Perioperative Observation

The surgical procedure. A total knee replacement is a surgical procedure where the diseased knee joint is completely replaced by artificial materials that resemble the original knee joint. The orthopedic surgeon removed the end of the femur and the end of the tibia by using metal pieces and sawing the bone, to ensure that he removes the right amount of bone. The end of the femur bone is replaced with metal and the end of the tibia bone is replaced with plastic and metal. A plastic piece was added under the patella because the surface under the patella was damaged as well. These artificial materials, called prosthesis, have smooth surfaces so when they rub against each other, it does not cause damage and is pain-free. The purpose of this surgery is to remove the diseased portions of the joint and replace it with artificial materials to prevent further deterioration and eliminate pain, stiffness, and decreases in function that were caused by the osteoarthritis.

This week for clinical I was doing my first day on the surgical floor for this semester’s placement. I was able to begin to understand how the surgical floor works and how a normal day on the floor will look like.

Throughout my experience as a surgical patient, I always noticed three things my medical team never failed to perform: inform, educate, and care for me. Through my frequent visits to the hospital I began to notice that these ideals were essential in every successful physician-patient relationship. As I progressed in my career as a student, I came to realize that the academic and extracurricular activities I was involved in were helping me perform those very qualities.

I observed a laparoscopic cholecystectomy at Sentara Albemarle Medical Center. In this paper, I will cover pre-operative tasks, surgical procedure, anesthesia and interventions, roles and functions of the nurse, and surgical team members. I will also cover safety and comfort concerns along with nursing diagnoses related to this surgery.

The purpose of this surgical follow through paper is to discuss Mrs. R’s experience as she moves through four different clinical experiences or phases that make up her surgical procedure. The phases Mrs. R will move through consist of her pre-operative clinical experience, her intra-operative clinical experience, her recovery room clinical experience, and finally her post-recovery room

While taking in each detail of the surgery, I witnessed the specialized skills required to make the incision and insert the tube through the patient’s chest. The physician’s success in carrying out the skills reminded me of the techniques I had mastered for my microbiology thesis. I found the missing link between my fascination with surgery and my thesis research: patient-centered care. I was awestruck by the physician’s ability to maintain focus on the chest tube insertion while simultaneously providing emotional support to the patient throughout the surgery. Witnessing the procedure instilled a deep desire to develop the physician’s abilities to deliver life-saving, patient-centered care.

Since I can remember I viewed the study the human body and all its anatomy as a captivating subject. Working in the operating room where the use of scientific and behavioral practices is used when undergoing surgery helps actualize my goal to care for people and contribute in my interest of the human autonomy. Connecting and associating different forms of my experiences I know I can increase my knowledge based on my direct profession. I understand a perioperative (surgical) nurse is considered a fast-paced job, but I am ready to strive for excellence and make a difference in someone’s life whether is emotionally or

In the early 20th century, surgeons found themselves needing critical assistance with procedures during World War II, but there weren’t enough qualified people, which then began the start of formal education programs to properly train the assistants. Over the years, surgeries have become more complex, but these two advancements made a huge difference from how surgeries used to be.

phase of perioperative care beginning with the decision to perform surgery and continuing until the client reaches the operating area. Starts off whether the patient wants to perform the surgery then continues until the patient reaches the operating area. When a patient is admitted into ambulatory surgery or short before surgery the time for preoperative assessment, nursing diagnoses, and evaluation of the nursing management may be limited. It’s important to recognize the patient’s immediate preoperative needs. Although, the preparation for the surgery is still required by the nursing process. Assessment: in preoperative care it requires a complete assessment of the patient. The assessments differ based on the importance of the surgery and

Terrified was an understatement. “Surgery….surgery…surgery…” was the only word that I heard echoed through the room , and suddenly images of knifes and flesh being cut invaded my ten years old mind. Peritonitis, was what I had, “unfortunately” I thought then, yet “fortunately” I know now. My calling in life was then discovered and for that I will be forever grateful. Petrified and alone, I was yearning for someone to understand my fear and explain what is about to happen to me; to clarify what the doctors said. That 's when a Physician Assistant walked in and changed my life forever. I will always remember Julie 's smile and reassuring voice which filled me with a sense of calm and genuine comfort. She was carrying a doll and highlighted what my surgery was all about. As I lay in bed recovering after surgery, I decided that one day I will be like Julie and I will help people feel secure and safe in the healthcare setting.

My clinical two observation began at 2:30 PM in the catheterization lab. Upon my arrival they were just finishing a radial heart catheterization with stenting. As they transported the patient to ICU the staff was preparing for an emergency catheterization. It was hectic in the operating room; there were two nurses suiting up in led suits, and a surgical technician was organizing instruments and equipment on the table. In addition, there was nurse Erin controlling the X-ray imaging from behind the glass wall.

The patient may also complain of crepitation being heard during movement due to irregularity of the joint surfaces in the knee gliding over one another. Knee osteoarthritis is characterized by structural changes in the knee seen on radiographs involving loss of articular cartilage, joint space loss, and the presence of osteophytes.3 Primary care providers is the ones who primarily manage osteoarthritis with conservative and pharmacological treatments. Conservative treatment consists of exercise, strength training, and weight loss in order to reduce pain and progression of the disease. However, many conservative treatments fail over time and pharmacological treatment is needed to reduce pain in the patient.1 This literature review will look into the knee portal techniques, corticosteroid injections, and hyaluronic acid injections for knee

The most common indication for total knee replacement is osteoarthritis, or degenerative joint disease. The end stage of osteoarthritis is wearing out of cartilage (smooth, gliding bone ends) resulting in bone-to-bone contact in diseased joints. It is progressive and becomes increasingly painful as the cartilage erodes. Younger people who get knee replacements have damaged their joints by trauma (accidents that destroy joint surfaces), infection, cancer or tumor, and inflammatory conditions such as rheumatoid arthritis.

The anesthetist must serve as the patient’s advocate from the time of induction until it is fully recovered. To serve in this role, it is vital that the anesthetist is constantly aware of the patient’s physiological status. There have been many advances in monitoring technology over the past 20 years, and portable, sturdy monitors are available for use in the field and remote situations. Zoo and wild animals can be particularly challenging to monitor as their diversity in physiology may result in a lack of normal values for commonly monitored parameters.

For this reflection of advanced perioperative practice I will be using a case study approach, I will also be using the Gibbs’ reflective cycle. (1988). Gibbs’ reflective cycle (1988) is a model of reflection that I feel allows me to achieve the depth of reflection that is required, I also feel that this model helps me to break the scenario that I have chose to reflect on into manageable sections. This model includes 6 stages of reflection which include description, feelings, evaluation, analysis ,conclusion, action plan.