Emergency Hysterectomy Case

When a patient misses a doctor/nurse appointment, a follow-up or specialist appointment they are not receiving the care recommended by their doctor/nurse. This could result in the patient becoming more ill and requiring additional time off work, laying an extra burden on colleagues and bosses, there is also the risk of infecting others thus carrying additional burdens as more staff may require time of work or extra appointments. All of this holds a risk of missing deadlines, looking unprofessional and potentially disrupting the training of personnel on unit.

Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously checked patient comfort and obtained consent for treatment being provided.

Clinicians recognize risk factors assess, better diagnose and manage patients and reduce mortality rates. (Trenary, 2007)Describes how Banner Health Care System uses a system called eICU where patients are cared for by intensivists, experienced critical care nurses and health unit secretaries working from a remote location on the campus of Banner Desert Medical Centre. From this location care clinicians can see and hear six different units in five different hospitals .Their aim is to increase this added support to all ICU patients within their Banner Health Care System across the seven states in twenty different facilities. .Using the eICU system the ICU rooms are fitted with a camera, microphone and a speaker .The camera is activated when initiated by the bedside team when there is an alert received from the eICU system .There is no recording availability so the system is HIPAA compliant .This system adds an additional support to the nurse patient ration at bedside. A similar system is used in the Ob department to support the nurses and help to reduce complications during childbirth

Miscommunication and missed information, resulting in potential errors, have been on the rise at Pelham Medical Center. In the past, the primary nursing staff was giving verbal report to oncoming nurses at the nursing stations. There are many disadvantages to this practice. Verbal report at the nursing station is distracting with so many nurses talking at the same time and is frequently interrupted by other staff, call bells, and family members. There are also potential HIPPA violations when reporting on patients within earshot of other people who are not involved in that patient’s care. The patients and their family members or care

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

Coming from a small, broken home, Mary always knew she wanted to have a large family of her own. Having an emergency hysterectomy at the age of 27, three children was all that Mary could have, not fulfilling her dream of a great, overbearing family. All of her three girls coming from a previous marriage, adoption was the only option for Mary and her new husband. Now, one mother faces the horrors of; attempted murder, mental disabilities and an agonizing lifetime commitment all because of international adoption.

Gender identity is the sense one has of being male or female. “Transgender and gender nonconforming (TGNC) people identify with a different gender than their birth gender” (Dickey, Budge, Katz-Wise & Garza, 2016, p. 275). Female to male individuals (FtM) want to have hysterectomies and salpingo-oophorectomies performed for different reasons. A hysterectomy and salpingo-oophorectomy (removal of the uterus, cervix, fallopian tubes and ovaries) is not just desired for gender affirmation, but can serve other purposes as well. FtM can experience embarrassment or discomfort with routine gynecological pap smears and may find it more convenient to have surgery as preventative care. Studies show that in long term testosterone treatment FtM ovaries

Mr. B.’s procedure after sedation (was accomplished) was successful and his sedation level continues. Nurse J then applies an automatic blood pressure machine to measure every 5 minutes and a pulse oximeter, however the nurse does not apply any respiratory monitor or heart monitor which are protocol after a sedation procedure. The nurse then rushes out of the room leaving Mr. B. with his son with no medical personnel at the bedside to monitor the patient. No sedation score or neurological assessment of Mr. B. is noted, which should be performed after any procedure including sedation. This data is either missing, not documented or not performed by Nurse J. Mr. B.’s alarm for low saturation is alarming and the LPN enters the room briefly,

Safety of the patients’ care is the identified issue, in reference to lack of communication. All disengaged patients should be accounted at all times. The staff responsible for the patient should be on alert about possible issues that may occur relating to that particular patient. For example if a nurse is taking care of a dementia patient that is a risk for elopement there should be procedures in place to prevent issues. The hospital needs to have procedures in place for checks and balances for each possible safety problems that may arise. The risk management will have to create written procedures for check off between staff. Tina’s mother instructed pre-op nurse to call her in the event that surgery was out sooner than expected. The pre-op nurse should have passed information to intraoperative nurse to call Tina’s mother. The follow up information should be documented in the patient’s chart.

Nursing is a high pressured and ever changing environment in hospitals and aged care which can lead to communication breakdowns and other errors. While on placement, I witnessed one of these errors which happened to be a medication error. This could have been as a result of miscommunication between nurses and not following the guidelines for identifying a patient by using the ten rights. To ensure high quality nursing care is provided, communication between fellow healthcare workers should at all times remain professional. Failure to communicate effectively will subsequently affect the safety of the patient due to misinterpretation of information, lack of critical information, unclear orders and overlooked changed in the status of the

Anyone that has ever worked in the operating room knows that an empty room, slow turnover times of rooms and surgeon tardiness means loss of money for the hospital. There is an urgency to move cases along faster creating anxiety to meet the demands of the surgeon, anesthesiologist and the board runner. Stress can cause a communication failure. The IOM found that lifelong incapacity or fatality stemmed from unproductive communication 65% of the time (Hood, 2014 pg. 494). Nurses can promote patient safety and quality of patient care by communicating with the patients before the case. Surgical nurses should ask the patient; name and date of birth, allergies, what procedure is being performed, surgical site

This counselor received a call from Fran's job developer Marianne informing her that she met with Fran today and has some concerns. Marianne stated "Fran reported that she is struggling with her Bi-Polar Disorder and has mixed feelings about returning to work. She also reported that her sister is in stage 4 cancer and so Fran has an appointment with her doctor on November 7th to determine if she should have her ovaries removed as a preventative to cancer. She is reluctant to take a job and then have to ask for time off if she has to have a hysterectomy. I suggested that we put the job search on hold until she has talked to her doctor. I told her I would let you know that she was somewhat ambivalent about her job search." This counselor thanked

NSQHS Standard 98 ‘Recognising and Responding to Clinical Deterioration in Acute Health Care’. This covers ‘the use of procedures to encourage the recognition of and the responses in a timely manner, to the deterioration of a patient’s condition with all people concerned to be kept informed’.8

Hysterectomy, the surgical removal of the uterus, is the most common surgical procedure performed by gynecologists today. It is the also the second most common major surgery performed in the United States. This procedure can be used to treat several gynecological diseases and/or disorders from a prolapsed uterus to uterine cancer. The history of hysterectomy dates back as far as the 5th century B.C. during the time of the Hippocrates when the attempt to remove the uterus was made vaginally for patients suffering from a prolapsed uterus or uterine inversion (Operative Gynecology, 727). A German surgeon by the name of Langenbeck attempted the first reported abdominal hysterectomy for cervical cancer in 1825. The procedure lasted seven minutes

Secondly, there is the issue with nurses not following protocol. Procedures are in place for a reason, to insure the safety of the patient. Agyemang writes, “…many errors occur as a result of nurses not following policies and procedures…” (British Journal of Nursing, 382.) Some nurses violate procedures such as, “…double checking medicines prepared by co-workers, reduction of responsibility (both nurses expecting the other person to have checked it more thoroughly), auto-processing (one nurse reciting the medication details or calculations to the second checker, without the second checker actually confirming this before signing) and lack of time.” (British Journal of Nursing, 382.) If protocol had been followed, then majority of the common errors would be avoided. Instead, nurses are over stressed and in a sort of “routine” that inhibits