The On The Air Conditioning System

8. After surgery, R.T. is admitted to the surgical intensive care unit (SICU) with a large

A patient arrives at the hospital for their knee replacement surgery that has been scheduled for today. The patient is checked in at admitting and is called back to the pre-operative area by the nurse. The patient changes and the nursing staff begin to take the patient’s vital signs, review the patient’s history, draw blood for lab work and they let the patient know what to expect before, during and after surgery. The surgeon arrives and checks in with the patient, asks if they have any final questions before surgery and then leaves for the operating room to prepare. The patient is taken to the operating room, anesthesia is given, and the operation begins. The procedure goes smoothly and the patient is taken to the post-op area. When the patient comes out of the anesthesia, the surgeon

Mrs. Newman shares with the nurse that she is scared that no one will help her if she needs

After surgery, Mr. Baker is taken to a room on the medical-surgical floor. He has an IV infusing at 125 ml/hr, a PCA pump, and a nasogastric tube connected to low suction. He is receiving oxygen through a nasal cannula.

Surgical Technologists have an important role in the operation room (OR). There are different positions within the Surgical Technology field, including Scrub Surgical Technologist, Circulating Surgical Technologist, and Second Assisting Technologist. Scrub Surgical Technologists have a number of tasks, including prepping the patient for surgery, sterilizing the OR, gown and glove surgeons and assistants, and assists the surgeon and other surgical team members in a number of ways, such as passing instruments and dressing wounds. Circulating Surgical Technologists have a number of tasks as well, including checking patient’s charts, identifying patient and verifying the surgery that will be performed with consent forms, assisting anesthesia

b. The prevention and management of unintended hypothermia remain a nation priority in preventing surgical site infection, and it has been designated as an SCIP quality measure. (Philips, 2015)

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

Today in clinical I experienced how to properly position a patient to prevent the risk of further damage, such as pressure ulcers.

The assigned nurse explained to the patient about pain management/ pain scale after surgery and how he will be waking up in the Intensive Care Unit where he was going to have chest tubes to remove the extra fluid from the chest cavity; he confirmed understanding and was ready to move on with the procedure.

Similarly, Hooven (2011) concluded that when using FAW blankets preoperatively, the incidence of postoperative hypothermia was decreased in patients receiving colorectal surgery. The study supported the idea of preoperative warming. This comparison study was a retrospective review of data that was gathered over a period of two years, included 149 patients having colorectal surgeries. 77 patient were pre-warmed and 72 non-warmed. Approximately a 50:50 mix between men and women and ages 24 to 100 years old. It was found that using FAW blankets preoperatively decreased the incidence of postoperative hypothermia in patients receiving colorectal surgery.

During this monitoring, the nurse should perform vital signs. According to Silvestri (2014) he/she should assess the patient’s cardiac rhythm for dysrhythmias, chest pain, peripheral pulse, color, warmth and sensation of the extremity distal to the insertion site. If the patient is experiencing dysrhythmias, chest pain, loss of peripheral pulse, the limb has turned pale or cyanotic, cool to touch or if the patient complains of numbness and tingling of the extremity distal to the insertion site, the surgeon must be called promptly. The nurse should also assess the compression device or sandbag to make sure it is secure. He/she should assess the pressure dressing for bleeding or a hematoma. Should there be active bleeding, the nurse should apply direct manual pressure to the insertion site and get help to call the surgeon. The surgeon should also be called when a hematoma develops. The nurse should be monitoring the patient for nausea, vomiting, rash or any other signs of hypersensitivity (Silvestri, 2014).

Dear neighbors, we are the tenants in building 807. We have had a broken air conditioner since June! We many repeated efforts to report and the issue to be fixed. The office and maintenance team gave us nothing but false promises and commitments to resolve the issue. This one of many issues that have been neglected, due to poor management and a poor maintenance team.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

At today’s visit she is accompanied by her husband and daughter. The patient is bed bound due to her fracture hip. She has a wound vac in place to right hip infected surgical wound. She is on

The Material Flow Committee (MFC) knew that there were many problems associated with this process and that they had to change. The people involved in this group were Sridhar Seshardi, who was the vice president of Process Excellence; Nick Gaich, who was the vice president for Materials Management; Candace Reed, who was the director of the Sterile Processing Department (SPD); and Joan Rickley, who was the director of the OR. The first step that was taken by this committee was a pilot project called the “Early Morning Instrument Prep.” This development would involve a neurosurgery nurse coming to the hospital in the early mornings to make sure that all supplies and instruments were where they would be required for neurosurgery. Another aspect of this project was to “Provide early data into possible sources of problems” (p. 5). Once the MFC had reviewed the data that came back from the “Early Morning Instrument Prep,” they decided the Hospital would greatly benefit from hiring an Implementation Specialist for Healthcare (ISH). The ISH is a firm that has a specialization in