GI Nurse

Step 2 is forming a powerful guiding coalition. Leadership will have to be on board and on the same page in regards to the change. Kotter and Cohen reveal the core problems people face when leading change. Their main findings are that the central issue concerns not structure or systems but behavior and how to alter it (Farris, 2008). The success of the changes will depend on the ability of the managers to show their commitment to change and motivate the employees to do the same. Without any process to track the implementation, the change can also fail.

The role of the nurse anesthetist gradually developed as the demand increased for individuals who were highly and meticulously trained in anesthesia administration in an era where knowledge of germs, antisepsis and surgical interventions was emerging. During the 1800s, medical students were often responsible in the administration of anesthesia under the direct supervision of surgeons but the increased mortality rates in intraoperative patients suggested the need to reevaluate who would provide anesthesia. As a result of negative patient outcomes, surgeons turned to nurses, who served to be an adequate and reliable replacement. This trend proved to be catalytic in the movement of the nurse anesthetist.

Before a procedure begins, the nurse anesthetist will discuss with a patient any medications the patient is taking as well as any allergies or illnesses the patient may have. This must be done so anesthesia can be safely administered. Nurse anesthetists then give a patient general anesthesia to put the patient to sleep so they feel no pain during surgery or they may administer a regional

Second, the nurse commences assessment with an evaluation of patient’s airway, breathing, and circulation for any signs of inadequate oxygenation and ventilation. One of the patients’ temperature was 102 F and the physician recommended pain medication (dilaudid) and it was administered instantly. The nurse gets vital signs and compare the result with intraoperative care. The nurse chart vital signs every 5 mins for the next 15mins, every 15mins for the next hour depending on the recovery state of the patient. I also noticed that for diabetic patients, the nurse checks for blood glucose and also compare result with intraoperative care unit result. Third, the nurse assess pain although the patients receive pain medication before surgery. Fourth, the nurse assess surgical site (dressings and drainage). Fifth, the nurse assess neurologic (level of consciousness, orientation, sensory & motor status, pupil size and reaction. Finally, the nurse assess gastrointestinal (nausea, vomiting, intake of

The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).

Could you imagine going through a surgery without anesthetics? You know, an anesthesiologist isn't the only one who gives anesthesia—it's a team effort. Nurse anesthetists have been the primary administers of anesthesia since World War II. Many health care facilities do not have anesthesiologists on staff, but they have a CRNA, or a Certified Registered Nursing Anesthetist. They are the nurses that put IVs (intravenous sedatives) into patients before surgery, as well as a combination of other medicines to relax the patient ("Nurse Anesthetist" Career Articles). The anesthesia promotes a controlled state of unconsciousness, muscular relaxation, and insensitivity to pain. So when you go to the operating room, you will most likely have a nurse

Preoperative Teaching: during preoperative period its best to teach the patient about their surgical procedure and probabilities before and after the surgery. During this time the patients are alert and free. It’s better for the patient and their family if they know what to expect so they can participate in the recovery. Nurses alter the instructions given and explains them to the patient to they are able to understand them properly. The teaching plan helps the nurse assess the patient’s perception. Once the patient understands what they have to do in order to recover quicker than they are most likely to follow the preoperative instructions and cooperate with the healthcare team members. The information given in the preoperative plan varies with the type of surgery and the length of the hospitalization. Examples of information to include in preoperative teaching: Preoperative medications—when they are given and their effects, Postoperative pain control, Explanation and description of the postanesthesia recovery room or postsurgical area, Discussion of the frequency of assessing vital signs and use of monitoring equipment. Preoperative Preparation: for preoperative care it is essential that the patient is prepared for surgery both physically and psychosocially. Preoperative Medications: anesthesiologists frequently order preoperative medications. Before administering

Does the compliance with a sedation protocol improve after nurses receive a sedation competency over a three month period? The available data supported the hypothesis that nursing education and competency can lead to consistent best practices and positive outcomes for patients. The answers to this research question can help develop interventions that support best practices for patients who are mechanically ventilated and receiving intravenous sedation.

This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency.

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

Nurses care for patients who undergo emergent and preplanned surgeries. Nurses prepare their patients prior to surgery by educating them what the surgery is, what to expect during surgery and the outcome of the surgery. Preoperative anxiety is a result of patient’s anticipation to the surgery manifested by psychological and physiological indicators (Alanazi, 2014). Review of literature shows that preoperative anxiety is a common phenomenon that nurses encounter in practice as they care for patients undergoing surgery (Yilmaz, Sezer, Gurler, & Bekar, 2011). Preoperative anxiety can increase need for anesthesia, pain patient experiences after surgery therefore increases need for pain medication, increase length of recovery time, and delay of discharge (Alanazi, 2014). With the effects of preoperative in mind it is important to understand what preoperative anxiety is and what the symptoms are. The domains of nursing care will be used to explain preoperative anxiety as a nursing phenomenon. American Nurses Association (ANA) Social Policy Statement and ANA scope and standards of care will be used to provide nursing interventions to help reduce anxiety. Nursing care and practice can help patients reduce and manage patient anxiety. The role of Family Nurse Practitioner (FNP) will be discussed in helping reduce preoperative anxiety.

When treating a patient who has recently been in surgery, it is important to provide as much information to them about their procedure as possible, while maintaining their care. In the case of this patient, the nurse needs to explain to the patient what anesthesia does, as well as what intubation is. This patient was intubated due to their breathing mechanism being depressed by the anesthesia (Glick, 2015). It is also important to explain the patient the different people in the operating room as well as their jobs during the surgery. There are a few different aspects of care that need to be monitored in the recovery room including pain management, stability of the surgical area, as well as infection prevention and monitoring the patient’s vitals (Glick, 2015). The recovery room nurse will also provide many techniques to help with the patient come out of the anesthesia, and help their lungs begin to function like they did prior to surgery.

In the review of the book, “Making Change Work: Practical Tools for Overcoming Human Resistance to Change,” I decided to summarize the major steps the book establishes. It discusses how to begin the change process by understanding your need for change, to the final step of the change process where an organization needs to implement changes. After summarizing the steps, I am going to show how the book relates to the textbook, Organizational Change: An Action-Oriented Toolkit, as well as giving a managerial implication.

In order to survive and prosper in a rapid changing environment of business world, organization is often required to generate fast response to changes (French, Bell & Zawacki, 2005). Change management means to plan, initiate, realize, control, and finally stabilize change processes on both, corporate and personal level. Change may cover such diverse problems as for example strategic direction or personal development programs for staffs. In this

Dr. John Kotter suggests an eight-step process for creating change in an organization. The first step entails establishing a sense of urgency, because before members of an organization will be motivated to adopt the changes, they must first understand the need for the change in a way that emphasizes the urgency to take action to address the problem. The second step is to form a powerful coalition, which means getting key people in the