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Personal experience in operating rooms
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GUIDELINES AND REQUIREMENTS FOR OPERATING ROOM EXPERIENCE
You are assigned to an OR experience (see clinical rotation schedule). While you are there you will be observing the operating room, surgery being performed and then follow that patient into the recovery room. You will not be alone and the staff has assured me that they are willing to help you, answer questions, etc. As with other experiences, you will get out of it what you are willing to put in. If you show interest, most surgeons are willing to explain the procedure.
The nursing supervisor of the OR will be the person who will assign you. You are expected to be in the OR at 6:45 a.m. (Don’t come to pre-conference that day.)
I. ANSWER THE QUESTIONS BELOW AND TURN THEM IN THE FOLLOWING WEEK.
A. The Role of the Operating Room Team
1. Describe the role of the scrub nurse/technician.
The role of the scrub nurse is to assist the surgeon
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Describe the role of the circulating nurse.
The role of the circulating nurse is to meet with the client before the procedure, verifies the identity of the client and goes over the paperwork making sure the client understands the procedure. The nurse also verified that someone was with her and their relationship to the client. The circulating nurse also takes the client back to the operating room, positions the client, gets any equipment or supplies the tech, surgical nurse, and surgeon may need. The circulating nurse keeps a log of what happens during the surgery, and reconciles the supplies and equipment that was used for the surgery matches the inventory. The circulating nurse takes the client out to post op and does a handoff report to the nurse.
3. Describe how the operating room team identifies the client and surgical site.
Before the procedure begins the circulating nurse goes over the client’s name, age, procedure, allergies, and type of procedure with the surgeon, technician, and surgical nurse.
B. For the Patient You Choose to Follow Through
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.
notices to patients and their families, schedule and lead the meetings. Wishing to be actively involved in the process, I represented nursing along with the charge nurse of the unit and the charge aide.
My job contains a great deal of direct patient contact, to say the least. I assist the surgeon in whichever surgery the patient needs. I participate in helping cure, stabilize, comfort, and add to the patients' treatment. In order to be a good surgical tech, you must always be one step ahead of the surgeon, which inquires extensive knowledge of human anatomy and the symptoms that accompany an illness. Identifying anatomical landmarks and the normality of organs are also important qualities to have when assisting in surgery.
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
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
When I see a patient before they go into an operation, I like to speak to them to make sure they have an understanding of what surgery will be performed and what the process will be in regards to transporting them from the pre-operative area, to the operating room, and then to the recovery area. The environment of the operating room can be a scary place for patients, it is a cold, bright room with lots of equipment in it that patients have probably never seen before. I like to explain to my patients what the room will be like and let them know I will be with them the whole time if they need anything. The main topic is usually the temperature of the room, approximately 65 degrees, so I like to make sure the patients know we will have warm blankets waiting for them. Whether the surgery being performed is diagnostic or therapeutic, I like to be sure the patient has an understanding of what is being done for their health. I am very proud of being a nurse and do my best to be sure my actions prove it. I strive to do the best for my patients since one of the many responsibilities of being a nurse is to be their advocate, which I take very seriously as my patients cannot usually speak for themselves as they are under
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, 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.
During this time, it is important for an off going nurse to let the oncoming nurse know that if there any operative test scheduled for the patient or if there are any special instruction that she should be aware of. For instance, if the patient needs to be NPO( nothing by mouth) the coming off nurse should inform the oncoming nurse, so she can make sure that the other staff who is involved in the care is aware of that as well. Most importantly, if the patient is scheduled to go for any kind of surgery, then the off-going nurse should also inform the oncoming nurse about patient’s belonging and if there is anything is valuable that needs to
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood pressure and help patients get in and out of bed and walk. They also escort patients to operating rooms, exam rooms, keep patient rooms neat, set up equipment, or store and move supplies. Aides observe patient’s physical, mental, and emotional condition and report any change to the R.N. Likewise the L.P.N. provides basic bedside care. They take vital signs such as temperature, blood pressure, restorations, and pulse. They also treat bedsores, prepare and give injections and enemas, apply dressings, apply ice packs and insert catheters. L.P.N.’s observe patients and report adverse reactions to medications or treatments to the R.N. or the doctor. They help patients with bathing, dressing, and personal hygiene, and care for their emotional needs.
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).
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.