Perioperative Registered Nurses

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

In 1999, expert surgical nurse authors at the Association of periOperative Registered Nurses (AORN) developed a comprehensive curriculum to assist in the education and transition of nurses entering perioperative clinical specialty for the first time (Beyea, 2002). In 2007, Periop 101: A Core Curriculum (AORN, n.d.) was created which moved the instructor-based program into an online format of modules designed to assist with mastering core perioperative competencies. The program provides instruction with videos, assigned readings, and quizzes at the end of each module. The learning focuses on patient safety and the program is best utilized when combined with preceptorships and skills labs.

As the years go by, the nursing field is expanding. Different types of nurses are being needed for a variety of jobs in the nursing field. This field of work is especially one of the most important because the world will always need nurses. Although the nursing field is very competitive to get into, the need for nurses increases rapidly as time goes on. A CRNA, Certified Registered Nurse Anesthetist, is one of the most popular fields being practiced. A Certified Registered Nurse Anesthetist is a step further than a Registered Nurse. Certified Registered Nurse Anesthetists are advanced nurses that specialize in anesthesia. CRNA’s provide anesthesia care for millions of patients in the United States of America. Anesthesia is a form of medicine that puts a person that is undergoing surgery to sleep while also numbing the pain. There are many steps in the process to becoming a CRNA, it is a very serious field, therefore it requires more experience and training.

Ms Debra Shannon, BSN, perioperative RN is assigned to the OR consisting of 6 main rooms and 1 cysto room and provides support to the interventional radiology, during this rating period. She serves as Service Lead to Cardio, Vascular and Thoracic Services. She provided valuable input for this proficiency. This proficiency report demonstrates examples of how Ms. Shannon uses her perioperative nursing expertise to provide patient centered nursing care in exceeding the Qualification Standards in the four areas for a Nurse II.

In the end, the research article was very supportive of nurses being as educated as possible to promote patient safety and outcomes. The flow and charts used were well-written and well-organized in a way that made it easy for the reader. There was a drawback when attempting to compare other studies due to lack of using standardized scales. One other drawback with the study was that the clinical guidelines that were comparing the same procedure were found to be inconsistent with each other.

According to 1999 report from the institute of medicine anesthesia care in nearly 50 times safer than in the 1980’s (Riley 2012). This show how the field of nurse anesthetist had improved and grown over years. Nurse anesthetist work in many setting from the hospitals, dental offices to out-patient settings. They also provide care to rural hospitals that if it wasn’t for CRNAs they wouldn’t have a specialist in anesthesia and would have to travel along way to receive this service.

Open communication is essential part to a successful healthcare team that directly impacts patient’s lives. In the video “Just a Routine Operation, ” by Laedal Medical Human Factors in Patient Safety, physicians and nurses demonstrates how different human factors contribute to the overall outcome of the patient. Elaine, the patient in the video came into the hospital for a reconstruction surgery. However, during the surgery Elaine had a complication and because the lack of communication, assertiveness, self-awareness, decision-making, teamwork, and prioritization, Elaine did not survive the surgery. This situation shows how important these characteristics are when dealing with emergency care. Even the health care professional with the years

The University of Chicago, Chicago, Illinois: Recent network media coverage shows that anesthesiologists are irresponsible, inattentive, and uncaring despite their vital capacities. This leads to several patients’ dissatisfaction. This study was about 100 surgical patients from which 65% considered anesthesiologists as doctors. Concerning the role of anesthesiologists: 79% attribute them an important role. 54% said that anesthesiologists’ role consist of maintaining regular surveillance over patients, and 10% considered it as putting them asleep. Other responsibilities of anesthesiologists such as intensive care, epidural analgesia, pain management and research were known from 25 % of them.

On the post anesthesia care unit at Miami Children’s Hospital, students and nurses alike witnessed a harmonious exemplification of the six competencies of Quality and Safety Education for Nurses, more commonly known as QSEN. The post anesthesia care unit, PACU, was off to a slow start just before teamwork between the preoperative unit, also called PREOP, the operating room, and PACU were put to the test. A 4 year-old, already extubated, female patient had come to the unit from the operating room, more commonly referred to as the OR. The OR nurse proceeded to inform the receiving PACU nurse that the patient just had an arterial line placed in the femoral artery in order to later undergo apheresis for cancer treatment. Upon performing an assessment, the nurse noticed that the patient’s pressure dressing was saturated with blood due to a hemorrhage. A team consisting of PACU nurses, the anesthesiologist, the OR nurse and students rushed to the bedside to assist in restraining the squirming patient in order to keep her flat and still. Ultimately, the dressing was replaced a total of four times before the hemorrhage ceased, the patient received one unit of packed red blood cells, and had a new intravenous line, or IV, started because the previous site had developed a reaction to the Demorol administered in the OR. To prevent further distress for the patient, the anesthesiologist, surgeon, and primary care physician collectively decided to

Thinking ahead contingency planning and managing the unexpected are core skills for a perioperative nurse. Alfredsdottir and Bjornsdottir (2008) describe how prevention is a core component of the perioperative nurses work. Perioperative nurses consider how the background of their patient may contribute to their susceptibility and instability and how these may be risk factors during their patients surgery, this means trying to imagine everything that could go wrong and taking reasonable steps to manage these scenarios.

Beverly, you mentioned about the poor compliance with the surgical attire guidelines in your facility. I believe this the problem exists all over the US since there are multiple discussion boards open regarding this issue in the Association of Perioperative Nurses (AORN) forum. According to Graling (2013), one major reason why there is low compliance to this guideline is because restrictions on attire decreases one’s ability to express individuality. Additionally, Guglielmi et al. (2016) stated that any modifications in practice often result in resistance.

The role of the Post-anesthesia Care Unit nurse is to monitor patient’s that have just been through a surgical procedure and were placed under anesthesia. In this phase, the nurse is assessing the patient as he begins to regain conscious, the airway status, and vitals (Bjorklund, et al., 2013, p. 117). The hand of report from the circulating nurse to the PACU nurse is very brief consisting of the patient’s name and DOB, the procedure done, any complications, medications the were used, the amount of fluids received; this report mimics the SBAR technique because it gives the PACU nurse the basic, precise knowledge he or she needs to know in order to properly care and tend to the patient. Recovery time

Open and semi-structured in-depth interviews were conducted with three main stakeholder groups: (1) Physicians and nurses: the head physician of the integrative service; the head surgeon of the surgical department; two senior surgeons; one intern; a key hospital administrator; five senior nurses: a pre-surgery coordinator nurse and the matrons of the surgical department, the induction/preparation room, the operating theaters and the post anesthesia care unit; (2) CM practitioners: all four integrated practitioners; (3) Patients: a convenience sample of 15 hospitalized patients.

Over the last few years, there has been strong and necessary integration between anesthesiology and critical care. While research and developments in treatment procedures have affected this integration to a large extent, the contribution of technology cannot be disregarded. Anesthesiologists today rely extensively on technology for carrying out their roles and responsibilities. With advanced airway devices, electronic infusion pumps, radiology imaging and other technologies changing the manner in which patient health management takes place, it’s not surprising to notice significant dip in mortality caused by anesthesia. So let’s try to understand how technology is used by anesthesiologists.

The goal of Periop 101 is directly related to the Institute of Medicine 's 2010 recommendation for a nurse residency program. It helps hospitals cultivate confident, well-prepared, patient safety centered nurses. A key component of the curriculum is that it uses AORN 's Perioperative Standards and Recommended Practices (AORN, 2012) as a major source of information for the novice perioperative nurse. This feature fosters early use of AORN standards as a key source of direction for practice. Periop 101, when used as the major component of an OR nurse residency program supplemented with