Symptoms And Treatment Of Aortic Stenosis

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R.S. is a 40 year old male with a diagnosis of aortic stenosis. R.S. was having aortic valve replacement surgery. When I finally was able to meet the patient he was with the CRNA. The CRNA was inserting an arterial line to left forearm and was uncomfortable through the procedure. Patient had and 18 gauge IV catheter noted to left antecubital. I came and introduced myself after the CRNA was done and asked if he would allow me to follow A.Hicks RN into his surgery. The patient was very pleasant and said yes. The patient was nervous but was ready to have the procedure done to return to his landscaping business and his family. His vital signs were taken once with the RN charting of all the procedures done on the patient at this time. CRNA and A.Hicks RN asked the patient if he had any concerns or questions. The patient asked about how long he would be on the ventilator after surgery. They explained that he could remain on the ventilator for up to four hours, just depending on his status at the time. A.Hicks RN explained that every case is different and he could be taken off of the ventilator before the four hours. R.S. verbalized understanding and stated “I want to live and come back to my family.” A. Hicks RN assisted the surgical techs with set-up before the patient was taken into the operating room. In the preoperative phase, the patient confirmed his identity, no site was marked, procedure was confirmed, and signed consents were in chart. Patient has no known drug allergies. Airway equipment available in operating room. A. Hicks RN introduced the surgical team while the patient was on his way to the operating room. The RN and CRNA were the ones that walked the patient through the next steps of getting him set up. Dr. D. McColl... ... middle of paper ... ... cell phone. According to the article, this surgery did not meet this practice. This is my second time being in a surgery as an observer and did not realize that this was acceptable. I did not realize that high foot traffic could lead to higher incidence of surgical site infections. Airborne contamination and airflow disruption are caused each time the door is opened. (Rovaldi, 2015) This patient was not given the best chance against surgical site infections. The sterile technique was not broken but the foot traffic was never controlled. The two staff members were kicked out but the foot traffic continued for the rest of the surgery. I am surprised that there was not more control on the foot traffic during the surgery. These practices are implemented to give the patient the chances of a speedy recovery and still the practice is not executed by all the medical staff.
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