Preoperative Briefing and Its Effect in the Operating Room Improvement in the safety of the operating room is important when it comes to efficiency, as well as patient outcomes post-surgery. Memorial Health System in Colorado Springs, Colorado implemented the use of preoperative briefing prior to the operation to improve efficiency and communication among the operating room staff during the surgery. The idea behind including this in the plan of care, was to allow more time for the operating room staff to ask questions about the procedure and to further address any patient history that may result in problems or a change in care for the operating room staff. The briefing resulted in the circulating nurse needing to leave the operating room to …show more content…
The room was filled with questions and insight from all staff, including the circulating nurse, CRNA, surgeon, residents, and interns. The briefing prior to the operation included introductions of everyone, jokes, and then patient information. While observing, I found it very hard to tell what rolls each person had in the care of the patient, because everyone was treated with equal respect, and there did not appear to be a hierarchy within the room. When discussing each person’s role in patient care, each member regarded to their coworkers with a very high level of respect, and I saw this as a key towards success in the care of the patient. The use of the briefing prior to the surgery showed teamwork and collaboration in understanding what was needed for the patient, as well as preparing for any complications that may rise; there were a lot of questions and explanations during this time. The briefing also allowed for care that was specific to the patient; no two patients are the exact same in care, and this time allowed for the staff to gain insight on what areas needed to be specialized for him, as well as improving the safety and quality of the care. In this experience I learned the importance behind communication in the operating room, relating to what the patient’s needs were, as well as reducing the sense of hierarchy within the facility. As a nurse, I have a voice in the care
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.
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
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
Through contemporary communication, we are educated to deliver exceptional care to our patient in different. As nurse practitioners, we learned how to effectively
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
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.
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
middle of paper ... ... The priority for this patient was to establish that she was fully aware of what the procedure involved and the possible risks and complications. I feel that the pre-assessment form used within the unit is far too fundamental, if elements of the roper et al activities of daily living were to be incorporated this would help in achieving a much more in-depth holistic nursing assessment enabling for the best quality and level of care to be given to all patients arriving in the unit. Whilst I feel a full nursing assessment is not fully necessary for a day case unit, as previously stated I feel that the communication element is an excellent way of ensuring a better holistic approach is achieved, it will also help to achieve better documentation and communication between all staff members.
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).
Despite the frequency of verbal interactions, miscommunication of patient information occurs that can lead to patient safety issues. . . . ‘Effective communication occurs when the expertise, skills, and unique perspectives of both nurses and physicians are integrated, resulting in an improvement in the quality of patient care’ (Lindeke & Sieckert, 200...
General guidelines for a patient having surgery at an outpatient center are: Patient weighs less than 400lbs and BMI less than 45. Post-op ventilation due to the procedure or pre-existing condition is not anticipated. Extensive blood loss requiring transfusion is not anticipated. Case is not an emergency or life threatening.
However, it should be noted that the education of patients should not be perceived as a one-way transfer of information. Rather, patients should take an active role in the communication with nurses and other members of the team (Walker,
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.