Imagine waking up from surgery believing you underwent a completely different procedure than what you first had imagine. That's what Georgia Darviris had to experience in the winter of 2004. She gave consent for the doctor to perform a simple fissurectomy. After waking up, Darviris had been informed she underwent a hemorrhoidectomy. A completely different surgery. She was given a spinal anesthetic before her preformed surgery, therefore she was awake. She claimed that a nurse nor her doctor, Petros, gave any indication during the surgery that she wasn't receiving the planned fissurectomy. She argued that she would not have consented to this procedure due to a family member having major complications with the same surgery. After receiving…
Shortly after plaintiff Nosrat Khajavi (Khajavi), an anesthesiologist, and defendant, Robert Del Pero, a surgeon, engaged in an altercation over the wisdom of proceeding with a particular surgery, defendant Feather River Anesthesia Medical Group (Feather River) terminated Khajavi’s employment. At trial, the court non-suited Khajavi’s claims that defendants Feather River and Robert Del Pero had discharged him, and conspired to discharge him, in violation of public policy -- that is, in retaliation for advocating “medically appropriate health care” in violation of Business and Professions Code section 2056.…
DESCRIPTION OF OPERATION: Patient was brought to the operating room and identified by name and bracelet. General endotracheal anesthesia was administered in the supine position. Patient was then flipped into the prone position on a Jackson table with a Wilson frame. Neurophysiologic monitoring was applied to the patient.…
Anything abnormal needs to be reported to the doctor. These findings need to be documented as well. Document allergies according to facility policy. Accurate measuring and recording of height and weight are important for proper dosage of anesthetic agents. Ensure that the results of all laboratory, radiographic, and diagnostic tests on the chart. Document any abnormal results, and report them to the surgeon and the anesthesia provider. If the pt. is an autologous blood donor or has had directed blood donations made, those special slips must be included in the chart. Record a current set of vital signs within 1 to 2 hours of the scheduled surgery time, and document any significant physical or psychosocial observations. Report special needs concerns, and instructions (advance directives) to the surgical team, as required by The Joint Commission’s NPSGs. For example, advise the surgical team if the pt. is a member of Jehovah’s witnesses and does not accept blood products or if the patient is hard of hearing and does not have his or her hearing aid. This information assists the surgical team in providing continuity of care while the pt. is in the surgical area.…
* Performing physical exams to identify any issues that may affect the anesthesia care plan…
Steven Lafevers, a certified counselor and hypnotherapist, presents the reader with an array of methods and techniques associated with hypnotherapy. The reading offers detailed step by step methods of induction and foundational principles with little to no jargon or erroneous claims. A full spectrum of life challenges are identified, with respective hypnotic prescriptions presented as cathartic tools of hope and healing. The founding fathers of hypnotherapy are identified herein, as are the concept of suggestion and self-hypnosis as a constant state. The Christian perspective is discussed, albeit briefly, leaving the reader oddly comfortable with the idea of incorporating said techniques in one’s toolbox of therapeutic techniques. Although thorough in its description of methods and foundations of hypnotherapy, formal training and practice is well advised. Any and all therapists may benefit from the emphasis upon the therapeutic relationship, agreeably an essential component in counseling even from the most conservative Christian perspective.…
Lighting – During a doctor surgery, if the lighting is poor it will be difficult for you to make sense of the patient’s facial expressions as you can’t see their faces properly. If you adjust the light properly it will also help those patients who support their understanding of speech by lip reading or those who have difficulty with their sight.…
2. Without letting go of the patients wrist begin to observe the patient's breathing. Is it normal or…
DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122.…
An anesthesiologist is a physician that is highly skilled in the study of anesthesia. According to Anesthsiazone.com, “an anesthesiologist is a medical doctor who cares for a patient before, during and immediately following a surgical or medical procedure by administering appropriate anesthesia and monitoring the patient for reactions and complications, and to ensure comfort and manage pain.”…
Surgery has become commonplace in hospitals around the world. Even the smallest of hospitals have at least one operating room. Surgeons operate in theses operating room. They operate on all types of people. From other doctors to high school dropouts, the opportunity for surgery does not take into account the amount of education a patient has obtained. Before any surgery occurs consent must be obtained. Consent is usually in the form of a preprinted letter with a spot to handwrite the name of the procedure to be preformed. Once presented to the patient they are expected to sign on the dotted line which gives permission for the procedure to be completed. The ethical dilemma with this process is the consent is to be informed. Merck (2006) wrote "consent becomes informed when the person has the ability to understand and ultimately does understand the potential benefits and risks of his decision and the alternatives to the choice he is making. When a…
Nurse anesthetists were one of the earliest advanced practice roles in the United States (Blais & Hayes, 2011, pg. 449). Individuals in this career field have an extensive amount of classroom and laboratory instruction in the delivery of anesthesia to patients in a variety of different healthcare settings. Some of a CRNA’s tasks and duties include “performing physical assessment, participating in preoperative teaching, preparing for anesthetic management, administering anesthesia to keep the patient free of pain, maintaining anesthesia intraoperative, overseeing recovery from anesthesia, and following the patient’s postoperative course from recovery room to patient care unit” (Blais & Hayes, 2011, pg. 451). The crucial priority of the CRNA is to provide the most optimal care to ensure the health and safety of all patients undergoing…
Despite its obvious advantages, pain-free surgery, dentistry and especially pain-free childbirth were opposed by conservative minority.…
From diabetes to vaccinations, needles are everywhere in the medical field. They can be used to take from the body, or give vital supplements that save lives; however, many have a fear of syringes and other needle like objects making it difficult to provide the much-needed care brought about by hypodermics. The fear of needles, or trypanophobia, is especially prevalent in children, and easily manifests itself into adulthood (Good, 2011). The most common cause, is traumatic experience from repetitive contact with needles and other hypodermic devices. For example, children with diabetes get daily pinpricks in the finger to test their sugar levels. This repeated testing is a well-known catalyst for trypanophobia in younger people (Yoon et al.,…
Once a procedure or treatment is clearly and fully explained to the patient there needs to be proof that the patient understands all the information given to them. Many cases a patient may not understand. Counseling before major procedures is a good idea. Some patients may consult with their families or loved ones. If it is not an emergency situation, maybe some time should be given to let the information sink in, and proper decisions be made.…