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Nursing skills and knowledge
Skills and knowledge of nurses
Nursing skills and knowledge
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On the day of surgery previous education should be reinforced and more education should be given. The patient will need to be education on the procedure and phases of surgery, the roles of the patient, skill training, expectations, anaesthesia recovery and post-operative care; making sure the patient fully understands the entire procedure and what to expect therefore lowering their anxiety. (Gaikwad, 2013) On the day of surgery the patients identity needs to verified and their consent acquired, and the patient’s surgical procedure, site and side verified and marked if possible on admission, in the waiting area, the holding bay area and in the theatre. The nurse must ensure that the patient is comfortable and provide emotional support and reassurance. The nurse must make sure the patient’s transport is organised and any questions from the patient or their family are addressed. (Kozier & Erb, 2012) Intraoperative actions and assessments begin when the patient is moved to operating theatre or admitted to PACU.Nursing actions and assessments during the intraoperative phase include m...
Atul Gawande writes an outstanding book about surgery that displays the true color of surgery. By telling stories of all the flaws he saw and experiences in his own year as a surgical resident. Atul vividly demonstrates this by the use of annotations to show that he know what he is actually saying and to make the reader understand his thoughts as a resident. He also uses through the book repetition to make his readers have the same rush doctors feel while treating a patient. By doing this the reader is able to understand the difficulty of being a surgeon and the truth behind
It is essential to make sure that the patient is fine once the procedure has been finished and prior to them leaving. If there have been no complications, then the patient will most likely be ok. Nevertheless make sure that the site has stopped bleeding and that they are not feeling faint. If there was any complications, for example, hitting an artery, haematoma or fainting, then make sure you follow the process for dealing with the complication and let the patient know what they need to do if any symptoms
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
American Association of Nurse Anesthetists. Professional Aspects of Nurse Anesthesia Practice. Philadelphia: F. A. Davis Company, 1994. Print.
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.
Everyday, people go through surgery and require a specialist that will monitor their surgery as well as give them what they need to be able to persevere the pain, which is exactly what anesthesiologists do. In order for the patients to be able to get into surgery and deal with the agonizing aches after the abscission, anesthesiologists have to give the sufferer the proper treatment before and after the surgery. Overall, anesthesiologists must be highly educated in both medicine and communication, they need to be able to give the patient the right amount of medicine as well as speak with the family of patients and other doctors to inform them all with what will be done during the surgery, and they need to be able to properly assist the surgeons during operations.
Westhead, C. (2007). Perioperative Nursing Management of the Elderly Patient. Canadian Operating Room Nursing Journal, 25(3), 34-41. Retrieved from http://gateway.library.qut.edu.au/login?url=http://search.proquest.com.ezp01.library.qut.edu.au/docview/274594603?accountid=13380.
Although those tasks are not done at the same time by each nurse who has a specific patient, it requires clear communication and making an effort for the benefit of other team members. For example, a hand off report is very important so that the continuation of care from nurse to nurse can transition smoothly with each shift. That means that each nurse should make an effort to gather all pertinent data about the patient’s status, orders or procedures to anticipate, and anything that will help the nurse coming on to provide good care without having to jump through hoops to figure out what was done and what should follow. The other way in which nurses help each other is by maintaining their documentation as clear and thorough as they can. Not only does it paint a picture of where the patient is at that moment, but it also provides a safety net for legal
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
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
Circulating nurses must check the expiry date and the integrity of the packaging and wear the correct PPE prior to opening the articles. Each article must maintain its sterility; therefore the setup must be continuously monitored. Instrument nurses must create the sterile field using sterile drapes as they minimise the transference of microorganisms. They must also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).
Preoperative patient education can be described as any methods prior to surgery for the purpose of preventing post-operative complications and improving patient’s health outcomes (McDonald et al., 2014). It may cover different topics in different settings, for people who undergo lower limb arthroplasty, preoperative education delivered by nurses usually encompasses: the preoperative procedure, the surgical procedure and benefit, actual and potential post-operative complications and management, and pain management (Ibrahim et al., 2013; McDonald et al., 2014). The approach of education ranges from individual face-to-face communication, group classes, booklet, and other multimedia materials without verbal communication, which has been used successfully
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.