The aim of this assignment is to present an evaluative report that looks into two clinical skills, which I have learned within Surgical First Assistant (SFA) module. The report incorporates my expectations as an SFA, standard practices, issues of accountability, responsibility and role limitations across professional boundaries of advanced surgical practice and will establish my understandings in relation to the specific learning outcomes of this course module, along with a critical appraisal of my performance and role fulfillment.…
Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery centre. Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.…
References: Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-Surgical Nursing: Assessment and Management of Clinical Problems (Eighth Edition). St. Louis, MO: Elsevier Mosby.…
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.…
There are several characteristics I would have changed about the presentation. Firstly, none of the nurses voiced the aversion for the short staffing. I feel strongly about this being a issue and would have mentioned something to management or the…
Develop: Nurses will first see patient for checkup and history. Tech will take them to appropriate room when their turn is up. Make sure all patients have name tags and are given temporary relief if in pain have a migraine/headache, are throwing up, etc.…
Rather than focus on the discrepancies found within each unit, we will look at the trends that affect the hospital’s compliance with the Joint Commissions recommendations regarding patient care. Armed with the trends, we will then explore staffing patterns and how they relate to patient care in order to establish a plan that will assist our hospital to minimize patient safety issues as they relate to falls, pressure ulcers, pneumonia, and the general safety of our patients.…
Stephens-Woods, K. (2008). The impact of the surgical liaison nurse on patient satisfaction in the perioperative setting. Canadian Operating Room Nursing Journal, 26(4), 6-8. Retrieved from: http://www.library.ohiou.edu.proxy.library.ohiou.edu/cgi-bin/redir_allcampuses.pl?http://search.ebscohost.com.proxy.library.ohiou.edu/login.aspx?direct=true&db=rzh&AN=201071831&site=ehost-live&scope=site.…
Reviewing patient reports would spark debate and provide better ideas on how to properly document encounters with patients from a legal standpoint. Patient report reviews would also provide some insight into what areas members may need improvement and train upon. The changes I’ve stated above This paper is written from the viewpoint of me being a newly promoted EMS Chief. I can measure the success of this change by seeing better outcomes regarding patient care. Are EMS reports complete with the proper patient care rendered from a legal standpoint? Do department members have a better understanding of protocols and why they were implemented? If the answers to these questions are yes, then my changes have been…
Caruso, E. (2007). The Evolution of Nurse-to-Nurse Bedside Report on a Medical- Surgical Cardiology Unit. MEDSURG Nursing, 16(1), 17-22.…
In order to increase effective reporting, communication is evident as a collaborative effort between the interdisciplinary team by rounding. Delegation is also a commutative effort by nursing, physicians and auxiliary staff. Both processes are very important to enhance patient safety and improve patient outcomes. Both interests should be implemented to increase staff retention rates also team building that is key to a successful flow in patient care.…
Using appropriate literature this paper will examine intermediate care and critically analyse inter-professional working in the care of adults. An introduction Inter-professional care will then be examined using various sources of literature. This paper will conclude by looking at the implications raised and examine future implications for nursing practice.…
As the nurse manager of a 30-bed medical-surgical unit, you have just received the results of the quarterly patient satisfaction survey. The satisfaction scores for your unit show an ongoing decline over the past three reporting periods. You also look at your unit’s satisfaction scores as compared with other units in the hospital and realize that the scores for your unit are now lower than those of most other units in the hospital. As you begin to ponder the meaning of these data, you receive a call from the office of the vice president of nursing to schedule a meeting with you to discuss your plan to improve patient satisfaction on your unit.…
Challenges in creating a healing environment in the hospitals is the foreignness of what makes up the environment, machines, tools, hanging medications, tubes, and wires. Patient being put on NPO diets, lab techs drawing blood in the middle of the night. Bed alarms go off when patients just want to walk to the bathroom. The beds are not what they are used to, Sequential Compression Devises (SCD) are inflating deflating all night. The day starts at seven with bedside report whether that is normal for the patient or not. Patients that don’t like TV don’t…
The hospital has been found to have increase clutter in the hallways, which is a fire hazard and is a safety issue. Nurses were found to be unfamiliar with proper verbal order procedures, how to use the range of orders received and what abbreviations that are prohibited within documentation. The trend shows areas that the hospital needs to implement audits, and education. An action plan will be devised that meets the needs of each unit and areas of non-compliance with proper follow up. In order to be the hospital of choice, administration needs to implement an action plan to address the fallouts. By reviewing non-compliant areas the hospital can assess how to prevent fallouts. Understanding the importance and benefits of The Joint Commission requirements provides the hospital with standards. These standards continue to help the hospital provide the best care.…