Peri-Operative Care for an Inguinal Hernia

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

Surgeons rely on technology, from diathermy to the operating room lights, assistance and team work. The conscientious staff should always ensure that the equipment is functioning and reliable. Hospital acquired conditions are medical complications that has a negative impact on patients during their hospital stay. Medicaid or additional services are not reliable to pay the hospital for any conditions that were developing while in the hospital. Based on surveys through several studies, expertise shows that medical conditions and errors are preventable. The beginning process of surgery usually starts with the patients preparations. Healthcare providers will remove hair that is on the body to be operated on. Patients who are diabetics must have their blood sugar monitor. Before any surgical procedure, healthcare nurses must interview the patient if they are scheduled to have surgery. The steps are getting blood withdrawn for lab work, receiving and E.K.G and information on past medical history. This type of process is to make sure the patient is healthier enough to undergo surgery. The preoperative phase which is the first stage used to perform tests; however the results of testing may come out wrong due to a malfunction in the machine. This can lead to a surgical infections and errors during prep and procedures. The goal of perioperative care is to provide

This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).

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

The preoperative phase begins when the patient is scheduled for surgery. The role of the perioperative nurse is to first determine any risks the patient may

Preadmission for example, in a nursing home is done by the manager, the patient’s GP or multidisciplinary hospital staff. It is the nurses or receptionist’s job to take the patient’s information and pass it on to the multidisciplinary team. Managers have the job of overviewing the situation. Discharges are granted by the doctor, social worker, occupational therapist or multidisciplinary team. The domestic assistant cleans the room before and after a patient, they also

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

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.

Once the nurse and patient establish a rapport, and the patient is comfortable and willing to proceed with the intervention, preoperative care

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.

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

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.

The perioperative surgical home is an advanced model that involves delivering health care throughout the patient surgery experience from the time the decision for surgery is made until the patient is in recovery and beyond (asahq). The goal of this model is to provide care that improves health, delivers healthcare efficiently, and is cost-effective. In order for these goals to be accomplished, it is critical to have an efficient and shared decision-making process that involves being with the patient every step of the way (asahq).

The significance of this study is to determine if a preadmission clinic process can be developed and

The purpose of the first part of this paper is to overview of the postoperative care plan within first 24 hours with respect to elucidate relevant assessment, potential clinical problems and the rationales of nursing interventions that can be presented based on the patient’s case. (Please refer to page 6 to 7 of this assignment.) Second section of this paper will discuss about the possible surgical complications associated with smoking and the co-morbidity of pre-existing medical condition of the patient, which is a dysfunction of cardiovascular system, in relation to having a general anaesthesia within the 24 hour period of post operation phase. Lastly, the third part will outline the discharge plan of the patient, focusing on the ongoing