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Anesthesia, quizlet
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Cascade Valley Hospital’s OR area consists of 3 operating rooms, a pre-op and recovery area nearby. This is in contrast to the much larger operation I previously experienced at Providence Hospital. Pre-operatively patients were brought into the only pre-op room where forms and consent were looked over, allergies verified, proper surgical site confirmed by staff and patient, last minute medication given (antibiotic) and last minute concerns answered. Intra-operatively, the surgeries or procedures were relatively short. The longest surgery, a right shoulder arthroplasty, lasted approximately 2 ½ hours. Along with surgeon, anesthesiologist, nurses and surgery technician a representative for the shoulder hardware was there observing the procedure. …show more content…
Prior to bringing the patients to recovery, the anesthesiologist spent time trying to awaken the patients. I don’t remember this from my prior experience. Post-op report was given either in the OR room and again in the recovery room. It appeared the same nurses that observed the patients in recovery also came into the OR room to transport them there also. I followed the nurse to the recovery room where another report took place with a couple more nurses as the patient got situated. Patient safety was in play during throughout all interactions pre, intra and post-operatively. Some of the same questions were asked repeatedly for verification (allergies, name, birth, why and where was the surgery being done). Beforehand, staff verbally verified and clarified with each other regarding the procedure then during - verification of medication, expiration dates, instrument counts and supply count was comforting to observe. The constant checks and balances that the staff underwent to ensure patient safety was great to see, especially when I think that one day that could be me or a loved one laying on the table, it is good to know that these practices are in place, to lessen the risk of errors and …show more content…
Maybe 15 minutes pre-operatively, a little in the OR and once again briefly at post –op. As an observer and not being the patient laying on the table waiting to undergo a procedure, I still felt very anxious. Honestly, I was very glad that it wasn’t me laying there and can only imagine what is going through the patients mind. As a nurse, to be reminded of this as a patient comes to me post-operatively that they just came from a very stressful and anxious filled experience, would hopefully prompt me to be more understanding and compassionate in my care because of what they just went through and will be going through to
...amily that all is going to be okay. Just around the corner from a waiting room is an OR, a surgical techs “home away from home”, a place where miracles happen.
The term “safety comes first” or more simply put, “safety first,” is a message that patients not only want to hear, but also want to know is the focus of the professionals that are caring for them; in particular, when they are under anesthesia and have limited or no ability to speak up or lookout for themselves. The National Patient Safety Agency (NPSA) has implemented two initiatives; Rocognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients (NPSA, 2007) and How to Guide: Five Steps to Safer Surgery (NPSA, 2010). Understanding that human beings make up the healthcare professional workforce, it is evident that tools and checklist can and will only be as good as the how people utilize and follow them. Thus, these initiatives “have been developed with consideration of human factors” (Beaumont & Russell, 2012). I know firsthand, that if my healthcare team would have followed these standards, I would have avoided torture, fear, and long term side effects from a routine hysterectomy procedure.
Stomberg, M., Sjöström, B., & Haljamäe, H. (2003). The Role of the Nurse Anesthetist in the Planning of Postoperative Pain Management. AANA Journal, 71(3), 197.
In our organization we have had many revisions to our safety process. Originally, it was at our hospital that the 1996 well known “Willy King” incident, about the amputation of the “wrong” leg occurred. As a response to the incident, we were required to develop a root-cause-analysis and develop a plan to avoid similar situations in the future. We were one of the first hospitals to establish a “safety process” in the surgical environment. Through inter-disciplinary collaborati...
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
I followed the RN nurse who was to assist and prep the operating room (OR). She first went into the clean utility room, where she picked up essentials for the surgery. When everything was gathered and prepared, we had to sit and wait for the patient who had arrived late. The RN would check the computer constantly to see if the patient was on file. After the clock hit 9, which was the time for the surgery, the RN nurse decided to go help put the patient on file quicker. When we arrived at the patients room, there was a nurse making the patient fill out papers. The RN nurse took over the papers while the other nurse completed the documents on the computer. While watching all the questions being asked, and the time it took to fill out the paper work, I realized that the paper work process is not easy.
The first 6 weeks are considered Phase I, which only aloud to do PROM. Patient will be in the healing phase during this time. Until proximally to 6 weeks post op no AROM is permitted. The patient had a home exercise program from hospital up to 3 times per day. We continued and added some exercises to the program. He is using eis on his shoulder 3-4 times per day for up to 20 minutes. Also, keep his arm in sling, and removes
Ensured the client had appropriate hygienic care with hand washing, bathing, oral care, and hair, nail, and perineal care are performed correctly. Educate and teach the patient, family, and caregivers the importance of infection prevention to prevent secondary diagnosis/diseases. Teach the client risk factors contributing to surgical wound infection. The patient had met all of my goals and by discharge client was able to use safety measures of wearing non-slip socks, bed in the lowest position, calling for help before getting out of bed (call don’t call) to minimize, client was able to verbalize decrease of distress and anxiety by discharge, and client demonstrated appropriate hygienic measures by using appropriate hand washing technique,
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
Upon the patients arrival you will - need to prep the surgery cite marked by the surgeon. You will do this by the following cleaning and disinfecting procedures. During the surgery, you will be following instruction from the surgeon. As the doctor request a certain instrument you will give or take back instruments being used. This could also include sutures or lap-sponges. In certain procedures you may also be asked to hold organs or re-tractors to get the surgery done. After the surgery you will assist in applying dressings to protect the incision-cite. Upon completion of the surgery all the instruments and sponges used are accounted for. The purpose of this is to make sure none were left in the patient. Then the instruments will be taken to sterile processing department and the sponges would be disposed of properly. You have to be very safe, delicate, and vigilant with your work environment because you have a person’s life in your hands. Then we would continue to clean the room using special cleaners and disinfectants to get the room ready for your next case. Each doctor can request different room setups so it is important you refer to the surgeon procedure card. Depending on the severity of the procedure you could have between one to four cases a
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
The environment of the operating room was laid back, but everyone had an important job to do which they took serious. The environment prior to the patient arrival was everyone working as a team to get everything step up and ready for the surgery. The got the correct equipment for each surgery and had everything set up for the surgery to begin within twenty minutes of the patient being into the operation room. During the surgical procedure the environment was focused on getting the job done within a timely manner but not to rush to surgeon. Everybody talked in a normal tone and everyone followed the doctor orders. After the patient was transferred to PACU the environment of the operating room changed. It seemed like a rush time, due to only having a fifteen-minute window to clean to room, take on trash, and mop the floor before the next patient needed to be in the operating room. In the allotted time, the certified surgical tech has to “scrub-in” and setup the equipment and supplies in a sterile
The second day I got to spend time in Same Day Surgery. Same Day Surgery is where they take care of patients before surgery and after surgery. While I was in Same Day Surgery I got to watch a patient's pre-op before he was about to get a pacemaker in. Throughout the whole pre-op several different nurses came in to deal with different things such as shaving the man's chest for where the incision would go, starting the IV, starting the fluids, and someone who asked all the questions of the man’s medical history and medications he was