Higher Risk Of Surgery As A Patient For Elective Total Hip Replacement Surgery

This service was provided during the postoperative period for a previous related procedure conducted by the same surgeon.

We will make sure that per our hospital policy we will I.D. the site at admission, whenever there is a patient transfer, and at preop we will communicate this with the patient whenever the patient is aware. We will strive to make sure that the surgical sites are appropriately marked per the site I.D. policy and that the patient is interactive in the process when applicable. As part of this policy we will also make sure that all necessary medical records and labs are readily available for the procedure. We will also make sure that all possibly needed equipment and supplies are present.

to have health screenings, diagnostic tests, surgeries as needed, and a full array of medical

Ensure that there are sufficient trained personnel and technology resources to support surveillance of catheter use and outcomes.

ability of patients and assist them if needed to ensure the quality and hygiene of all patients. With

The facility must be explained and delivered to the patient by knowledgeable staff prior to delivery of the procedure, and the staff must answered any questions prior to the procedure.

Prepare gurney beds, oxygen tanks, resuscitation rooms by restocking and setting up supplies readily to be use

in ensuring that the patient receives the medical services needed and that the billing process also

A total hip replacement is when the ball of the hip joint (which is also known as the femoral head) and the socket ( also known as the acetabulum) are removed and replaced with prosthetic part. Most people who have this procedure suffer from either sever hip fracture, they were born with a hip condition, or they suffer from an acute chronic arthritis(Stuart Fischer md,2010). The most common reason for a total hip replacement is a form of arthritis(osteoarthritis). Patient have this surgery to relive chronic pain they are suffering from. Someone who is suffering from a damage or a disease joint will be in constant pain(Stuart Fischer md, 2010).

• Severe pain in the hip area. Pain may get worse when you move or try to put weight on the hip.

Mrs. A, 76 years old, first came to the orthopedic surgeon with her painful hip in 2013 because she had progressive pain and functional limitations. Pain medication was not sufficient anymore. Because of a history with severe muscle- and joint pain, degenerative deviations of her back and breast cancer, she was first referred to a rheumatologist and for a bone scan to rule out other diagnoses. The diagnosis hip OA was confirmed by Xray and use of injection of local anesthetics in the hip. Mrs. A. has deliberately chosen her doctor, because of his surgical technique, the anterior minimal invasive surgery (AMIS) and the good experiences she heard from other people. Both the patient and the orthopedic surgeon agreed on planning THA.

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The first criteria is cost. In the case of any treatment to be carried out, cost is the most important factor in determining the best hospital. The total cost incurred in any treatment depends upon a number items such as the types of equipment employed, dedicated operation theatre and a specialist doctor.

As a result, the schedule is only as good as the implementation efforts. As a nurse, one might develop an efficient framework to fulfil their objectives (Pikos, 2015). Patients are more at risk of complications post-operatively, that is why implementation is necessary to minimise it from happening. To achieve this, nurses must prioritise actions, organise resources and the delivery of care based on clinical judgement and evidence based practice (Hoch, 2014). Educating the patient, monitoring their vital signs (includes oxygen saturation, temperature, etc.), pain assessment, oxygen saturation, temperature, IV infusion, medication management and wound management are all part of Kelly’s intervention. (Refer to Appendix

Facility has established high standards of clinical quality in certain parameters mentioned above, but specifically we focus on secondary access placement which is fistula or graft. Facility staff is working hard on the patient and family education to replace