Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Assistants role in a physician's office
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Assistants role in a physician's office
When the physician applies the suture he/she uses a thread to perform the wound closure. Sutures can be nonabsorbable or absorbable. Absorbable sutures are when the body breaks down the suture over time and eventually dissolve. But usually nonabsorbable sutures are preferred because then the physician knows that the suture won’t dissolve before the full healing process is done. When the staples are used they may be circular staples to close the wound it depends on the wound.
Sutures or staples are most likely nonabsorbable, so that means that they must be removed once the wound is healed. Once the wound is healed the patient returns to the office or the clinic to have the sutures or staples removed.
If there is any pre-op for this minor surgery there really isn’t any for the patient and for the medical assistant would be to get the exam room ready and to have all of the supplies and equipment ready for the physician.
…show more content…
The medical assistant would have a mayo tray and disinfect it with solution, clean it off then take the sterile drape open the package and carefully grab the corner non-sterile edge where it is to open it and carefully without hitting the exam table or and thing that could be contaminated and not dragging it a crossed anything carefully grab the other non-sterile corner and place the sterile drape over the mayo tray without reaching over the drape so it doesn’t get contaminated. Then wash hands. Put sterile gloves on and carefully put the sterile supplies on the sterile mayo
As a standard precaution against bodily fluids or blood borne pathogens the medical assistant and the doctor would don their personal protective equipment (PPE) such as gloves, face shield, and gown. Next, the medical assistant will prepare the following materials in preparation of the procedure: 1% or 2% lidocaine in a 10cc syringe/25 gauge needle, skin prep solution, #11 scalpel blade with handle, gauze, hemostat, scissors, iodoform, tape, and culture swab. After the materials have been prepped the doctor will clean the abscess with skin prep and drape the wound with sterile fenestrated drape. Anesthetic in the form of lidocaine with a 10cc syringe and 25-gauge needle will be injected around the abscess. The doctor will allow 3-5 minutes for the anesthetic to take affect before making an incision into the abscess. Once the incision is made the doctor will allow pus to ooze and drain out. While the pus is draining out, the culture swab will be inserted in to the abscess where a culture is taken so the origin of the infection is identified incase further treatment is needed. Using the hemostat the doctor will explore the abscess and continue to soak up the pus with the gauze. With a syringe and normal saline the doctor will irrigate
Additionally, the LPN cannot push medications into a peripheral intravenous line if the patient “weighs less than 80 lbs, is prenatal, pediatric, or antepartum”, although given that the situation is on a general med-surg floor it is unlikely these patients would be under Sarah’s care at this time. (Rules and Regulations of Practical Nurses. 2015) Sarah can delegate the postoperative patients who need dressing changes and ambulating them to the LPN, but Sarah should assess the wounds for complications initially and serve as resource to the LPN if she has questions about the wounds. Additionally, she could help the nursing assistant with answering calls and serve as a reference for the nursing assistant to ask questions or help with tasks if Sarah is not available. With regards to supervision, the LPN would need continuous supervision given that the working relationship is new. (Cherry and Jacob, 2014) Sarah should be available and willing to answer any questions or address any concerns the LPN
Bandages have been a part of history since ancient times. In ancient Egypt, honey was used to heal wounds, and in ancient Greece, they used a mixture of vinegar and fig leaves. And in more recent years we used bandages made of gauze, and attached them with adhesive tape. This process was a hassle, so, in 1920, one couple created the solution, an adhesive bandage that can now be found in almost every house, school, or office.
Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et al., 2014).
... the first 24 hours, due to anesthesia and pain medications. No strenuous activity and no lifting for two weeks are considered imperative for the recovery. Keeping dressings clean and dry for 48 hours and monitoring for signs of infections and bleeding helps promote a quick recovery.
Maintenance of an appropriate healing environment is also essential throughout the management of diabetic foot ulcers. The choice of dressing is dependent on many factors including presence of infection, amount of exudate and the required frequency of wound bed inspection.
Many hospitals around the globe are still using invasive techniques mostly known as open surgery because many people can heal from this operation or surgery. This is because small incisions are made not one large one. It is still quiet common to use invasive techniques because it is easier to remove any type of sickness such as cancerous tumours.
The first procedure, hemorrhoidectomy, which is the removal of hemorrhoids, the OR nurse was a traveling nurse from Alabama. In the preoperative role, his were to prep the site, administer any medication if needed, insert any catherization needed, chart the patients’ status or changes, and get other supplies, if needed. In the preoperative check list, the scrub team counted out the inventory for the supplies. The OR nurse documented what was opened. During the preoperative observation, the patients
Current Status of the Use of Modalities in Wound Care: Electrical Stimulation and Ultrasound Therapy: William J. Ennis, D.O.,M.B.A.,Claudia Lee, M.P.T.,Malgorzata Plummer, M.D.,Patricio Meneses, Ph.D.
· A sterile cloth is then put over your legs and abdomen and a sterile
Thus, for the purpose of this paper, I will be describing a scenario that I witnessed where a Registered Care Aide (RCA) provided care in an inappropriate manner by means of hand hygiene and highlight the importance of infection control as a way to minimize nosocomial infections and contamination of the surrounding
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
If sutures are necessary, your health care provider will use absorbable sutures that dissolve as your body heals. You may also receive antibiotic medicines or a tetanus shot.
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.