Post-Cooperative Nursing Research Papers

The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the

In a hospital setting, there are nurses of various levels of education starting from a Licensed Practical Nurse all the way to a Nurse Practitioner. Although there is a clearly defined difference in education, knowledge, and skill sets between an LPN, RN, and NP, the

Nurse Anesthetists are also known as CRNA, which means Certified Registered Nurse Anesthetists. Being a CRNA, one has big shoes to fill when it comes to their job. CRNA’s work with anesthesiologist surgeons and other physicians and medical professionals to give anesthesia to patients undergoing medical and surgical procedures. CRNA’s care for patients before, during and after a medical or surgery by doing a patient assessment , preparing the patient for anesthesia, they must maintain the anesthesia throughout the whole procedure to secure the proper sedation, and pain management, and as a CRNA they must make sure the patient recovers from the anesthesia properly. CRNA’s usually overshadow anesthesiologists. They perform much of the work

They also take care of patients anesthesia before, during, and after surgery. They even give mothers epidurals during child birth for pain management. A CRNA can also perform physical assessments, participate in preoperative teaching, administer anesthesia to keep patients pain free, oversee recovery from anesthesia, prepare for anesthetic management, and follow the patients postoperative course from recovery to the patient care unit. These types of nurses are the only certified personnel to deliver anesthesia in most rural hospitals in the United States (Lippincott Williams & Wilkins 42).

With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).

Anywhere anesthesia is delivered, CRNAs can be found, from hospital operating rooms, to outpatient settings, to military healthcare facilities. In many situations, such as hospitals in rural areas, where physician anesthesiologists are not available, nurse anesthetists are the sole providers of anesthesia to patients (“Nurse anesthetist,” 2012).

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

This essay discusses and reflects upon patient care in the post anaesthetic care unit (PACU) and is linked to my experiences on placement. It discusses how my approach to patient care has been challenged and analyses how evidence based practice can create a change in the way patients are cared for. It reviews the processes of managing the perioperative environment and evaluates the implications for practice when applying a change in healthcare. Wicker and O’Neill (2010) state that “The lack of immediate medical support in the recovery room means that practitioners work in a more autonomous role than any other area of the operating department” (p.379). By reflecting upon my experiences I am able to link practical and theoretical aspects of the operating department practitioner (ODP) job role. This will provide me with a greater understanding of professional practice and it will develop my personal knowledge and self-awareness (Forrest, 2008). Using a model of reflection is important as it provides a framework that can be systematically followed and acts as a guide through the process of reflection. For this essay I have chosen to use the Gibbs’ Reflective Cycle (1988) as it provides a methodical guide to reflection using a series of ordered questions that each lead to the next stage of the cycle (Forrest, 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

I first heard and learned about this position in second semester OR clinical. I do not personal know anyone who works in this area. But, I am very interested in playing a hands-on role in surgical procedures. I enjoy being able to see firsthand the makeup and function inside the body, and the process of repair. Education requirement for this position include, bachelor degree BSN, RN license, certification in perioperative nursing (CNOR), and completion of an RNFA program. The certification in perioperative nursing (CNOR) can be obtained through the Competency and Credentialing Institute (CCI). Their CNOR credentialing program is currently accredited by both, the National Commission for Certifying Agencies (NCCA) and the American

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.

With all of the different specialties in healthcare, some get overlooked or may be under the radar. An uncommon and often disregarded career choice in healthcare is that of a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice. Although not many people know about these healthcare careers, they play a vital role within the healthcare team. This field is growing rapidly and the likelihood of coming into contact with a nurse anesthetist during a hospital stay is on the rise. Knowing the history, education, responsibilities, and career outlook for a Certified Registered Nurse Anesthetist or a Doctorate of Nurse Anesthesia Practice can aide in understanding their very specific role in the care of patients.

The role of the recovery nurse covers many aspects. Nurses within the recovery setting provide short-term critical care to patient’s post-anaesthesia. The recovery area is designed to aid the nurses in the support, monitoring and assessment of post-anaesthetic patients (Dougherty and Lister, 2011). Nurses will aid the reversal of the anaesthetic effect, so the patient is able to maintain their own airway (AAGBI 2002). Once the patient is clinically recovered, they will be transferred to the discharge lounge. It is the recovery nurse’s responsibility to ensure the patient is well

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

First everyone had to put on a mask, wear surgical head covers, proper scrubs, and shoe covers. Inside the operation room, the surgeon and scrub tech had to put on a sterile attire, which included sterile scrubs,gloves, and equipment because they were the first people to have contact with patient. The circulator or documenting nurse and anesthesiologist were around the sterile field (aseptic technique) without any contact with the patient whatsoever. As you would have guessed, the surgeon was the one who performed the surgery with the help of the scrub tech and monitored by the circulator nurse and anesthesiologist. The main duties of the circulator nurse was to document everything during the surgery from what medications used to how many sterile dressings were used, proving supplies to the surgeon and the scrub tech as needed,and making sure the room was prepare for the assigned surgery. This nurse also provides conform measurements for the patient while in the operation room. For instance, there was a patient who was too big for the operation bed, so the circulator nurse had to find additional supplies that would prevent the patient from sliding down the bed. Nurses always provide the finest education towards their line of duty but also take the time to teach those people who starting the nursing