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Patient safety in the hospital setting
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Content Page (i) Introduction Page 3 (ii) Reflection 3, 4 (iii) Description 4 (iv) Feelings 7 (v) Evaluation 8 (a) Bad Points (b) Good Points (vi) Analysis 8 (vii) Conclusion 8 (viii) Reference List 9 Introduction As part of this assignment I will be looking at how effective I was able to work as Scrub ODP/Circulator within a surgical team in a Peri-operative environment. As a scrub pr... ... middle of paper ... ...ly nervous as I had to ensure that I didn't make any more mistakes. I was left alone with the scrub nurse as the HCA went to get instruments, the irrigation fluid was about to finish and I have already kept another warm saline to be used,I plugged the drain into the saline bag to be used but the fluid did not came out due to it's twisted port. Mr. J now was shouting 'Saline please', 'Saline please' I am getting really cross. He know seems really irritated with my presence. I applied pressure to the bag using hands till there was new bag used. He asked the matron to be seen and told her about having 'staffs & students' who are not capable of running a theatre on it's standards. The complaining followed during all the operating lists. But I ensured during the lists, the swab count was correct, instruments and needles were correct. Counts are undertaken to
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
I have been looking at pursuing a career within the Health Care Profession for many years now, and whilst I was researching opportunities I discovered the Operating Department Practice (ODP) course at Northumbria University. I attended an open day, and after speaking to the course tutors and students, It has only strengthened my desire to become one. I have attended a Cardio Theatre visit which was interesting and informative as well as visiting the Health and Care Professionals Council (HCPC) website and the College of Operating Department Practitioners (CODP) website to explore the role further.
Surgical Technicians are needed tremendously for a surgical procedure to run smoothly. For surgeries, hospitals and offices are staffed with a trained medical team ready to take action when they are needed too. The most important position beside the surgeon is, a Surgical Technician. ‘A Surgical Technician can be related to how they interact with a patient, how they prepare the tools and operating room for surgery, along with their ability to assist and react to the needs of a surgeon.”
Ignatavicius, D. D., & Workman, M. L. (2013). Care of Intraoperative Patients. Medical-surgical nursing: patient-centered collaborative care (7th ed.). St. Louis: Elsevier.
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
I noticed that Mr. X was still on normal saline 0.9% on flow, and his report from this morning showed sodium at the higher end. Since increased sodium post operative would have an impact on his blood pressure and urine output. So, I stopped the flow and informed his doctor about the fluid and discussed if we could switch it with any other fluid. He then, said to keep it in hold, and he would decide when he comes for the round by checking at his total intake output chart and his lab values if to continue or to stop. I followed his order and explained to the patient. Since, it was day 3 (usually in the day, three patients would be mobilized on a chair) so I explained to him that he would be ambulated out of bed today to make him aware of the plan and to give him time to prepare him for the upcoming plan. As first-time mobilization could be stressful for the patient and some needs more time to get themselves ready for it. I explained him that it would be done with the doctor around. As i left the patient, I made sure to keep the nurses call bell near and told him that I would be back to check on
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s textbook of medical-surgical nursing (12th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Every Wednesday I was assigned a patient to attend to by a specific nurse who was also my supervisor in a hospital setting. My instructor ensured that this nurse followed my progress in respect to the way I was to handle the patient through written report. While taking care of the patient, I recorded various changes, he/she indicates towards recovery. I reported these changes to the nurse. While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing.
I chose the Da Vinci Surgical system as my topic because I am interested into going to physical therapy or into the orthopedics field after undergrad. Surgical equipment is highly important due to the hundreds of accidents that happen and also the high percentage of diseases. As these incidents occur it is important to consider the safety of the patient when it comes to cutting into their bodies. With the invention of the Da Vinci Surgical system it helped with vision and different viewpoints of the patient’s body and also improves precision. It is important to have a machine or tool for more than one type of surgery, one to use on patients with different injuries or diseases. Overall, this surgical system helps improve and help further research how precise and how in control a surgeon can be.
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.
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.
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.
It requires a great deal of strength, not only physically but emotionally as well. There is a great deal of physical work involved, such as lifting patients and equipment. You are on your feet most of of the day, and there is little patience for idle hands. Patients will often require much patience, and excellent people skills are a must. There will also be situations that will pull on the heart strings, however, we are there to do a job, and to do it to the greatest of our ability. Yes, I was aware of most of these requirements, but I don’t believe that I understood them to the fullest detail, and I probably won’t, unless I experience them first-hand. Fortunately, now, I have been educated on expecting such circumstances, and will be better equipped to handle them when such situations
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
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).