Surgical Nursing

246). Twenty-two participants spoke of the provision of information giving as comprehensive and helpful in surgical preparation, in contrast eight participants felt the information giving was deficient in its content. One individual went on to say “I personally felt that I was not given any information once the preassessemnt nurse discovered I worked as a staff nurse on a day surgery unit in another hospital” (Gilmartin, 2003, p. 247). Negative case studies do not weaken research findings but make the study more credible as the researcher has considered alternative views in the analysis of data (Tappen, 2011).

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

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 The steps are getting blood withdrawn for lab work, receiving and E.K.G and information on past medical history.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

Before the patients leave the clinic, the primary care nurse will give them a simple instruction such as doing the blood work, EKG and chest x-ray prior to pre-operative appointments. This is the end of primary care responsibility for the pre-operative process of patients undergoing surgical procedures. The accountability of making sure the patient is ready for the surgery is then handed over to the pre-operative management nurses. Cancellation of operations in hospitals is a significant problem with far reaching consequences (Kumar & Gandhi, 2012). One of the factors contributing to this cancelation is the pre-operative process itself.

A focused audit will be done on all patients undergoing operative or invasive procedures for the next year. Results will be analyzed by the nurse manager and discussed at staff meetings. Evaluation of compliance will be done at the staff meetings and any recommendations for improvement will be discussed and approved at these meetings. Implementation of any recommendations will be instituted the following month. Summaries of the audit and any recommendations for improvement will be sent to the PI committee on a quarterly basis.

He has gained a vast array of knowledge when he was shadowing the PAs and me in the general surgery clinic. He has acquainted himself with the forms required for surgical procedures such as the informed consent. In addition, he observed how the PAs explain the surgical procedure to the patient and inform them about the benefits and risks before they sign the informed

Carper’s fundamental ways of knowing include empirics, the science of nursing; esthetics, the art of nursing; the component of a personal knowledge in nursing; and ethics, the component of moral knowledge in nursing (Carper, 1978). Empirical knowing shows the information about the effectiveness with mobilization and the likeliness of being diagnosed with a postoperative complication with delayed mobilization. The aesthetic knowledge shows that some patients may be more at risk for postoperative complications due to certain barriers and their process of trying to prevent any complications may be different from others. Ethical knowledge raises questions on whether or not our care is morally right or wrong (Carper, 1978). Each individual is different and the same approach to mobilization isn’t going to be the same for everyone. One approach that may be beneficial for one patient, can put another patient’s safety at risk. As nurses, we cannot force someone to ambulate, each patient has the right to refuse and in response to that we should be providing patient education to encourage them to ambulate. Personal knowledge is how research affects the way we practice. With the newfound information, I am able to utilize the results in a clinical setting. I am able to see the benefits of early ambulation, the barriers that may cause delayed ambulation and the likeliness

The primary barrier impeding effective interaction among the personnel is a communication barrier. Information exchanges between the patient’s primary care provider and other care providers are often where errors occur or where information is lost. Two-way communication between the surgeon’s office and the hospital is necessary for effective and efficient patient care. Consequently, there does not appear to be an effective channel of communication with the surgeon’s office to obtain appropriate documentation which would have included the patient’s custodial information. Secondly, the pre-op nurse was in an emotionally charged situation due to the stress of an increased workload and additional responsibilities. Although, the appropriate

According to the Academy of Medical-Surgical Nurses (AMSN), medical-surgical nursing is the foundation of all nursing practice. At one point, all nurses were put in the medical/surgical environment (“What is Medical-Surgical Nursing?,” para. 1. 2014). Today, there are many different types of nursing; although medical-surgical nurses are the largest group of practicing professionals and one of the most demanding nursing specialties (“What is Medical-Surgical Nursing?,” para. 2 2014). They can be put in many different facilities and work with a variety of patients. Medical surgical nurses have many duties and responsibilities throughout the day; but is overall a rewarding job to have.

For my independent project I’m going to do an internship at a hospital. The purpose for this would be to gain experience and how the system works. I chose this because I want to work as a surgical nurse when I grow up which is practically working at a hospital. I would know how to communicate with people and how they deal with the sicknesses.

Nurses utilize multiple theories daily to care for patients and their families, though these theories range from grand, to situation-specific, to mid-range the nurse tends to focuses on which theory will provide the best care to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nursing in the 21st century. Mid-range theories are said to be middle rather than ordinary but they are specific enough to evaluate observed situations (McCurry, Revell, &Roy, 2009). There are multiple reasons why mid-range theories offer some of the most up to date information when it comes to the care of our patients and families, but let’s just break it

When nurses are made aware and prepared for these complex situations, this assists in reducing harm and it also improves patients' safety (Weiss, and Jessel, 1998). Based on the article it was reported that, healthcare providers are more likely to create errors or problems the first time they conduct any procedure. (Weiss, and Jessel, (1998). The preparations of appropriate experiences when learning and meeting the prospects of healthcare can be quite overwhelming for both students as well as the instructors.

Patient education is a major concern in pre-operative patient care. Preoperative education can improve patient satisfaction with the surgical experience. Typical patient education is provided through leaflets that are given to the patient before surgery and verbal information given by both doctors and nurses on the day of surgery. Pre-operative education is vital to patient comfort and safety of the patient. Appropriate preparation can minimise anxiety and stress, and therefore many of the physical effects, and ensure patients arrive in the operating theatre department ready for surgery.

Nursing is a profession within the health care sector focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life.

From being admitted, all the way to recovery, the nurses really made the experience less frightening. The staff focused on having my Mom and I present before and after her procedure. As a student, I observed the way the nurses were acting towards my sister. The nurses exhibited the proper way I should be to my patients and to the patient’s family: respect, patience and a calm environment to help promote healing. Having the family at the patient’s bedside and teaching family how to care for their loved one, is the most important step in a patient’s recovery.