Informational Speech
Making it count in surgery
Purpose: To prevent retained items in Surgical Procedures
Thesis: My goal is to inform my audience the importance of counting the instruments and sterile supplies for Surgical Procedures.
Organizational Pattern: Topical
I. Introduction A. Attention Getter: Have you ever heard of someone having a sponge left inside them from surgery? When this happens, it’s because staff did not count correctly. A retained object can cause a patient pain, severe infection, additional surgical procedures and even death.
B. Relevance: According to Joint Commission statistics, Retained Surgical Items are the most reported sentinel events
C. Credibility: I’ve been an
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2. The surgeon is kept in the loop about this count as it is occurring. Transition: As you can see, it is incredibly important to count. TWO staff members perform the counts to help prevent errors. C. But what do we do if a count is wrong?
1. Inform the surgeon immediately
2. Everyone looks. a. Surgeon looks in the wound
b. The Scrub technologist checks the sterile fields
c. The circulator sees if it’s off the field, on the floor in the waste bucket, etc.
3. Still can’t find it? a. We keep looking.
b. We x-ray the surgical site
Transition: Items have found inside of patients. There has been a lap sponge tucked in a pelvis, a 4 x 4 sponge in an arm, a clamp on a vessel, instruments in the abdomen, items left in spinal incisions. This is why we look.
III. Conclusion
A. Thesis/Summary: I hope you have a better understanding of what the surgery staff members do to keep patients safe from a retained foreign body.
B. Memorable Close: Operating Room Nurses and Scrub Technologist put the patient safety first. They are an important part of the surgical team and account for the items the surgeon uses during surgery. If you or a loved one has to have surgery, I hope you are comforted by
The surgical suite was clean, well lit, and very organized. All of the tools and
V. It’s important to know these steps because while the process is a long one, the effects of improper care can be irreversible.
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.
Surgeons rely on technology, from diathermy to the operating room lights, assistance and team work. The conscientious staff should always ensure that the equipment is functioning and reliable. Hospital acquired conditions are medical complications that has a negative impact on patients during their hospital stay. Medicaid or additional services are not reliable to pay the hospital for any conditions that were developing while in the hospital. Based on surveys through several studies, expertise shows that medical conditions and errors are preventable. The beginning process of surgery usually starts with the patients preparations. Healthcare providers will remove hair that is on the body to be operated on. Patients who are diabetics must have their blood sugar monitor. Before any surgical procedure, healthcare nurses must interview the patient if they are scheduled to have surgery. The steps are getting blood withdrawn for lab work, receiving and E.K.G and information on past medical history. This type of process is to make sure the patient is healthier enough to undergo surgery. The preoperative phase which is the first stage used to perform tests; however the results of testing may come out wrong due to a malfunction in the machine. This can lead to a surgical infections and errors during prep and procedures. The goal of perioperative care is to provide
There are many reasons to become a surgical technologist, and numerous information reasons why I want to take this course. Taking this class made me see a whole other side of the profession then when I was doing my research. I have learned so much about the changes in medicine and about surgical technology itself that it’s hard for me to put in all in one paper. Through the course of this paper I will go over my own reasons to take the course, things that I personally learned over the last eight weeks, what my plans for the future are, and the different qualities that are needed in the field.
Imagine waking up from kidney surgery only to realize that there are stitches not only on your stomach, but also on your chest. Imagine the doctor coming up and having to explain to you that his surgical tech got a weak stomach and with scalpel in-hand, fell and put a puncture wound large enough for stitches on your chest. You would be shocked at the severe lack of professionalism by the surgical technologist, and you would question the hospitals inequity.
The entire hospital holds a total of 90 beds, 5 operating rooms, 6 examination rooms, and a laboratory. Despite the size of the hospital, they average 150 operations per week and 7000 to 7500 operations annually. Also, it is important to note that there are only 12 full-time surgeons and 7 assistant part-time surgeons that handle all operations in 5 day a week period. The last thing to take into consideration is that each patient stays 3 days out of a week starting the day they arrive. Although Shouldice’s operations seems to be functioning just fine, there is a debate of effectiveness of whether or not they are fully utilizing their full potential in relation to surgeries performed and beds being
As noted by Haugen, Murugesh, Haaverstad, Eide, and Softeland (2013) wrong site surgery continues to be a problem that can be prevented through the use of a checklist. In 2008, WHO published guidelines to ensure the safety of surgical patients. The guidelines included
At least half a million deaths per year could be prevented with effective implementation of systemic improvements in operating rooms. Specifically, multiple studies have found implementing the use of the WHO Surgical Safety Checklist would significantly reduce surgical morbidity and mortality due to surgical errors.
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;
There were many measures taken to ensure that the patient was safe. The nurse and the surgical technician maintain a sterile field, and that none of the sterile packages have been opened or punctured. They also put soft foam pads on the bony prominences of the patient to prevent pressure ulcers and then the patient was covered in sheets to avoid drastic drops in her body temperature.
Surgeons must work in sterile environments when performing surgeries as it benefits both the patient(s) and the perioperative team, in terms of hygiene and personal health.
Surgical technology is a profession that have directly influenced in the processes that involved life-or-death situation. They are involved in delivering without most diligence care to patients undergoing surgery as a member
The primary goal of the surgical team is to prevent the spreading of infectious diseases in the operating theatre and the surgical area. Some of those goals include the patient risk assessment, cleaning of the surrounding area and the environment, and the most important sterilising surgical instruments and gowns and disinfecting the surgical theatre after and before the
They consult patients, diagnose illnesses, and plan courses of treatment. Many responsibilities come with being a surgeon. They include reviewing and analyzing medical histories, preparing patients for their surgeries, prescribing medications, and gathering results from a variety of tests such as X-rays and bloodwork. Sterilization is very important during surgical procedures in order to prevent the spread of harmful bacteria. It is the surgeon's responsibility to make sure that the operating room is sterile because infection can affect the recovery of a patient. Surgeons are responsible for patients’ lives, and any mistakes can have catastrophic