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Personal experience in operating rooms
Personal experience in operating rooms
Anesthetics-pharmacology
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Motlow State Community College Department of Nursing Education NURS 1420 Perioperative Written Assignment Answer the following questions related to a client you followed in the perioperative experience. 1. What preoperative tests were done on your client. If no preoperative tests were done, discuss the purpose of a CBC, BMP, INR and UA for the client going to surgery. In-text citations may be appropriate. Name of Test Result Significance of test IN THE SURGICAL CLIENT CBC RBC Count, Anemia, Bleeding, and Infection (Pagana & Pagana, 2014, p.440, 526) BMP Kidney Function, Glucose Levels, Electrolytes/Fluids (WebMD, 2014) INR Clotting Mechanisms (Pagana & Pagana, 2014, p. 434) UA Kidney Function, Infection, Hydration, and Diabetes …show more content…
Describe how the client was monitored by the anesthesiologist or nurse anesthetist during the procedure. Include what type of anesthesia the client received and how the airway was maintained and monitored. The patient received general anesthesia. The CRNA monitored the patient 's heart rate, blood pressure, temperature, EKG, PaCO2, PaO2, pulse oximeter, and Bispectral index. The airway was maintained through intubation. 5. Complete the table below regarding the anesthesia agents used during the surgical procedure. Anesthesia Agent (Generic/Trade names) Pharmacologic classification Why the medication is given INTRAOPERATIVELY Reversal Agent (if any) Sevoflurane/ Ultane (PDR, n.d.) Volatile liquid for inhalation Induction and maintenance of general anesthesia Propofol/Diprivan General Anesthetic Induction and maintenance of general anesthesia Fentanyl/ Sublimaze Opioid Analgesic Supplement to general anesthesia Narcan 6. Briefly describe the physical environment of the operating room. Include sounds, smells, temperature, lighting and mood/tone of the room. Briefly describe the equipment used and the layout of the room. All five of these areas must be covered in three paragraphs or …show more content…
She verified identity, checked for any allergies, and asked when was the last time you had anything to eat or drink, any mental or jewelry, and what procedure was being preformed. She then took the patient to the OR. In the OR she worked on the outside border of the sterile field. She called a time out to again verify patient and procedure. She retrieved any extra materials needed, and watched to make sure everyone maintained sterility. All procedural and material documentation and identification of team members was done by the circulating nurse. She also assisted the physician with the use of equipment, so that no sterile person had to touch any machines. Lastly, she handed the patient off to
This essay describes how the anaesthetic machine and airway management equipment are prepared in operating theatres and discusses how they are ensured safe for use. It evaluates the Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines related to safe practice and the preparation of the ET tubes, laryngeal masks, guedels, Naso pharyngeal airways and the laryngoscope. The function of the anaesthetic workstation is to deliver a mixture of anaesthetic agents and gases safely to the patient during the induction process and throughout surgery. In addition, it also provides ventilation to support breathing and monitors the patient’s vital signs to minimise the anaesthetic risks to the patient whilst in the care of health professionals. The pre-use check is vital to patient safety as an inadequate check of the anaesthetic machine or airway management equipment can and does lead to significant harm of the patient including mortality (Medicines and Healthcare Products Regulatory Agency (MHRA), 2008 and Magee, 2012).
Goldman, M. A. (2008). Pocket Guide to the Operating Room. Philadelphia, PA: F.A. Davis Company.
Breathing is the most important AL (Roper et al, 1998). A detailed assessment of her airway would be performed because protection of the airway throughout anaesthesia is essential (Yates, 2000). This does not just include recording of respiration rate and oxygen saturation (SpO2) but also noting any use of accessory muscles, shortness of breath, auscultation of chest and lungs areas for wheezes/crackles and asking patient about history of any respiratory illness/smoking (McArthur-Rouse, 2007).
Anesthesia, “We take it for granted that we can sleep through operations without feeling any pain. But until about 150 years ago, the operating room was a virtual torture chamber because surgeons had no way to prevent the pain caused by their healing knives.”
John B. Pollard, Ann L. Zboray, Richard I Mazze. The International Anesthesia Research Society. (1996).
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
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.
Depending on the time of surgery, the nurse may admit and discharge the same patient within the timeframe of his or her shift. The nurse obtains a history and physical (H&P) along with the progress notes from the operating surgeon or another licensed personnel written within the last twenty-four hours. The nurse sets the patient up with a peripheral intravenous line before surgery. He or she will interview the patient regarding the last time they ate and/or drank, what medications they take, and when the last medication dose was taken. The nurse also assesses the patient to see if he or she understands the procedure they are there for and asks if they have any questions or concerns. Depending on the health of the patient and what surgical procedure they will be subjected to, either a focused or full health assessment is performed. The nurse also makes sure that all labs pertinent to the patient have been obtained. These labs include a negative pregnancy test (or proof of a negative test within the last seven days) for any patient that could possibly be pregnant, even if the patient is currently menstruating, a finger-stick blood sugar test for all diabetic patients, a blood test for potassium levels for patients with end stage renal disease, and a prothrombin time or international normalized ratio test for patients on Coumadin. The nurse also makes sure that
Anesthesiologists take care of patients’ body signs while they are in surgery and also with their pain management during surgery (“Physicians” para. 10). During the surgery they give the patient anesthetics or drugs. These drugs help relieve pain the patient feels during their surgery or any other procedure (“Physicians” para. 10). They will also position the patient onto the operating table to make them feel comfortable and surgically accessible for surgery (“Anesthesiologist” What’s para. 1). Most use local, intravenous, spinal, or caudal methods to inject the anesthetic for sedation; the anesthesiologist prepares the patient for surgery (“Anesthesiologist” What’s para. 1). They record the types and amounts of amnesia used(“Anesthesiologist” What’s para. 1). They also watch over the patient’s body temperature, blood pressure, heart rate, and breathing rate (“Physicians” para. 10). After the procedure, they decide when the patient has recovered from the anesthetic and is able to go home (“Anesthesiologist” What’s para. 1). Anesthesiologists can ...
Anesthesiologists have many responsibilities. 3They measure the patient’s temperature, pulse, heart rate, and breathing rate while under the sedative. They have...
In health delivery system, one common goal for all providers, doctors and administrators is to provide high quality health care services at low costs. But in the United States, health care spending has increased drastically, but outcomes are not efficient. In the recent study conducted by common wealth fund shows that United States health care spending is 50 percent more when compared to 13 top nations in the world. [1] This report also shows that despite of having high health care expenditure in the United States, the health care outcomes are worse when compared to other countries whose health expenditure is low. To address these problems and improve outcomes, patient safety and satisfaction, in the field of surgery the American
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).
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