Intraoperative Room

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

“The Process Improvement in Stanford Hospital’s Operating Room” case has many issues when it comes to regards to its existing instrument provisioning process taking place within the Operating Room (OR) of Stanford’s Hospital. This process entails getting instruments ready for a surgery in the OR and the cleansing of these instruments afterwards; however, there are many problems that arise in this process.

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).

Perioperative Observation Paper During my observation, I followed the patient from her preparation of surgery, into the operating room, to recovery. I gain insight on what happens during surgeries from nurses, surgeons, and other hospital staff. This experience was much different than any other clinical I have gone to. After having first-hand experience, I now know that surgery is nothing like what is portrayed on television.

Ambulatory Surgical Center Ambulatory Surgical Center provides same-day surgical care that includes diagnostic and preventive procedures. Ambulatory Surgical Center treats only patients who have already seen a health care provider and selected surgery as the appropriate treatment for their condition. Ambulatory Surgical Center must be certified and approved to enter into a written agreement with CMS. Ambulatory Surgical Center has a unique set of regulation and standards under the Medicare and Medicaid program or other third party payers. The outpatient payment provides a set payment for each surgical procedure. They must be licensed and inspected by the State and Federal government to see if they meet standards Certified facility standers.

Early post-operative complications of the critically ill following major surgery can have devastating results (McElroy et al., 2015). These complications are mitigated by immediate detection and beginning of appropriate treatment or intervention (Hudson, McDonald, Hudson, Tran, & Boodhwani, 2015). These all require effective communication between the surgical and post-surgical team

She made sure that the patient’s belongings were gathered and placed in a bag for easy access when he was finished with his surgery. She confirmed that the patient had nothing to eat or drink that morning and showered twice with specific antibacterial soap. She signed as a witness on the consent form stating that the patient voluntarily signed the form. She completed an assessment for a baseline to compare when he would be in the recovery room. In addition, the nurse determined that the preoperative checklist was completed and all prescribed medication was given before the patient proceeded back for the operation. The nurses in the intraoperative phase were more concerned for the patient’s safety during surgery. They stressed the importance of me keeping a foot away from the sterile field at all times and ensured that the patient’s limbs were secured in place. An important patient care detail that occurred was the count of items utilized during the operation. The scrub and circulating nurse counted each piece that was used and made sure that everything was accounted for. In the postoperative phase, the nurses were primarily focused on the safety and orientation of the patient. The recovery nurses assessed if the patient was able to smile symmetrically, stick out his tongue, bilaterally squeeze with his hands, and perform plantar and dorsal flexion of his feet. They evaluated the pupils to ensure they reacted to light and assessed the vital signs closing to any

Description As the surgical first assistant, I assessed the patient’s vital signs, the wound sites, and the overall condition after a handover to the PACU nurse. During this transition from the intraoperative phase, I endorsed surgical incision sites, dressings and patient’s postoperative condition.

The use of the preoperative huddle prior to the patient entering the operating room suite improves safety, communication, cost, and the quality of care for the surgical patient by addressing issues and optimizing the patient before he/she is on the operative table and anesthetized. The use of sequential compression device (SCD) therapy on a patient having local sedation for a procedure with a 25-30 minutes duration was brought into question during the huddle process. It was felt by some team members that all patients should have SCDs if they are to have a surgical procedure. That is how it has always been done at this hospital. Other team members felt that this was a waste of hospital resources because it was not general anesthesia and it was

Introduction In 2010 and 2011 inclusive, approximately 2.4 million hospitalisations within Australia were for the purpose of surgery. Of the approximated 2.4 million, 1.9 million of these were classified as elective admissions (Australian Institute of Health and Welfare 2010-11). Australia is shown to have an ageing population, (Australian Bureau of Statistics.

What is Post-operative Nurse? When a patient leaves the care of the anesthetist after an operation, they wake up under the supervision of a post-operative nurse. These health care professionals work in recovery rooms to ensure that post-operative patients, who often wake up in physiologically fragile states, will be expertly and continuously supervised.

While maturing and gaining extensive knowledge in the ICU, I have been entrusted to precept new ICU nurses and take the role of charge nurse. Reflecting on my overall time in the ICU, combined with reading the book Watchful Care by Marianne Bankert and following several CRNA’s in multiple cases and settings, I have finalized my decision to pursue a career as a nurse anesthetist. My strong interest in hemodynamic monitoring coupled with respiratory and pharmacodynamic management has been a passion of mine since learning the material in nursing school. The well-respected field of nurse anesthesia truly encompasses these concepts, contributing to my strong desire in becoming a nurse anesthetist. I have been told by multiple peers to also pursue education, which is another strong interest of mine since I began tutoring nursing students. My concluding goals are to primarily practice as a nurse anesthetist, eventually teaching future nurse anesthetist students, and conducting or contributing to research

DAVID WYNTER, a doctor in his early fifties, enters a convent where the Nuns welcome him. Then, SISTER MARIE MICHELLE escorts David to a grave. She also hands him a picture of him with a young woman and three year old girl. After seeing the picture, he reminisces about his

Chronic pain is a growing issue in the United States. It can be from a malignancy or non-malignancy, with opioids being the mainstay of treatment for moderate to severe pain. Before the year 2000, most chronic opioid use was in individuals with malignant cancer pain, but as opioids became more

Post-Anesthesia Care Unit (PACU) Phase The role of the Post-anesthesia Care Unit nurse is to monitor patient’s that have just been through a surgical procedure and were placed under anesthesia. In this phase, the nurse is assessing the patient as he begins to regain conscious, the airway status, and vitals (Bjorklund, et al., 2013, p. 117). The hand of report from the circulating nurse to the PACU nurse is very brief consisting of the patient’s name and DOB, the procedure done, any complications, medications the were used, the amount of fluids received; this report mimics the SBAR technique because it gives the PACU nurse the basic, precise knowledge he or she needs to know in order to properly care and tend to the patient. Recovery time