The Surgical Journey And Nursing Considerations

S.P. should be up out of bed post-op day 1 and wearing TED hose continuously, as well as wearing SCDs overnight in bed. Constipation prevention should e achieved by administering scheduled doses of Colace. Proper nutrition should be encouraged to include plenty of protein to ensure proper wound healing and avoid development of pressure ulcers (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). S.P. should practice coughing and deep breathing throughout her hospital stay to avoid lung congestion and occurrence of pneumonia infection, educating the patient about smoking cessation assistance can be helpful as well.

The preoperative phase begins when the decision to have surgery is made. It is used to assess the patients suitability for surgery, identify potential risk factors, educate the patient on avoiding complications of surgery and anaesthesia, and plan to meet the patients needs for a safe and sustained recovery upon discharge (Berman, 2014, p. 1015). This process includes addressing all parameters on the preoperative checklist. Fasting is an important part in the preoperative phase. Preoperative fasting is the practice of a patient abstaining from oral food and fluid intake for a certain amount of time before a surgical procedure is performed. This is intended to prevent pulmonary aspiration of stomach contents during general anaesthesia. When

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

Second, the nurse commences assessment with an evaluation of patient’s airway, breathing, and circulation for any signs of inadequate oxygenation and ventilation. One of the patients’ temperature was 102 F and the physician recommended pain medication (dilaudid) and it was administered instantly. The nurse gets vital signs and compare the result with intraoperative care. The nurse chart vital signs every 5 mins for the next 15mins, every 15mins for the next hour depending on the recovery state of the patient. I also noticed that for diabetic patients, the nurse checks for blood glucose and also compare result with intraoperative care unit result. Third, the nurse assess pain although the patients receive pain medication before surgery. Fourth, the nurse assess surgical site (dressings and drainage). Fifth, the nurse assess neurologic (level of consciousness, orientation, sensory & motor status, pupil size and reaction. Finally, the nurse assess gastrointestinal (nausea, vomiting, intake of

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

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.

Once the nurse and patient establish a rapport, and the patient is comfortable and willing to proceed with the intervention, preoperative care

Briefing – This occurs pre-operative and is a meeting that includes all members of the surgery, from technicians, to anesthesiologist, to nurses and surgeons. It is a

During my observation, I followed the patient from her preparation of surgery, into the operating room, to recovery. I gain insight on what happens during surgeries from nurses, surgeons, and other hospital staff. This experience was much different than any other clinical I have gone to. After having first-hand experience, I now know that surgery is nothing like what is portrayed on television.

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

The main purpose of this assignment is to create a plan of care for Kevin Johnson (School of Nursing & Midwifery 2013). By choosing one day in particular throughout his journey to recovery and by planning that care by incorporating the information that has been provided by his case study. The day that will be referred to care throughout this paper will be Day 1 – Post – Operative care. This

Once the information is recorded a care plan based around the pre operative assessment can be created using the next step in the

I thought you did a great summary of your article and were very informative. I am sure that most of us know that surgery is never fun, usually painful, and definitely a nerve-racking experience when you are a child. I thought it was interesting that most of the nurses always reverted to medication before using nonpharmological methods, but it is understandable. “The most frequent cognitive- behavioral methods were providing verbal encouragement, helping patients with deep breathing, providing encouragement with rewards, and helping them make relaxation movements (Celebuiglu, Kucukoglu, & Odabasoglu, 2015, p. 32).” Although this article did not end up being exactly what you had expected I do believe it gave you some beneficial information. I

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

Prepartion for Harold pror to surgery includes an deep breathing and coughing exercises to assist respiratory function, administration of prophylactic antiboiotics as Harold has the potential for infection (Koutoukidis, Stainton, Hughson, 2013, p 972). Prepartion for surgery will take an estimated 1-2 hours depending on the patient and what is required. The majority of patients will be measured for height and weight, this enables the correct drug dosages to be accuretly calculated, vitals signs will be assessed and documentated to provide a baseline, ensuring the patient is showered and not wearing any jewellery or aids such hearing aids, wearing the appropiate clothing and checking the patient’s identification band is correct (Koutoukidis