Surgeon Tardiness Essay

The practice of nursing utilizes constant communication between nurses, patients, physicians, coworkers, and various other members of the healthcare team. It is clear that effective communication is vital in the provision of safe and effective nursing care. A long history of miscommunication-related medical errors has spurred research aimed toward improving communication and lessening consequent error. Research has identified various forms of communication structure acronyms that when used correctly, allows for a more organized and precise shift report. These acronyms include SBAR (Situation, Background, Assessment, and Recommendation, and SHARE (Standardize, Hardwire, Allow opportunities to ask questions, Reinforce, and Educate). In addition, studies have identified a more effective shift report location that enhances nurse-to-nurse as well as nurse-to-patient communication. Bedside reporting was explored and determined to be a very effective form of nursing report that increases overall patient safety and satisfaction. Communication improvement is a continuous focus within the healthcare arena and is vital in the provision of safe patient care.

However, poor communication was not only the fault of the physicians but also of the nursing team. Despite knowing what needed to be done for the patient, the nurses did not know how to approach the situation after the physicians were dismissive. Nurses need to exercise rights to serve as patient advocates and “challenge erroneous decisions of seniors in anesthesia. (Beament, Mercer 2016) All physicians involved lost control of the situation and did not effectively share with one another to manage the damage. Safe and effective delivery of healthcare require communication between individuals with different roles however status of staff (whether junior status or different roles such as nurse) makes it difficult to speak

Communication: Today I had the pleasure of being in both the pre-operative and post-operative units. Communication within the members of both the teams were very efficient. I noticed the nurses work much more independently and focus more on one on one patient care. However, the nurses in pre-op did communicate a great deal with members of the surgical team. The nurses would call and inform the surgical team when a patient was prepared to enter surgery. Also, the surgical team would contact the pre-op nurses regularly to give them an update on how procedures were going in the OR. For example, if a surgeon was ahead of schedule they would contact the pre-op nurses to inform them that they could begin preparing the next patient ahead of time. Or vice versa, in cases that the surgeon was behind schedule. On the other hand, in post-op the nurse was also very independent. She would wait for a phone call from the PACU nurse, to receive a quick SBAR report of the patient just a few minutes before the patient was transferred. Via the telephone, the PACU nurse would inform the post-op nurse of current vitals, along with the types of anesthetics the patient received and outcomes of the procedure. Mainly, the nurses communicated with the patient and their family. Along with performing full body assessments, the pre-op nurses spent most of their time asking patients detailed questions regarding their health history, current health status, and use of medications. In addition, the pre-op

Poor communication puts patients in danger because it can lead to medical errors and adverse events. For example, a medication error can occur if a physician’s orders are not updated in time or if the outgoing nurse does not provide the correct time in which a dose was administered last. Thus it is crucial to communicate any recent treatment that has been implemented. In this way, nurses and physicians can facilitate the prevention of errors. Another consequence of ineffective communication is that it can decrease morale and increase work-related stress among members of the healthcare team. If nurses and physicians are not understanding each other’s actions, conflict ensues. It can cause toxic interpersonal relationships. This, in turn, will affect the level of patient care because it is difficult to focus amidst emotional strain and

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

The pre-op nurse did not pass the information on when giving report to the OR nurse. The OR nurse is responsible for giving addition hand off information both about the patient along the information from the procedure she all so communicates with the surgeon during the procedure. It was during this interview that some insight about a breakdown in communication between departments became apparent.

In nursing profession, communication is one of the vital interprofessional collaboration competencies. A slack in communication gap will affect effective teamwork in providing efficient patient care delivery. Without integrated cooperation and effective communication, there will be a delinquency in the healthcare system, resulting in

The values such as communication, innovation, quality, and collaboration is key to the growing field of perioperative nursing (AORN, 2015). During surgery communication is important between surgeons, anesthesia and nursing. Surgeons are focused on surgery, anesthesia takes care of breathing and vital signs, nurses are at the bedside or circulating and can assess the OR and what is happening during the procedure. The ARON believes that every patient has the right to receive the highest quality of perioperative nursing care of every surgical or invasive setting; all health care providers must collaborate and strive to create an environment of patient safety; and every patient experiencing a surgical or invasive

Health care professionals have multiple responsibilities and one among them is ability to transfer patient information or handoff to another healthcare provider. Clear and accurate handoff communication between healthcare providers of operating room team is an integral part to patient safety. Exchange of patient information occurs many times a day and are vulnerable to communication errors that may negatively impact patient safety. In fact, poor communication is one of the reported cause of sentinel events within United States hospitals and is at high risk often among surgical patients than in any other clinical specialty. Surgical patients move from perioperative to intraoperative to post-operative areas and transition between these specific points requires effective communication. Rapid turnovers are most often vulnerable to communication errors that could lead to fatal implications.

Being able to give and receive information is the key to provide effective care to the patient. Positive attitude towards work and sharing information is needed as this will lead in giving quality and satisfying care and promote wellbeing. Also informing patient about their care is important as this will help build trust between you and the patient .If there is communication between nurse and patient it increases the nurse understanding of the patient’s needs and values. It also helps clarification if there is misunderstanding (Dabney and Tzeng, 3013). Communication is a two way of expressive and receptive so that the message and responsibilities of both parties is understood. As a nurse I need to be clear, concise when talking and to write effectively. The information has to flow freely between health care team and patients (Boykins,

A weakness in communication between interdisciplinary team members can impact patient safety and health . A recent study revealed that out of all the claims analyzed , 57 percent of malpractice cases reflected miscommunication between two or more healthcare providers (Riah, 2015). In fact, the same communication failures directly linked to 1,744 deaths over the past five years (Budryk, 2016). During my clinical placement this semester I have witnessed the overwhelming number of health care team members that are involved in each patient’s care. I also take part in morning nursing rounds where all nurses are updated on every patient’s status. Transmission of permanent patient information is also relayed to all members of the health team via the patient chart .Here , interdisciplinary notes all come together to form updated health information on patients. However, although I have read interdisciplinary notes from all team members , I rarely have had the opportunity to personally communicate with members other than doctors and nurses. Personal communication allows for a team member to pass on relevant information in a timely manner without the possibility or misinterpretations. When communication is strictly done non-verbally, it is impossible to ask any questions.. This is why communication between professionals in health care is essential for patient safety and improved quality of care (Koivunen, Niemi., & Hupli,2015). There are 3 main factors that cause miscommunication

Critical Thinking: During the first scenario, the patient was a 39-year-old female admitted to a med-surg unit following an abdominal hysterectomy. She had no known allergies and had a Foley catheter in place. Also the physician’s orders included, sequential compression devices and pain medication. While receiving report about my patient, I was beginning to think, as a nurse what my priority would be when first entering the patient’s room, which would be performing an assessment, monitoring vitals, assessing pain and inspecting the surgical site and dressing for signs and symptoms of infection, and assessing for potential post-op complications such as respiratory and cardiac problems; however, that didn’t go as planned. I was too focused on being reactive and thinking about what I was going to do next instead of being proactive, that I forgot simple steps such as introducing myself to the patient. Moreover, in the second scenario, my colleagues and I were placed in the emergency department to care for a 34-year-old patient with complaints of difficulty breathing due to asthma. In this scenario, the physician’s order consisted of administering oxygen via nasal cannula as needed in addition to administering albuterol via the nebulizer. Once again, before entering the patient’s room, I knew my first priority was going to be to assess the patient’s respiratory status by auscultating breath sounds, examining the quality and rate of respirations, the shape and configuration of the

Communication within the surgical team was extremely efficient. Everyone was very informative with one another, which helped the procedures move smoothly and effectively. All surgical procedures began with verification of the patient, surgical procedure, and surgical site. Although, in the article, “Why a RN in the OR?” explained that every member of the surgical team performed the verification individually, in this case, the circulating nurse simply read aloud the patient’s information along with stating the surgical procedure and site. Moreover, throughout a majority of the procedure, most of the communication consisted of the surgeon and the surgical technicians. The surgeon was mainly the individual to give commands

According to the Association of Perioperative Registered Nurses (AORN, ) the perioperative RN, Operating Nurse or Nurse Circulator is the main patient advocate in the operating room and takes responsibility of all aspects of the patient’s condition and care. The role is very vital as this nurse’s duty is to ensure timely delivery of quality surgical care so that there are optimal outcomes achieved for each surgical patient. As the patient’s advocate, the perioperative nurse is medically trained to serve as the patient’s primary spokesperson. The perioperative nurse must communicate the needs of the patients especially while the patient is aware and sedated. The perioperative nurse pays close attention to the patient’s condition before, during

This article contributes by defining all the major points that the nurse must know and identify to give the best possible care to the patient and their family. During the post-surgery period, the patient is just coming out of the anesthesia and may be a little sore from the surgery and the family may be unsteady not knowing what all is happening with the surgery and the post-surgery. It is during this period that the nurse must also be able to deal with those fears, and uncertainties that the patient and family have to answer everyone’s needs and maintain their composure (Silva et al,