what position the patient was in, the patient’s vital signs, the side of the patient the procedure would be on and what procedure was being done. The circulating nurse also initiated the time out, wherein all members of the surgical team time out and verify that they have the correct patient, correct procedure and site of

157, 165). Second, have the parents sign a written consent prior to initiating the procedure. Next, gather the following equipment: 1) surgical sterile preparation (Betadine or Hiblicens); 2) Ruler (in centimeters); 3) If the wound is contaminated, have an irrigation device (splash shield, 30-mL syringe with an 18-gauge angiocatheter); 4) Local anesthetic such as 1% or 2% lidocaine with or without epinephrine with 27-gauge 1 1/4 -inch needle, or topical lidocaine-epinephrine-tetracaine (LET); 5) Sterile drapes applied over the lesion; 6) Sterile 4x4 gauze for hemostasis; 7) Sterile gloves; 8) Appropriate suture; 9) Supplementary dressings such as SteriStrips and/or Tegaderm; 10) Normal saline for irrigation and a 11) Sterile laceration tray with 4 ½-inch needle holder, curved or straight iris scissors, a mosquito hemostat, suture scissors, Adson forceps with teeth and a skin hook (Ursatine & Coates, 2011, pp. 157, 159). Moreover, perform a thorough handwashing prior to starting the

ECG and chest X ray. The deep vein thrombosis will be confirmed by ultrasound Doppler

As good practice recommended by SaBTO (2011), Patient X and two nurses had to confirm that the blood received was tested and prepared for her. Norfolk, (2013) recommends that its good practice for two nurses to verify ABO and Rh compatibility, patient’s name, hospital ID number, and the number on the red (if patient has allergies) or white bracelet. Patient confirmed her details verbally and had to match with details on the tag of the donor blood bag, patient’s wristband and prescription chart. Details on the RBC bag include: Name of patient, Medical Record Number, Blood Group – Patient and Product, Expiry Date and Time and Product No. of Blood. The rationale of the practice is ensure to that the right blood is transfused to the right patient.

Have a patient hold card at a comfortable distance and read the smallest line possible. He is uncomfortable when he is read smallest line, especially via right eye.

Vitals signs is an important component to a patient’s health assessment. The vital signs measured are temperature, pulse, respiration, blood pressure and pain. It is very important to have a baseline set of vitals for your patient. This way, if any disturbances in their health or wellbeing occurs, you can monitor the patient’s condition, improvement, deterioration, when checking back with the baseline. I first take the temperature of the patient to see if there is any disturbance maintaining homeostasis and if there is some sort of infection. The location of the temperature needs to be noted due to different temperatures ranges in the different locations throughout the body. Pulse is taken while acknowledging the rate, strength and regularity.

The first step is to make sure you are giving the medication to the right patient. In order for you to know that you have the right patient, check the identification band on the patient wrist, ask patient to state his or her full name, and ask his date of birth. Even if the patient is confused or unresponsive still use two or three identifiers by comparing his or her medical record number and the date of birth on the MAR with the information given on the patient’s identification band.

Some items such as linens, sponges, or basins may be obtained from stock supply of sterile packages. Others, such as instruments, may be sterilized immediately proceeding the operation and removed directly from the sterilizer to the sterile tables. Every person who dispenses a sterile article must be sure of its sterility and of its sterile until used. Proper packaging, sterilizing, and handling should provide such assurance. If you are in doubt about the sterility of anything consider it not sterile. Known or potentially contaminated items must not be transferred to the field, for example: