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.…
philosophical elements are just not parallel with the dysfunctional way the East Hill Family Medical…
2. Lewis, Sharon L., et al. Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 8th ed. St. Louis: Elsevier, 2011. Print.…
I want them to feel secure and assure that they have put the life of their loved one in the right hands. By becoming a Surgical First Assistant, I begin the journey with my patients first, the moment they are rolled into the operation room, and I will be the last to send them on their way to recover after their procedure. I want to focus on the idea of making the experience as smooth as possible. Anything can happen in an operation room, and I want to make the process easier. The two shadow opportunity that I observed gave me a chance to test my interest.…
An implication for nursing role is that the attitudes of operating room nurses towards perioperative conversation depend on their knowledge and what they want in their nursing practice role. An implication for nursing practice is that the conversations may also provide opportunities for the patient to experience comfort from being treated as a unique person. For nursing research, the finding shows that conversation before surgery reduces the patient?s anxiety for the operation and increase the patient?s…
The topics that will be discussed in this paper will be the ethical decisions that have to be made by Dr. F and the RN in regards to disclosing information to Dr. J. Also, according to the NANDA nursing diagnosis for ethical consideration, Dr. F and the RN also have to consider if Mrs. Z has some knowledge deficits in regards to her prognosis and if due to her culture, she feels powerlessness towards her diagnosis. Ethical theories are important to justifying and relating situations in nursing. In this paper, there will be discussions relating ethical theories to nursing, as well as, ethical decision making models that will relate to the delivery of healthcare.…
Nurses who practice medical-surgical nursing must have a broad knowledge base to meet the needs of patients in the variety of health care settings across the continuum. Additionally, nurses must use clinical judgment to ensure patient safety as the priority in practice.…
Every little detail matters to anesthesiologists; from their patient’s body weight, current medications, any known allergies, pain tolerance, to the completing of a spinal injection. An anesthesiologist is given a barrage of important information each day; so, paying attention and writing down major issues is just part of what they have to do (Novak). The anesthesiologist is in charge of monitoring their patients before, after, and during surgical operations (Greenwood). Many problems can occur during surgery, so it is important to focus on all of the details. An anesthesiologist is not allowed to have a lazy or distracted day; one mistake could lead to their patient’s distress or death. During a surgical procedure he will monitor the patient’s blood pressure, heart rhythm, amount of oxygen in the blood, temperature, and level of consciousness. Paying close attention to detail at all times would be strenuous for most individuals, but anesthesiologists fight through to ensure their patients are safe and…
Perioperative registered nurses provide surgical patient care by assessing, planning, and implementing the nursing care patients receive before, during and after surgery. These activities include patient assessment, creating and maintaining a sterile and safe surgical environment, pre- and post-operative patient education, monitoring the patient’s physical and emotional well-being, and…
In the morning, I followed the Charge Nurse Kristy. She was great at explaining to me everything she was doing and allowing me to watch and even help with everything she had to do to get the morning started. Rounds start on the unit at 1000, and Kristy had three different lists for each of the teams of doctors. She had to go through and highlight the patients that were on the unit, their code status and prism score, whom their nurse was, and the nurse’s phone number. She likes to have this finished by 0900 because at that time she has to attend the staffing meeting…
a. One thing that was the same in my clinical experience was the roles that the different surgical personnel had. The surgeon performed the surgery. The surgical technician helped out the surgeon. The scrub nurse made the sterile field, and she handed the surgeon the different instruments he requested.…
Barbara faces a bewildering array of obstacles to success in the General Surgery Unit (GSU) at Eastern Massachusetts University Hospital. Based on reputation alone, it was clear that her new unit had serious issues long before she took her position as Nurse Manager of its 33 member nursing staff. Having held an informal, off site meeting with her nurses, she has identified 9 of their chief complaints. These complaints can be mostly categorized under three of the most common stressors: incivility, work overload, and lack of task control.…
This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).…