Intraoperative Room

* 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

One patient, James, has just come back from the operating room and was still feeling the effects of the anesthesia. He was still drowsy when the PACU nurse was getting his vitals and he always had his arms wrapped around his chest. Although his vitals were stable and he showed no signs of pain, the nurse was bothered by his laconic

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.

The medical office waiting room: What is a reasonable period to keep a patient waiting?

This essay discusses and reflects upon patient care in the post anaesthetic care unit (PACU) and is linked to my experiences on placement. It discusses how my approach to patient care has been challenged and analyses how evidence based practice can create a change in the way patients are cared for. It reviews the processes of managing the perioperative environment and evaluates the implications for practice when applying a change in healthcare. Wicker and O’Neill (2010) state that “The lack of immediate medical support in the recovery room means that practitioners work in a more autonomous role than any other area of the operating department” (p.379). By reflecting upon my experiences I am able to link practical and theoretical aspects of the operating department practitioner (ODP) job role. This will provide me with a greater understanding of professional practice and it will develop my personal knowledge and self-awareness (Forrest, 2008). Using a model of reflection is important as it provides a framework that can be systematically followed and acts as a guide through the process of reflection. For this essay I have chosen to use the Gibbs’ Reflective Cycle (1988) as it provides a methodical guide to reflection using a series of ordered questions that each lead to the next stage of the cycle (Forrest, 2008).

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

“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.

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.

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.

DAVID WYNTER, a doctor in his early fifties, enters a convent where the Nuns welcome him.

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 (Nagpal, Vats, Wong, Sevdalis, & Moorthy, 2012). The purpose of a handoff from the operating room (OR) to the intensive care unit (ICU), is to undertake and intermesh the physical transfer of the surgical patient with the knowledge of patient’s clinical information occurring from the surgical team to the accepting post-surgical team (McElroy et al, 2015).

The values such as communication, innovation, quality, and collaboration is key to the growing field of perioperative nursing (AORN, 2015). During surgery communication is important between surgeons, anesthesia and nursing. Surgeons are focused on surgery, anesthesia takes care of breathing and vital signs, nurses are at the bedside or circulating and can assess the OR and what is happening during the procedure. The ARON believes that every patient has the right to receive the highest quality of perioperative nursing care of every surgical or invasive setting; all health care providers must collaborate and strive to create an environment of patient safety; and every patient experiencing a surgical or invasive

There are many professions which involve caring for people, but one that really intrigues me is anesthesiology. The primary job of an anesthesiologist is to give anesthesia to the patient as well as monitor the patient’s vitals. This monitoring does not just occur before and after the surgery, but the anesthesiologist should be present during the surgery to ensure the health and comfort of the patient (“General Information on Anesthesiologists”). Although this jobs seems simple at first glance, there is much more beyond the surface of an anesthesiologist.

Being a registered nurse over the last fourteen years, I have witnessed firsthand that the healthcare industry is constantly evolving. And with all the government budget deficits, many models of health care are built on cost containment and managed care. This has resulted in a lot of conflicts between healthcare providers, especially between CRNAs and anesthesiologists. Historically the delivery of anesthesia has predominately been by nurses rather than doctors. However this balance began to shift when the delivery of anesthesia became

For the week reading I have readied about the different types of ritual that place an important in our life that I didn’t recognize as ritual. In Ritual in the operating room was about how there is ritual in science that serve to start establish boundaries, roles and make order. It talks about the ritual movements in the operating room, and the three stages in the operating room. One of the rituals of the operating room is scrubbing which is the process when people have to wash their hands and lower arms very carefully and precisely to remove any bacteria that might be on their body. In the operating room objects and people are classified as sterile or nonsterile. That in the operating room it expressive, symbolic, mystical, sacred and nonrationality