Inpatient Surgery Vs Postoperative Nursing

Upon observation of the circulating nurse, I noticed that she was very interactive and involved in the surgery. One of the responsibilities of the circulating nurse is to retrieve any surgical supplies that are not available in the operating room and to make or receive any calls for the surgeon. During the surgery, I noticed the nurse call for an x-ray for the surgeon, the laboratory for biopsy samples, and the operating room floor front desk to inform them that the surgery would be later than expected. This is her responsibility as the surgeon cannot break sterility by touching the phone and it is easier for him to communicate through her and not leave the surgical site. Also in the operating room, I observed the scrub nurses’ roles. Before the operation, the scrub nurse opened all of the sterile packages, arranged them on the sterile field, and took count of what was there along with the circulating nurse. The scrub nurse did this because she is sterile during the entire procedure, and once the sterile packs are opened, the contents can only be handled by sterile personnel. The scrub nurse also was ready and waiting at the sterile field at all times to get the surgeon any equipment needed from the sterile field. This is helpful to the surgeon because it enables the surgeon to stay at the surgical site and convenient for when

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

VASNHS Surgical Specialty Outpatient department has a designated pre-operative management unit that oversees the patients undergoing surgery. The predicaments stem from various guidelines or protocol originating from numerous surgeons and clinics. At present, the pre-operative nurses abide simple pre-op instructions (NPO protocol, medications, what to bring, during the surgery, transportation, cancellation instructions) for the entire Surgical Specialty Outpatient department. Surgical procedures are being canceled due to lack of communications and cancelations of patients prior to surgery date.

Pre-op Nurse—is responsible for working closely with the attending surgeon. Her list of accountabilities include, talking with the patient or guardian forms and asking vital questions to allow for a safe operation. The pre-op nurse prepares all paperwork and makes sure all signatures have been obtained. This is done in the presence of a physician. She is responsible for taking the patients vital signs (blood pressure, temp, and heart-rate, start IV’s) to ensure that are not outside the lines of normalcy. In short the pre-op nurse will perform any duty to ensure that the patient is prepared for surgery this may include talking to family members. The nurse is also responsible

The intention is not about gaining independence and rejects patient care provider’s hierarchy, but rather to develop a collegial and shared patient advocacy. Clearing the blurred lines and respecting boundaries cultivates confidence and unanimity that would resonates into an exceptional performance from the surgical technologist and the perioperative nurses

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

For this study the authors instituted a change to bedside handover on a surgical unit. Staff members were invited to participate in pre and post implementation and as well as 60 patients (30 pre and 30 post implementation). Survey questions for the nursing staff measure perceptions of changes in accountability, quality of communication, medication reconciliation, workload prioritization and ability to communicate with other members of the healthcare team after receiving handoff. Patients were surveyed on their perceptions of input into the plan of care, understanding of plan of care, professionalism of staff during handoff, confidentiality during handoff and open communication between health team members.

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

A Nurse Practitioners is a licensed registered nurse who has had advanced preparation for practice that includes 9to 24 months of supervised clinical experience in the diagnosis and treatment of illness. Most contemporary NP programs are the master’s degree level: graduates are prepared for primary care practice in family medicine, women’s health, neonatology, pediatrics, school health, geriatrics, or mental health Nurse practitioners may work in shared practice with physicians of indecently in private practice or in nursing clinics. (Taber’s Cyclopedic Medical Dictionary, pg 1646) There are a number of factors to consider such as industry, company size, location, years of experience and level of education. While putting into consideration

During the intraoperative phase, identifying outcomes related to patient care during surgery is paramount due to the fact the patient is under anesthesia and completely dependent on the surgical team, and the nurse acting as their advocate. Examples of identifying outcomes prior to surgery would include; the prevention of electrical burns from cautery equipment, proper positioning during the procedure to prevent nerve or skin damage. Collaborating with other members of the surgical team regarding this information, and utilizing evidence-based nursing knowledge is necessary for the surgical plan. My responsibility as a nurse is to alleviate suffering during the intraoperative phase and as the patient’s advocate ensuring no further injury occurs.

According to the Association of Perioperative Registered Nurses (AORN, ) the perioperative RN, Operating Nurse or Nurse Circulator is the main patient advocate in the operating room and takes responsibility of all aspects of the patient’s condition and care. The role is very vital as this nurse’s duty is to ensure timely delivery of quality surgical care so that there are optimal outcomes achieved for each surgical patient. As the patient’s advocate, the perioperative nurse is medically trained to serve as the patient’s primary spokesperson. The perioperative nurse must communicate the needs of the patients especially while the patient is aware and sedated. The perioperative nurse pays close attention to the patient’s condition before, during

Once everyone finishes interviewing the patient, the anesthesiologists bring the patient to the operating room. In the room, the nurse again confirms, if she has received the right patient by checking the patient 's identification band and by asking the patient. Before prepping the surgical site, the nurse, anesthesiologist, and the surgeon confirms the patient, the surgical site, and position of the patient. The nurse does the surgical "Time Out," once the patient is draped, and just before the incision. During time out, the nurse will loudly announces the elements of time out; correct patient, verifying the correct site and laterality, correct position, correct procedure, availability of correct implants or equipments, availability of pre-op radiographs, any prophylaxis antibiotics, and allergies.

Perioperative nurses see patients at their most vulnerable moments. They usually have roughly five minutes to gain the trust of my patients and their loved ones before rushing them off to the unknown. Perioperative nurses have held the hands of scared parents, children, and even the most harden felons as they have drifted to an anesthetized slumber not knowing if they will again take a spontaneous breath. My nursing philosophy is simple. It is to treat every patient like they are your mother or loved one to ensure they get the best medical

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

Mr Skurnick is respected as a subject expert in the application of perioperative standards of nursing practice. Because of his leadership abilities, he is sought out by the surgeons, anesthesia team, and colleagues to evaluate program and service activities. For example, he heads the auditing of nursing documentation pertinence. The data identified weaknesses in the OR nursing documentation, presents trending of missed opportunities, and created foundations for the improvement of patient care. He utilized this recognized body of evidence to support the NM to evaluate and develop an effective perioperative nursing development process. Beyond the application of this process on the perioperative units, through a review