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Nurse roles and responsibilities
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Importance of teamwork in healthcare
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On my first clinical rotation outside of 5w, in the Roanoke Memorial Hospital, I had the pleasure of visiting the OR. My last week of clinical rotation, I got the opportunity to witness two different cases. I saw a hemorrhoidectomy, and a Laparoscopic colectomy. Although I only had an opportunity of witnessing the hemorrhoidectomy in the middle of the procedure, both procedures were quite invasive. There were both very interesting to watch.
The collaborative team did a great job interacting during both cases. They were very professional, and respectful to one another. Each member of the team played a significant part in each procedure.
The first procedure, hemorrhoidectomy, which is the removal of hemorrhoids, the OR nurse was a traveling nurse from Alabama. In the preoperative role, his were to prep the site, administer any medication if needed, insert any catherization needed, chart the patients’ status or changes, and get other supplies, if needed. In the preoperative check list, the scrub team counted out the inventory for the supplies. The OR nurse documented what was opened. During the preoperative observation, the patients When the patient arrived in the room, the nurse identified the patient, and made sure she knew what procedure was ready to take place. He then helped the CRNA place the patient on the bed.
There were two scrub technicians. They prepared a clean and sterile field, before each case, dressed up in the ppe, and followed surgical asepsis precautions. Their main job while doing the procedure was to provide the surgeon with the materials in which were needed in an appropriate time manner. Before the surgery took place, the ST received a card of what type of supplies were needed, by the surgeon. When the surg...
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...ischarged, until the patient gains bowel function. This time may vary. Most patients are normally on a fluid restricted diet, until there intestines are fully recovered from the surgery. (Mayo Clinic, 2012)
This was a great experience for me in my junior year. I had never been in an OR setting, nor did I have any knowledge of how the collaborative team worked together. I also didn’t know the role of an OR nurse, which was a great addition to my education of nursing student. Being able to observe this task, I can now say that I have watched two surgical procedures being done, which is very critical in my career path as a nurse. Now that I have had the chance to watch these procedures, an OR nurse is a position that I may consider my future, as a nurse.
"What You Can Expect." Tests and Procedure’s Colectomy. Mayo Clinic, 3 Nov. 2012. Web. 16 Sept. 2015.
A medical assistant’s cooperation and presence during a surgical procedure is essential in order to provide satisfactory patient care. Although the role of the medical assistant may not shine though as strongly as the physician’s, their subtle presence provide organization in the form of administrative and clinical tasks to facilitate the physician’s demanding profession. During a surgical procedure, such as an incision and drainage of an abscess, the medical assistant is the patient’s first point of contact. The medical assistant’s role in any surgical procedure will begin as the patient schedules an appointment with the providing health care provider.
Everyday life in a hospital is complete and absolute chaos. There are doctors and nurses running everywhere to treat patients, ambulances coming through every so often, children and patients crying, and surgeons telling a family that their loved one did not make it. However, outside of all that craziness is an operating room (OR). A place filled with pressure, intensity, high hopes, and stress. There to help control the environment is a surgical technologist. While preparing patients for surgery, surgical technologists manage the equipment and operating room, follow the instructions of the surgeon, and ensure the safety of the patient.
The patient will be asked to remove clothing and will be given a gown to
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about
Most qualified surgeons started off as litter bearer and would carry men off the battlefield. If any of them showed interest in the medical field, they could become a Steward. A Steward's job was to take care of patients with minor wounds such as, scratches, and bumps. The other duties of a Steward were to pull teeth and take care of medicines for the surgeons. The Steward would also guard the medicinal stores, because often soldiers would try to break into the medicinal stores where the morphine, opium, and whisky were stored. If a Steward completed these duties, then he might be allowed to assist a surgeon in an operation, which could lead to becoming an assistant surgeon. He could then later on become an experienced and qualified surgeon.
Because I provide the surgeon with medications, hemostatic agents and irrigation solutions it is crucial to know the proper usage of each, along with the side effects, patient's allergies, and contradictions of certain medications and their reactive
On Tuesday September 8, 2015 I had my first OR/PACU experience, and it was amazing! I witness an infant go through surgery. The surgical procedures I observed were a bronchoscopy, laryngoscopy, esophagoscopy, and an adenoidectomy. The infant was having these surgeries for chronic cough and runny nose. During my OR experience, I really enjoyed watching the teamwork the nurses and doctors displayed. I was also pleased to see how nice the doctors were to the nurses, based on past experiences of my own surgeries, this has not always been the case. The doctor was really helpful at explaining the procedure and the nurse answered all of my questions. I was surprised by how fast the surgery went, especially with the removal of the adenoids. My PACU
Oddly enough, I liked giving obese, old patients bed baths, helping them to the bathroom, and cleaning their bed pans. But, don’t get me wrong. It wasn’t exactly what I loved doing, but I knew it was part of the job, and I willingly did the dirty work. By the end of my junior year, I knew I loved the hospital environment and wanted to eventually work there; however, I just didn’t know in what capacity. Fortunately, during a slow day in my last semester of shadowing, a nurse asked me if I would like to see a surgery being performed. I quickly accepted the offer, and I got to watch a surgeon perform an eye lift procedure. This experience, one of the most interesting I had ever witnessed, made me realize the area of the hospital that interested me most, the operating room. More specifically, I wanted to be an orthopedic surgeon. The path to become an orthopedic surgeon is not a quick nor easy one. To become an orthopedic surgeon, one must first be accepted into medical school, graduate medical school, and then complete post medical school requirements such as residency and
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
Davenport, Joan M., Stacy Estridge, and Dolores M. Zygmont. Medical-surgical nursing. 2nd ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2008, 66-88.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
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 role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record
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).
In operating room three, there were three nurses doing different roles of surgical team. The first nurse was a “scrub nurse” that helped the doctor perform the surgery. She stood next to the bed and was the doctors “right hand women”. She helped