Post Operative Nursing

* 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

 Surgical Paper Joshua Bedell Nursing 121Clinical Jan Johnson, Clinical Instructor Mott Community College Surgical Follow Through Paper For the duration of my surgical follow through experience, I had the pleasure of following RF. RF is a 49 year old male with an admitting diagnosis of cervicalgia cervical herniation, and a scheduled surgery for an

Could you imagine going through a surgery without anesthetics? You know, an anesthesiologist isn't the only one who gives anesthesia—it's a team effort. Nurse anesthetists have been the primary administers of anesthesia since World War II. Many health care facilities do not have anesthesiologists on staff, but they have a

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).

The Association of Anaesthetists of Great Britain and Ireland (AAGBI, 2010) accentuated that when looking after a patient during anaesthetic care, the anaesthetic nurse must be competent in any circumstances for the safety of patient. On the case of Mrs D, there was an obvious need to communicate, so the anaesthetic nurse needs to be trained and encouraged appropriately (Mellanby, Podmore and McNarry, 2014). It is evident that the anaesthetic nurse needs to be confident enough when looking after patients to voice any concerns to the assembled team, regardless of how senior or intimidating they may appear (NMC, 2015). The anaesthetic nurse said that she communicated with the anaesthetists during this critical incident. Yet, the anaesthetists

A patient’s journey throughout the surgical process can often be a frightening and unpredictable time in a person’s life (Short & Gordon, 2015). It is therefore vital for nurses to provide holistic and safe patient centred care, in order to meet the needs of each patient through their experience (Short & Gordon, 2015). The following essay will explore the surgical journey and nursing considerations of a patient undergoing a surgical procedure. Firstly, it will address important nursing factors relevant to the preadmission and perioperative stages of care. It will then address relevant nursing factors relevant to the anaesthetic stages of care, during the surgical process.

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

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

• Since 1991, anesthetic and surgical techniques have improved, resulting in lower surgical risk for many patients. Concurrent with these changes, the VHA has implemented a rigorous program of surgical attending oversight of the process of care by resident operators, particularly in surgical suites.

Association of Perioperative Registered Nurses Association of perioperative Registered Nurses (AORN) is a nonprofit organization that represents more than 160,000 perioperative nurses by providing nursing education, standards, and clinical practice resources-including the peer-reviewed, monthly publication-AORN Journal-to enable optimal outcomes for patients undergoing operative and other invasive procedures (ARON, 2015). The AORN

Management of a Patient with Postoperative Nausea and Vomiting Susanne Frycek Advocate Lutheran General Hospital Introduction Post-Operative Nausea and Vomiting (PONV) is defined as any nausea, retching or vomiting occurring during the first 24 hours after surgery (Oxford Journals). It is an uncomfortable and unpleasant experience for the patient and can adversely affect the post recovery outcome by causing dehydration, electrolyte imbalance, aspiration, wound dehiscence, increasing length of stay (LOS), unanticipated admission, and increased healthcare costs, not to mention a top concern and great dissatisfier for the patient (JPN, Hodgens). Since approximately 30% of all post-operative patients

She made sure that the patient’s belongings were gathered and placed in a bag for easy access when he was finished with his surgery. She confirmed that the patient had nothing to eat or drink that morning and showered twice with specific antibacterial soap. She signed as a witness on the consent form stating that the patient voluntarily signed the form. She completed an assessment for a baseline to compare when he would be in the recovery room. In addition, the nurse determined that the preoperative checklist was completed and all prescribed medication was given before the patient proceeded back for the operation. The nurses in the intraoperative phase were more concerned for the patient’s safety during surgery. They stressed the importance of me keeping a foot away from the sterile field at all times and ensured that the patient’s limbs were secured in place. An important patient care detail that occurred was the count of items utilized during the operation. The scrub and circulating nurse counted each piece that was used and made sure that everything was accounted for. In the postoperative phase, the nurses were primarily focused on the safety and orientation of the patient. The recovery nurses assessed if the patient was able to smile symmetrically, stick out his tongue, bilaterally squeeze with his hands, and perform plantar and dorsal flexion of his feet. They evaluated the pupils to ensure they reacted to light and assessed the vital signs closing to any

When treating a patient who has recently been in surgery, it is important to provide as much information to them about their procedure as possible, while maintaining their care. In the case of this patient, the nurse needs to explain to the patient what anesthesia does, as well as what intubation is. This patient was intubated due to their breathing mechanism being depressed by the anesthesia (Glick, 2015). It is also important to explain the patient the different people in the operating room as well as their jobs during the surgery. There are a few different aspects of care that need to be monitored in the recovery room including pain management, stability of the surgical area, as well as infection prevention and monitoring the patient’s vitals (Glick, 2015). The recovery room nurse will also provide many techniques to help with the patient come out of the anesthesia, and help their lungs begin to function like they did prior to surgery.

The implications that can be applied to nursing and health care that I have discovered from Zhang’s study of the Impact Of Nurse-Initiated Preoperative Education on Postoperative Anxiety Symptoms and Complications After Coronary Artery Bypass Grafting are postoperative psychological assessments, professional psychological counseling, and the use of patient anxiety scales (2012). In my clinical placement, I have evaluated the postoperative assessments and education that takes place and it does not include psychological counselling or the use of anxiety of scales. By implementing and utilizing these three findings from the research study, it can inform a nurse’s empirical way of knowing. A nurse’s empirical way of knowing will be informed because based on the theories and results from the research study on reducing post-operative anxiety and complications, nurses can identify patients at risk for developing post-operative anxiety and implement care plans to help these patients. Furthermore, I also think that this evidence has informed a nurse’s personal way of knowing because once a nurse has the experience of providing thorough and effective preoperative education and counselling strategies, the nurse will be able to reflect on the experience and use a similar educational approach to other

Introduction A number of postoperative dysfunctions are related directly to postoperative pain. Th e most important of these are pulmonary, circulatory, gastrointestinal, and urinary dysfunction. Th us, it is possible for acute severe unrelieved pain to result in signifi cant morbidity and even mortality [1]. Th e use of successful postoperative analgesia in patients may accelerate recovery and