This last week I got to spend time in the Radiology Observation Care Unit and learn about experiences that happen within that department. I have had such an adventurous experience in this care unit. There are many different people come in this department such as doctors, registered nurses, radiologic technicians, and of course that patients. It was amazing to see what each individual person in the department had to deal with and the obstacles they had to overcome for the day. In the Radiology Observation Care Unit the clinical staff would take care of patients for a few hours before and after procedures. Before a patient would come in they would get a bed ready with sheets and a pillow to make the patient comfortable. When the patient arrives …show more content…
the registered nurses would be assigned to the patient depending on what room they are in. They would then check the patients blood pressure, vital signs, and heart rate, along with the name, date of birth, and reason why they are here. After the nurses check the patient in they would collect the different medications that have to be injected into their body depending on what their procedure is.
While the nurses are working on the patient the radiologists are preparing the radiology room. Depending on what the patient is getting is what the technician is preparing for in the room. Some things the technician may be getting completed before the patient gets transported in is setting up medication injections, adjusting the radiology tube and table, getting gloves masks and scrub cover up aprons for the technician and the others that will be in the room. Before the patient is pulled into the radiology room the equipment, such as the needles, medications, and medical utensils, are covered up so the patient does not see and over think. Before starting the procedure the patient gets moved over to the radiology table and covered up to reduce the chances of making a mess around and on the patient. Everyone that is going to be in the room at the time of the procedure has to get covered up with a led apron and thyroid coverage for protection from the radiation that will be going on around …show more content…
them.
From when they brought the patient in until the patient left they kept checking on the patient to make sure that he or she was comfortable and okay. All patients got numbing medication and was awake throughout the treatment they were getting. As the doctors injected medication the radiologic technicians took images throughout the body. You can see the injection go into the body as the technicians take images throughout the procedure. After the doctor has accomplished what they needed to observe the patient is then wiped down and cleaned up. The patient is then transported back to the recovery room where the nurses would check on them within every fifth-teen minutes. The patient would stay there for a sertent amount of hours until they are fully recovered. After the patient is fully recovered he or she will be transported back the their hospital room if they are an in patient or brought home by a close family member or friend if an out patient. The room that the patient was in is then cleaned for the next patient that will be coming in. The nurses also have to record in a book under that date of every injection of medication that they put in the patient’s body. This is to keep a record of each patient’s history in the care
unit. There are many different types of procedures that happen in the radiology observation care unit. Some of the treatments I got to observe when in the care unit was paracentesis, interventional radiology for embolization for tumor organ ischemia, interventional radiology of tunneled cath placement with port, and an interventional radiology of the angiogram larotid cerebral. The first procedure I got to observe was a patient with paracentesis, which is a large amount of fluid that is in the abdomen. At first when the patient comes in the nurses will check the patients vital signs, blood pressure, and heart rate. Then they would do an ultra sound to see the fluid in the body, which looks like a black pocket on the screen. After the ultra sound the nurses would give the patient numbing medication to be able to stick a tube into the abdomen to remove the yellow/green fluid from the body. Many people come into this care unit weekly to get fluid removed from their body. Depending on the body size of the patient can depend on the number of bottles that can be filled up with fluid. The usual amount that are filled is around nine through eleven bottles. The lady that i got to observe was very small and petite and said that she usually fills up to six bottles weekly. She said that she comes in once a week to get this completed, but sometimes she comes in twice if not feeling well. She also expressed how she feels much better after the fluid is removed from her body because she can eat, walk, and breath better.
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.
The patient will be asked to remove clothing and will be given a gown to
and giving medicine and IVs. A RN makes sure the patient has knowledge of their situation and
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
In addition, the experience was great because been assigned to a specialized area, one is expected to know all the basic for caring a patient, that just undergo a procedure. For instance, vital sign,
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
After surgery, they monitor the patient to see if there are any problems while they are coming off an anesthesia (Nurse Anesthetists, Nurse Midwives…) If there are no problems the surgery will be deemed as successful, and the nurse anesthetist will report all findings to the
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 staff will now have to rely heavily on technology to monitor delicate vital signs and feeding schedules as well as charting assessments. The large panoramic view of a room has been replaced with walls and a nurse watching a com...
that the all healthcare staff give. They did not only care for the patient but also calmed the others that were around; because of this I have been inspired to follow the medical career path.
So that there no exposed to bacteria or sickness, because there around opened bodies all the time. After they have cleaned the operating room up, they will keep posted on the patient, clean their wounds, clean their rooms, with new pillows new bedsheets, and keeping the patient healthy. The surgical technologist will keep the surgeon in check just in case of emergencies, bleed outs, and in case of the patient failing.
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
In conclusion, it is essential to remember the patient’s perspective when assisting them in a procedure. Only then can we better serve our patients. We hold an incredible amount of power in our hands. We must be able to balance accomplishing our imaging tasks, while providing the best quality care possible, and ensuring the highest standards of safety practices. It is all about the patient, and once that has been forgotten then little slip ups turn into catastrophic events. The power of the future is in our hands.
One of the many categories would be that of the circulating nurse. Ensuring that the operating room is set up correctly based on the preference of the surgeon, the circulating nurse makes sure all the necessary equipment’s are in place, functioning appropriately, likewise ready to go. In addition, the circulating nurse also verifies the patient identity, surgical site, and consent with the surgeon upon entering the operating room to make sure that they are all the same page, before proceeding with the schedule procedure. Yet another function of the circulating nurse is to make sure that the patient is positioned correctly on the surgical table, hooking up the basic suctions needed, and assisting the anesthesiologist or anesthetist during intubation. Moreover, monitoring the overall condition of the
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.