Patient Care At The Post Anaesthetic Care Unit ( Pacu )

I have obtained invaluable insights as to what the daily work of a nurse anesthetist entails. I felt a lighting bolt go off within me, if you will. I felt a renewed excitement for the route that I aim to take in my life. The shadowing experience was confirmation to me that I was on the right path to a future that I dream of daily. By observing and getting involved with regional and general anesthesia in the operating room setting, I discovered that my distinguished passion lies within the great challenges involved in clinical pharmacology and critical monitoring skills.

While there was a policy in place for conscious sedation, even good policies rely on the vigilance of staff to adhere to them. Often times, working conditions allow for distractions, and even the best of practitioners, with the best of intentions, make errors. There were several areas presented in this scenario that require examination and improvement.

Critical reflection is an indispensable tool used in evidence based nursing practice. Critical reflection is often a difficult concept to define as all health professionals interpret it in diverse ways. However, one definition of critical reflection is the revision of nursing practice experience so that it can be described, analysed and evaluated to use that knowledge to improve on future practice (Bulman & Schutz, 2013). Critical reflection is essential for nursing practice because it ensures patient safety and provides holistic care. This assignment will discuss in further detail a description of an event, a reflection of thoughts and feelings and an evaluation of the positive and negative sides of the incident from both the nurse's and the patient's viewpoint and the consequences. Followed by an analysis of what can be taken away from the event to further improve future nursing practice as well as what can be done to improve one's own learning and develop an action plan using new knowledge.

In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable state during procedures that require sedation or anesthesia. The patient is releasing his decision making ability and safety into the control and care of the healthcare team. Therefore, effective communication on behalf of the patient is

The key concept underpinning the role of the anaesthetic nurse in an unanticipated difficult intubation as part of the multidisciplinary theatre team is essential; as a lead provider of compassionate anaesthetic care (Fynes et al, 2014), as a communicator, have the courage to advocate, be competent and committed (DOH, 2012). These are very important for enhancing patient anaesthetic care and improving patient safety (NPSA, 2010). And above, to improve the knowledge and skills by continuous training is vital in the event of a difficult intubation in adults, pregnant women and children (Brien and Conlon, 2013; Clark and Nolan, 2010). The incident confirms that to improve airway management, especially in the event of a difficult intubation planning, training and practising (such as in simulation centres) for the unanticipated difficult airway for the anaesthetist, anaesthetic nurse and theatre staff as a whole, is vital and it highlighted that our practice around managing the airway needs to be improved and constantly updated (Mellanby, Podmore and McNarry, 2014), and that is why I have applied to take part in the new airway simulation training

The journey to embrace the speciality of anesthesiology has been ecstatic and full of fond memories. It was not until the end of my internship that I finally developed a passion in anesthesiology and the field of critical care. I soon realized that with my zeal for clinical anatomy, command over concepts of physiology, dexterity in medical procedures and empathetic connection to my patients, this speciality would be an ideal match. In my opinion, anesthesiology demands a physicians ability to consolidate the core principles of clinical medicine with the knowledge of basic science principles delicately balanced with high standards of ethical code and conduct. I am confident that with my depth of knowledge, passion for clinical research as well

In this assignment we will discuss the holistic assessment process on admission to the clinical area and the duties that the nurse has throughout this process. We will also consider the medical conditions Mr C is presenting with and the appropriate care the nurse should provide relating to specific conditions. We will also discuss the pathophysiology of each of his conditions. Within the assignment we will discuss the post-operative care Mr C will be given by the nurse and the reasoning for this care. Including airway and breathing, circulation, pain management and psychological care. Whilst still in the clinical area we will explore the process of discharge planning and the role of the nurse throughout this process. Lastly we will

This reflective essay is based on my experience as a health care assistant in the operative theatre working as a circulating nurse for a vascular access list. It will also highlight the important aspect of communication within the theatre practitioners when working with patients who are under local or general anaesthetic. I will explore a critical incident and also reflect on my own personal experience. I aim to use this experience to bring out the different forms of communication, the potential barriers of communication and its consequences in the clinical setting. Gibbs Reflective model (1988) is what I have chosen to guide my reflective process, as it incorporates the stages of

This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency.

This is a reflective essay based on a event which took place in a hospital setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome.

This is a reflective essay based on my experience whilst during the clinical placement, using Gibb’s template. My aim of this essay is to reflect on my learning outcomes: Pressure sore care and management; PEG feeding which is an alternative way to provide nutrition to a patient who is not able to obtain nutrition through the mouth and administration of a subcutaneous injection. To reflect on my learning process, I am going to apply Gibb’s reflective model, which is a renowned model in reflective practice. This model requires passing through six stages to complete one reflective cycle. These six stages are description , feelings, analysis, evaluation , conclusion and action plan and I am going to explore in these six steps how I achieved my learning outcome.

The article obviously illustrates a possible factor contributing to the occurrence of Mr. Lee’s re-operation. A research finding shows approximately 90 percent of nurses experienced an understaffing situation and the majority of them had an experience which they could not develop their nursing care plans (Ball et al. 2014, p. 116). However, a shortage of nursing staff in this case study can be solved because there were five times opportunities to receive support from the PACU. Staff shortage in this case study was clearly a solvable problem, and not only making time to provide nursing care, but also sharing or obtaining information about post-operative management with the PACU staff. It is a fact that there are many specialised nurses in a

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

As I was maturing in medical school I started researching a speciality which defines my capabilities and ambitions and take my career after graduation into the next level where I can apply my knowledge and experience. After my clerkship in Anaesthesiology I had no doubt about my will of becoming a part of the Anaesthesiology department. I developed a strong attraction to anaesthesia because it is a wide speciality with a scope of practice which extends beyond putting patients into sleep for operations and it includes preoperative and postoperative care, pain management and intensive care and it necessitates solid medical background to deal with emergency situations and critical conditions.

The theoretical framework selected for this project is the Perioperative Patient Focused Model. The model is consistent with a conceptual framework used in perioperative nursing practice focusing on the patient and their support systems within the core of the model (King and Sapnas, 2007).