Types, Intraoperative, And Postoperative Care

Also, by properly conducting a time-out session where the patient is provided with a standardized briefing prior to the patient is sedated in the OR could also eliminate some the sentinel or adverse events in the OR. Furthermore, follow a checklist, which not only pertains to the surgery itself, but also focuses on the other procedures involved such as admissions, anesthesia equipment, and discharge (Mulloy & Hughes 2008).

* 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

This Anaesthetic case study would describes and discussed the scenario of a patient through the anaesthetic role of their surgical procedure. It will include and discuss the anaesthetic safety procedures equipment and drug interventions used to ensure this particular patients maximum safety and comfort before and during the procedure. The case study will include pre and peri-operative assessment in order to describe the involvement contribution of various specialties in the holistic care of the critical care patient. This assignment will focus only on the anaesthetics side of the procedure but will also highlight the importance of the triad of anaesthesia and discuss the administration, maintenance and reversal of

VASNHS Surgical Specialty Outpatient department has a designated pre-operative management unit that oversees the patients undergoing surgery. The predicaments stem from various guidelines or protocol originating from numerous surgeons and clinics. At present, the pre-operative nurses abide simple pre-op instructions (NPO protocol, medications, what to bring, during the surgery, transportation, cancellation instructions) for the entire Surgical Specialty Outpatient department. Surgical procedures are being canceled due to lack of communications and cancelations of patients prior to surgery date.

The relationship between the perioperative nurse and the patient has suffered a long process of mutation throughout the last decades. If before all the dynamics experienced within an operating theatre were based upon organizational and logistical aspects, these days the focus lies on the patient and all the comfort and security demanded throughout a process that already reveals itself aggressive for the patient. Being the front-line person in this dynamic, the anaesthetic nurse plays a crucial and intense role on the patient’s experience.

As a nurse, we have the responsibility of providing safe and patient-centered care to the community. Patients are more than numbers, and as nurses we must treat them as individuals who need attention and personalized care. While caring for patients, we must use

Preoperative Teaching: during preoperative period its best to teach the patient about their surgical procedure and probabilities before and after the surgery. During this time the patients are alert and free. It’s better for the patient and their family if they know what to expect so they can participate in the recovery. Nurses alter the instructions given and explains them to the patient to they are able to understand them properly. The teaching plan helps the nurse assess the patient’s perception. Once the patient understands what they have to do in order to recover quicker than they are most likely to follow the preoperative instructions and cooperate with the healthcare team members. The information given in the preoperative plan varies with the type of surgery and the length of the hospitalization. Examples of information to include in preoperative teaching: Preoperative medications—when they are given and their effects, Postoperative pain control, Explanation and description of the postanesthesia recovery room or postsurgical area, Discussion of the frequency of assessing vital signs and use of monitoring equipment. Preoperative Preparation: for preoperative care it is essential that the patient is prepared for surgery both physically and psychosocially. Preoperative Medications: anesthesiologists frequently order preoperative medications. Before administering

As nurses, we treat a diverse population, each patient having different needs and requiring different care. On any given day we rarely treat two patients in the same way, this requires us to think critically and work within the full scope of our education and knowledge. By doing this we

Health care industry representatives play a vital role in the perioperative setting. When providing technical support to the perioperative team, that can potentially decrease the impact of the operative procedure, they help in facilitating optimal patient outcomes.

The operating room facility at Tallahassee Memorial Hospital assist around 50 - 60 cases every day. Each case is different considering the status of the patient and the procedure. However, all patients have one subject in common: multiple nurses are at their side all the time to provide care, safety, support and advocacy. Nurses are essential in every step of the perioperative process; before (preoperative), during (intraoperative) and after (postoperative) surgical procedures. As a result, the goals for my first week in the TMH Main OR are:

Post-operative nurses have two basic responsibilities: transfer and monitor patients after surgeries. After surgeries, post-operative nurses assess the patient’s condition and determine if they are able to be moved to the post-anesthesia care unit (PACU). If the vital signs are instable or if the surgical team encounters problems, the patient may need to remain in the operating room. Once the doctor determines that the patient can safely be moved, they will be transferred to the PACU for continued care under the watchful eyes of a post-operative nurse. There, patients will be carefully monitored when they wake up, so they will know what is going on. Post-operative nurses ensure that patients stay comfortable while they monitor their vitals and deliver pain medications.

The nursing care on a medical-surgical floor has a variety of different assessments and roles due to the varying conditions that patients have. With all the differing situations that can occur on this unit, the nurses must have to have flexibility as they perform their cares, maintain respect for patients, and to give compassion to those they care for. Without these factors a healthy and successful nurse-patient relationship cannot be formed. By creating a nurse-patient relationship the cares that the patient experiences will be less painful and more beneficial which leads to a more positive hospital stay which furthermore leads to better healing.

From the birth of the recovery room in the 1940s to the postanesthesia care unit (PACU) of the 21th century, the look and function of this unit have been in a constant state of evolution. Throughout the six past decades, surgical procedures have become more extensive and complicated and thus require more specially prepared nursing staff and equipment for the care of the patient (Odom-Forren, 2013). The PACU of today is an intensive care specialty that provides care to wide range surgical patients. Many of these patients have more than one chronic condition, such as chronic obstructive pulmonary disease, diabetes mellitus, chronic pain, and chronic heart problems. In order to provide safe patient care, the PACU nurse needs to develop the ability to blend expert clinical knowledge that is based on experience, education, and collegial sharing with caring practices that comes from within and from being a nurse (Odom-Forren, 2013).

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

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