Observing A Right Hip Fracture Repair

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

Being told that something is wrong with you can be scary. Getting surgery performed on you can be terrifying. Patients that must be undergo anesthesia could become apprehensive about the whole procedure. But what helps is knowing that there is an anesthetist with you along the way. The anesthetist informs the patient of the surgery and attempts to calm their nerves before surgery. The anesthetist monitors and ensures the patient is stable during the surgery and informs the patient of the result of the surgery after the surgery. Essentially, the sole person that is concerned about the body as a whole during the surgery is the anesthetist. Two years ago, I had no idea what an anesthesiologist assistant was or that this highly skilled profession

This critical incident took place during my first six-week placement on the ward (Eleanor east). My rationale for this critical incident is because of the impact it had on me. I did not know that the side effects of hip replacement surgery could result in DVT (deep vein thrombosis), which could be very critical physically and mentally.

Lack of enough trained staff in conscious sedation available at the time of the procedure

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

Also, by properly conducting a time-out session where the patient is provided with a standardized briefing prior to the patient is sedated in the OR could also eliminate some the sentinel or adverse events in the OR. Furthermore, follow a checklist, which not only pertains to the surgery itself, but also focuses on the other procedures involved such as admissions, anesthesia equipment, and discharge (Mulloy & Hughes 2008).

* 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

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

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal 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).

Indications: The patient is a 69 year old black female who fell landing on her right hip. She was seen in the Emergency Room where physical exam and x-ray revealed an intertrochanteric right femoral fracture. She was admitted to Dr. Loyd’s service .

The AMSU, or pre-operative nurse, is responsible for the pre-operative assessment. In this assessment, the nurse obtains vitals, receives a health history, and documents current medications the patient is taking. In the OR, the nurse is a circulating nurse. The nurse operates outside of the sterile field. They are responsible for charting information during the surgery and ensuring safety precautions are in place. The circulating nurse is responsible for collaborating with all other surgical team members. In the post-anesthesia care unit (PACU), the nurse is responsible for assessing the patient’s condition by taking and recording vital signs. The PACU nurse also helps rouse the patient still recovering from anesthesia and is responsible for reacting

Serum N-terminal propeptide of type 1 collagen (P1NP) in Elderly Patients with Hip Fracture: Relationship with Sociodemographic and Clinical Characteristics, Other Parameters of Bone and Mineral Metabolism, and Short-term Outcomes

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

Reflecting on the past few days of clinical have been a huge eye opener for myself. Not only was I able to practice and refresh old skills but I was also able to introduce new skills and enhance those. Although only two shifts in, I felt I was able to further develop my experience with Ostomy care. To illustrate, I was able to care for a 60-year-old man who had a newly formed ileostomy on his middle lower quadrant. Throughout the day, we would spend time emptying it, cleaning it and talking about it. Multiple times, D.Z would complain how difficult it was to maneuver, clean and just simply live with. After witnessing his frustrations more then once, it eventually made me realize just how difficult this new adjustment would be for D.Z.