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. In operating room three, there were three nurses doing different roles of surgical team. The first nurse was a “scrub nurse” that helped the doctor perform the surgery. She stood next to the bed and was the doctors “right hand women”. She helped …show more content…
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
Goldman, M. A. (2008). Pocket Guide to the Operating Room. Philadelphia, PA: F.A. Davis Company.
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
Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier Saunders.
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
Some of the patients had children, which really broke my heart because I have kids and I couldn’t imagine being away from them for any period of time. In relation to the lecture content covered in this week’s lectures, I felt they related to clinical when describing the layout and description of the milieu. For example, I was able to see how the doors were securely locked, and the nursing station was behind an encasement called a bubble. In addition, we discussed the different type of therapies that were conducted on the floor.
They play a major role in health care field. Their goal is to make all patients feel a friendly and welcome environment therefore, they greet and welcome patients so that the facility builds a good reputation in patients. Medical receptionists perform professional duties from the front desk that way they can interact with several patients, make several phone calls, answer patient questions within the scope of their practice, schedule new and follow-up appointments, register all new incoming patients and update records if necessary (Lisa Davila, 2010). The receptionist should know how to interact and treat people with different personalities and in different circumstances (Lisa Davila, 2010). Medical receptionists work
Oddly enough, I liked giving obese, old patients bed baths, helping them to the bathroom, and cleaning their bed pans. But, don’t get me wrong. It wasn’t exactly what I loved doing, but I knew it was part of the job, and I willingly did the dirty work. By the end of my junior year, I knew I loved the hospital environment and wanted to eventually work there; however, I just didn’t know in what capacity. Fortunately, during a slow day in my last semester of shadowing, a nurse asked me if I would like to see a surgery being performed. I quickly accepted the offer, and I got to watch a surgeon perform an eye lift procedure. This experience, one of the most interesting I had ever witnessed, made me realize the area of the hospital that interested me most, the operating room. More specifically, I wanted to be an orthopedic surgeon. The path to become an orthopedic surgeon is not a quick nor easy one. To become an orthopedic surgeon, one must first be accepted into medical school, graduate medical school, and then complete post medical school requirements such as residency 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.
There were two scrub technicians. They prepared a clean and sterile field, before each case, dressed up in the ppe, and followed surgical asepsis precautions. Their main job while doing the procedure was to provide the surgeon with the materials in which were needed in an appropriate time manner. Before the surgery took place, the ST received a card of what type of supplies were needed, by the surgeon. When the surg...
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 believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.
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 was very excited to have healthcare as the topic for my groups presentation, I’ve personally never had to deal with the logistics of healthcare or even needed to know how it worked. If I was sick I would go to the hospital or see a doctor and as long as they took my insurance, we were good to go. When we first started thinking about our topic as a group and the elements we wanted to add, we asked ourselves this: “What have we heard about healthcare but know nothing about?” the result was three main categories Medicare, Medicaid, and Obamacare. We assumed that as a group if we knew little about these topics, then there was a good chance no one in the class did either. Some of the things I found most interesting during the process of creating