OPERATIVE INDICATIONS: This is a pleasant female who comes in with a soft tissue lesion in the left flank over what appeared to be a spigelian hernia site as well.…
PROCEDURE IN DETAIL: The patient was taken to the operating room where general anesthesia was induced. Time out was taken indicating the appropriated site, procedure, and patient. Operative site was initialed, one gram of Ancef given IV. Popliteal…
Nightingale Community Hospital needs to repeat the steps taken to evaluate the tracer patient on a wider range of patients. They need to re-evaluate the care of at least 100 patients receiving general anesthesia and inpatient surgery within the last 60 days. This is an important step to take to make sure these mistakes were not made as an isolated incident and more as an over all hospital wide issue. Assuming these mistakes are typical to Nightingale Community Hospital, it should proceed with the following steps.…
In route, a nasal cannula was placed with oxygen at 4 L. His vital signs remained unchanged. The chest pressure remained the same at 9 out of 10. Nonenteric-coated aspirin 325 mg was given to chew along with sublingual nitroglycerin 0.4 mg and morphine 2 mg IV. The cardiac monitor remained in place during transport.…
A young girl’s case drew national attention and fueled debate as a fierce court battle unfolded between devastated family members fighting to keep her on a ventilator and doctors arguing she'd already died. Family members say the eighth-grader was alert and talking after doctors removed her tonsils, adenoids and extra sinus tissue in a surgery. The young girl went through the surgery fine and was awake, alert and talking. Not long after the surgery, the young girl began bleeding profusely, went into cardiac arrest, and is now brain dead.…
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.…
Dr. Bruce D. Perry was invited by the staff of the Pediatric Intensive Care Unit (PICU) to evaluate six year old Justin, who kept on throwing his feces and food at the staff. When Dr. Perry arrived at the PICU, he heard the loud screaming before he found the boy who was obviously malnourished and was wearing a loose diaper while sitting in a cage. The crib looked similar to a dog cage with iron bars and plywood wired to the top. Justin was being treated for severe pneumonia and would fight the staff when they would try to draw blood and he would tire out his IVs. Dr. Perry knew that the more anxious someone is then the harder it is for them to express their true feelings, thoughts, and history. He also knew it is much more difficult to form a positive relationship with a child who is anxious (Perry & Szalavitz, 2009). Instead of rushing in to question Justin, Dr. Perry wants to give him the opportunity to meet him and let him have control.…
Your baby may continue to have the endotracheal tube and the ventilator for breathing support for a few days.…
Until recently it was not uncommon for patients admitted to an acute care facility to have an indwelling catheter anchored for unnecessary reasons. Patients that came in thru the emergency department typically were sent to the units with unnecessary indwelling catheters in place and it was not unusual for a surgery patient to have an indwelling catheter anchored before or during a procedure. Once a patient was admitted and was transported to the units nursing would also anchor indwelling catheters for multiple unnecessary reasons. These Catheters could be anchored for many unnecessary days and in some cases until discharge.…
2. Has anyone ever told you that you or your family member had a problem with anesthesia?…
DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122.…
Bibliography: Advanced Paediatric Life Support Group (2005) Advanced Paediatric Life Support: the practical approach 4th edn. London: Wiley-Blackwell.…
Swift, D. (2011, April 7). Transport of the intubated patient. Advance for Respiratory Care & Sleep Medicine. Retrieved from http://respiratory-care-sleep-medicine.advanceweb.com…
The article reveals that some of the patients did not show symptoms of anesthesia, but some showed signs of sinus tachycardia and chorioamnionitis. During the entire study, outpatients did not exhibit perioperative pulmonary aspiration while under deep anesthetic sedation. The risk of aspiration is directly proportional with the increase in gestational age, which is greatly elevated by endotracheal intubations. There were no cases in patients using IV sedation where obstetrical procedures revealed high risk of aspiration in comparison to intubation.…
Deficient knowledge related to lack of exposure and unfamiliarity with information as evidenced by verbalization of the problem; and readiness of enhanced knowledge related to tracheostomy care as evidenced by expressing interest in learning are two major nursing diagnosis in patient teaching (Doenges, Moorhouse, & Murr, 2013). As the infant is unable to take care of the tracheostomy, the parent will play a key role in maintaining patency, reducing the risk of infection, and overall care of the infant's airway. The nurse will first need to assess the parent's level of understanding and education to teach in a way they can best comprehend. Parents may not be able to memorize and keep track of every detail involved in the care. To best assist them, the nurse will provide various formats of information such as print materials, classes, and online resources. These will increase retention and promote ongoing learning at the parents' pace. Then, the nurse can demonstrate how to maintain skin integrity and tube patency, prevent decannulation, and proper suctioning methods. The teach-back method would be very effective, as reading and hearing about care are very different from actually performing…