Surgical Argument Essay

The single use items need to be used as such to reduce the chances of transferring infection from one patient to another as a result of contaminated equipment. “When properly used, disinfection and sterilization can ensure the safe use of invasive and non-invasive medical devices” (CDC, 2008). The challenge is on the equipment such as endoscopes which are not single use. Adherence to the disinfection and sterilization policy is crucial and should be implemented at all levels. It is not only a risk to the patient for one to fail to properly clean and sterilize equipment but also unethical practice. Good post.

Has anyone ever considered how medical devices are prepared before a surgical procedure? Central Sterile Processing Department (CSPD) consists of services within the Hospital, in which reusable medical devices will be cleaned, prepared, and processed. The role for CSPD is to prevent infection transmitted by usage of medical devices. The procedure for hospital medical devices before surgery has a four part workflow process in: Decontamination, to Instrumentation, to Sterilization and Sterile Storage (Case Carts). An example is given for reprocessing an Intestinal Set and the supplies needed for the preparation of this medical device set.

A surgical team is a ‘treatment team’, tends to be ongoing and relatively permanent in nature, which consists of a collection of individuals who are independent in their tasks (known as formal group), such as; surgeon, anaesthesiologist, sometimes medical staff (depending on surgery), certified registered nurse anaesthetist (CRNA), operating nurses, surgical technician. Poor teamwork and inadequate communication are donating to the lack of improvement in the number of patients in healthcare sector. When I was an intern in surgical department, I had experienced number of patients were died within few days after medical/surgical intervention. Among them more than fifty percent who died were emergency admissions, who often failed to be fully evaluated for other medical problems before intervention. As there were inadequate medical information about emergency admitted patients, sometimes anaesthesiologists were made medication error at some stage

There are a variety of surgical items that can get left inside of patients. Generally, it seems that sponges, towels and gauze are the most common types of objects left inside of patients;

Genetic power is the most awesome force the planet's ever seen, but you wield it like a kid that's found his dad's gun.” Transplants are a common thing that will often save lives. Heart transplants, kidney transplants, bone marrow transplants. Even blood transfusion is a form of a transplant. But more recently, a doctor has unveiled his plan to perform a human head transplant. From this arises many questions, such as; How is this possible? Will the patient survive? and also, Who would agree to do this? Although the first human head transplant is scheduled for sometime within the next few years, doctors should not proceed until they are certain that it will be successful.

to SSI’s. Another documented non-compliant factor are missed perioperative glucose control tests performed on all diabetic patients. This process continues intra-operatively addressing anesthesia, surgical techniques, and healing. Furthermore, preventive intraoperative measures are controlled operating room ventilation with the need to keep the operating room door closed, sterilization of surgical instruments, wearing correct surgical attire/drapes, and monitoring environmental surfaces. Surgical site infection’s can be stimulated by inconsistency of staff as well as poor surgical conditions. The facility adheres to all policies and procedures based on nationally recognized best care practice standards for prevention and infection control.

Whirlwind I, the precursor to modern-day computers, was completed at the Massachusetts Institute of Technology Servomechanisms Laboratory in 1951 (Tom Rosko). MIT was found on April 10, 1861 by William Barton Rogers, two days before the beginning of Civil War. The first building of MIT was built in 1866 at Boston’s Back Bay,and by the end of the century, the buildings scattered throughout Copley Square. In 1916, all of the MIT moved to Cambridge, except for The School of Architecture which remained in Boston, during a three-day alumni reunion (MIT Libraries). MIT endeavor to “advance knowledge and educate students in science, technology, and other areas of scholarship that will best serve the nation and the world in the 21st century” (MIT About).

Organ transplantation has become a standard procedure within biomedical practice. The customary way in which organ transplantation is reported both within the practice and to lay media emphasizes that the “spare part” is a utility and does not have an existential existence of its own. Surgical success is not measured by whether or not the part has few implications for the phenomenological sense of being-in-the-body, but instead whether the part is immunologically accepted by the recipient and has functionality. However, many surgeries that are deemed successful in terms of service and function may result in transplant recipients feeling varying forms of psychic disturbance to their sense of self. These mindsets can range from feelings of unease

Evidence-Based Practice (EBP) is an evolutionary step in the nursing model of excellence in professional practice. A healthcare culture focused on excellence and world-class patient care requires that nursing research and EBP are integrated into the professional practice model and nursing care delivery. (Promoting Evidence-Based Practice and Translational Research, July-September, 2010)

This leaflet is designed for a patient who is a heavy smoker and needed to have a general anaesthetic for a laparoscopic hernia repair. The patient is a man in his 40-50’s and is of a large build. He seemed very anxious during pre-assessment as he had a high blood pressure and was quite fidgety. While observing him, he was found to have a shortness of breath while talking to the nurse and when walking to the toilet. The patient admitted that he smokes around 30 roll ups a day and did want to some on trying to stop smoking completely. In addition, the patient had recently recovered from a severe chest infection. He explained how he suffered immensely from it which was another reason why he wanted to stop. Since the patient was going to have a general anaesthetic for his procedure, the nurse told him he needed to cut down on smoking two days prior to coming in as well as to avoid smoking on the day. As this was the first time the patient was going to have a general anaesthetic, he did not know that smoking could have an effect on it and said that he would find it difficult to up down. This health promotion topic hence was chosen as smoking before having a general anaesthetic can have an effect on the patient during surgery and how

During the process mapping of this process, one of the major bottleneck was the time spent assembling supplies such as IV giving set, fluids, medications, sutures before the commencement of the surgery. These are usually paid for out of pocket and patients of low socioeconomic status (who make up the bulk of patients in this hospital) are unable to pay. Another contributing factor was the long queues at the pharmacy which further added to the time spent in assembling the pre-op supplies. This group’s approach focused on pre-packing pre op supplies described above by the pharmacy and made available in the theatre at all times. The pharmacy prepared a generic ‘CS pack’ and supplied it to the theatre. This streamlined the process from decision to incision. Difficulties arose, although this generic ‘CS packs’ became readily available in the theatre, payment was still an issue in most cases and critical time was lost in waiting for the relatives to procure the packs. In addition, there was no clear-cut rule as to who payment should be made to, either the theater staff or the pharmacy staff? For these reasons, these initial changes did not lead to an improvement. The theater staff now releases the ‘CS pack’ for the surgery thereafter it is recorded in the patient’s folder and the patient can pay on discharge. Time taken to assemble pre-op supplies which use to take at least 30minutes and above now takes less than

The New England Journal of Medicine performed a case-control study to identify risk factors for instruments and sponges after surgery. They were able to gather data and information from surgeons and the patients with a retained foreign body. After interviewing patients and surgeons they conducted possible risk factors such as: change in nursing personnel during surgery, fatigue in surgical team due to length or lateness of procedure, excessive blood loss, urgency of surgery, and lack of complete count of surgical tools. Surgeons that were interviewed included a few more risk factors such as: body mass index, unexpected intraoperative developments, the amount of people working in the surgical team, and more than one procedure performed at a

Correspondingly, the use of the surgical checklist has important advantages. Namely, it assists in recognizing errors that may occur in the theatre or during the operation. This will lead to the correct preventable methods that can be used to avoid errors.

I enjoyed reading you post. Great insight on how to prevent retained surgical items. Retained surgical items can be detrimental to patients if gone unnoticed. It is also expensive to care for the patients. For instance, "the Centers for Medicare & Medicaid Services (CMS) had referred to an RSI as a ‘‘never event,’’"(Feldman, 2011 p. 865 ). As of right now retained surgical items (RSI) is one item that is on the list for hospital-acquired conditions that require reporting and Medical, and Medicare services would not reimburse the hospital for patient related care (Feldman, 2011 p. ). I believe the best solution is preventing this “never event” from happening. It is imperative that healthcare providers follow guidelines and work as a team following

Factors That Brought Change in Surgery Many factors brought about changes in Surgery. Surgery in early1800 was dangerous and painful. There was no way of completely relieving the pain suffered by the patient, nor was it possible to replace blood transfusions although blood vessels could be tied up by ligatures to stop the bleeding. Operations went dreadfully wrong and many patients died from blood poisoning.