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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
experience was very quick. Once the infant woke up from anesthesia, he was really cranky. His vitals were assessed and they were stable. The patient still had a bad cough. The nurse said this was probably irritation from the surgery. It was hard to get an oxygen reading on the infant. The PACU nurse used a little device that went around the infants toe and after a few tries they were able to get a reading of 100. They listened to the baby’s lung sounds and counted respirations. The majority of the time the nurse was trying to get the infant to calm down. The nurse asked the doctor if they could give him something to drink to sooth the infant’s throat. The PACU nurse tried giving him apple juice, but he would not take it. He wanted the one person that most people want when we don’t feel good, his mom. I was not able to hear the information given to the patient leaving the PACU since, I believe the doctor gave that information to the parents in the waiting room. Nursing Diagnosis pre and intra operatively: 1.) Ineffective Airway Clearance related to chronic cough, nasal congestion, and airway spasm as evidence by excess secretions, and ineffective cough. 2.) Anxiety related to fear and separation anxiety as evidence by crying, and not wanting to leave the mother. Nursing Diagnosis PACU: 1.) Fatigue related to stress as evidence by whining, lethargy, and surgery. 2.) Alteration in comfort related to persistent cough as evidence by patient’s esophagus being irritated from surgery.
Problem Statement: Should Dr. Roger Mahon, Pate Memorial Hospital (PMH) administrator, take action, if any, to compete with the newly established clinic, located five blocks north of PMH’s clinic?
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.
Goldman, M. A. (2008). Pocket Guide to the Operating Room. Philadelphia, PA: F.A. Davis Company.
The first question I expect to be asked by every interviewer is "why anesthesiology now?" In 2012, after 6 years of post-graduate training, I was thrilled and elated to finally became a board-certified pediatric hematologist/oncologist. Three years later, I am ready to go back to residency. Pediatric hematology/oncology was one of my earliest rotations as a third year medical student and I fell in love with the pathology and, of course, the kids. After that rotation, I, perhaps naively, didn 't give much thought to other specialties and focused solely on pediatrics, going on to complete my pediatrics residency at the University of Michigan, followed by fellowship at the University of Colorado. Now, three years after my transition into post-training practice, I have come to realize the realities of pediatric specialized medicine are not what I expected when I chose this career.
Meeting the changing needs of healthcare today is a challenge for any organization. Meeting the challenging needs of tomorrow is even more perplexing. Centura Health, however, has a strategic plan in place for addressing the health care needs of the citizens in Colorado and Kansas for the next decade. Centura Health 2020 is designed to transform the future of health care for their patients and their surrounding communities. Using three pillars to define their vision, Centura Health plans to strengthen their foundation, move upstream to manage health, and create systems of care. With a focus on wellness and affordable care, their slogan for their strategic plan, “get better, get different” sums up their intentions. With their solid, well thought-out
Firstly, we have to understand the primary roles of an ODP which is to plan, assess, and deliver patient care along with an evaluation of the patient throughout the procedure. One of the main stage to always look out for is patient care based on both sides anaesthetic and surgical in order for this a satisfactory level of knowledge and understanding is required to work in a Peri-operative environment. All aspects of patient care starts directly from when they first arrive to the reception until the hand over care of the patient to the designated healthcare professional. Preparation of
A new entry into the herpes treatment arena, Prosurx is a topical treatment using nanoparticle technology. We carefully researched this product and were somewhat unsettled by our findings.
We get to the clinic, and we make our way to the back hallway where all the physicians are, unlike the emergency room which faces right into the waiting room. However, it seems pediatrics works a little differently - with
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.
During my observership, my clinic intern mentor was Shiyama Hassan. Overall it was an enjoyable, less stressful academic experience.I got a chance to take patient histories, examination and patient’s vital sign monitoring and charting. I didn’t feel much difference in observing my mentor taking the history and when I was taking the history, it could be related to my past experience. However, every time I was curious to know what is happening with the patients and what caused him to seek naturopathic medical advice. During this clinic shadowing, I saw genuine interest of my mentor and supervisor to help patients concerns, unlike to allopathic model of prescribing medication. It helped me to improve my interviewing skills to look root cause for
Any registered nurse who is thinking about a new career in OR, or starting as a new perioperative nurses, or is a seasoned
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).
I just started YCET and so far it has been amazing. We have meetings every other week. The main thing we do is plan confirmation retreats for kids in the 8th grade. Last summer, I was selected for a retreat that I attended that taught me more about what YCET did. Since then I had too fill out an extensive application and go to an interview. Long story short, I was accepted into the program. At each meeting (so far only two) we start with a bit of an ice breaker to help get to know each other. There are probably around ten new members (myself included) and the entire group is about thirty people. So, as I said before, YCET is all about planning retreats for confirmation kids. I first learned about YCET when they organized my confirmation
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.