Reflection On Preoperative Experience

Nurses provide a vital role in the health care system. Sure, we may not be able to diagnose or write prescriptions. However, we are the main advocates for the patients. We also stand by the side of our patients through their entire hospital stay. It is the nurse who notices the smallest changes in their patients.

Jeffery Chambers, RN worked a double shift the day before and was only able to get 6 hours of rest prior to returning to work which could have resulted in his fatigue. Also, Jeffery Chambers, RN unit was short staffed and he was managing several very sick patients. Per, The Institute of Medicine nurses that work greater than 12 hours in direct patient care, have an increased risk of patient errors (IOM, 2004). Carol Price LPN, by her own admission heard the infusion pump beeping several times and did not go in to check on the patient. Although she was not the primary nurse assigned to the patient, she was a nurse on the unit and therefore, had an established duty to care for Yolanda Pinnelas.

You have to get to know the patient before the surgery and you meet with them after the surgery has concluded. You get to know them so you know what type of anesthetic and how much of it to get the patient asleep and numb to the pain for the entire duration of the surgery. You have to be careful because this is also a very dangerous job because you could kill the patient if you administer too much drugs not to mention the fact that you could get sued for killing the patient and lose everything including your nursing license forever. Then you would never be able to be a surgeon or any related field again especially anesthesiologist you would be lucky to get a job at McDonald's because you killed someone.

Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

Hospitals frequently enhance their quality of care by improving their best practices. Bedside reporting is a best practice that has numerous benefits including a decrease in the potential for mistakes, increased patient involvement and understanding of their care, increased teamwork among nurses, and an increased accountability of nurses (AHRQ, 2013). A review of the literature was run and showed several studies and literature reviews on bedside reporting. The majority of these articles were conducted on adult medical-surgical

During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional Practice All nurses registered in the general and extended classes are required to complete their self-Assessment every year. Self-Assessment is a self-directed, two-part process that results in a learning plan (CNO self assessment 2018). Through the process of self-assessment, you identify your areas of strength and learning needs (CNO

Mr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.

When I arrived, I received a badge to be able to get through the building since it’s a locked unit, which means that you must have badge access to be able to get into the operating rooms or any areas that aren’t patient rooms. When I walked in the nurses were doing their daily huddle. That when they talk about how many surgeries they will have that day, and if they are missing any nurses or doctors. I got to meet all the nurses from both the post and pre-operative side. I had previously worked with a few of the nurses before at

The staff nurse followed all protocols defined by the hospital. When Monroe arrived at the hospital there was no apparent emergency. Moreover, the nurse went above and beyond to provide for her, she gave Monroe information where to get OB services and even offered an ambulance

If I ever have this kind of situation again, first thing I would differently get prepared before the clinical, I would carefully review that task we would have to do on clinical day. Second, I spent less time with my patient because they also need to get rest. Third, I would make sure that my patient 's history record has every section, for example, my patient was missing her physician order that I had to ask one of the nurses for a new copy. What additional knowledge, information, or skills will you need next

They shifted focus on taking care more of paperwork (or are they?) and not attending and supervising the actual surgery as it unfolds. This persistent breach in supervision is expected, after all current perioperative nurses doesn 't receive instructions and training in nursing school on surgical technology functions and job description anymore, which raises a quandary and a question of how can one supervised when you’re not competent, don’t have the aptitude and knowledge in that capacity. AORN standard defines “Direct Supervision/Supervision” as an active process of directing, guiding and influencing the outcome of the planned activity. The Circulating RN then delegates direct supervision to the surgical technologist during the intraoperative

I was a resident of anesthesia & ICU for 35 months, the residency involved providing anesthesia to all types of major surgical procedures including gynecological, neurological, pediatric and emergency surgeries. I learned all the basic skills like airway maintenance, spinal anesthesia, epidural injections, brachial plexus block and ankle block. Intensive care is an integral part of anesthesia & ICU residency so I am sufficiently trained in ventilator operation, providing critical care, central venous catheterization and arterial tapping. I also worked as unit registrar and the scheduling in-charge for entire department. I have actively participated in all academic activities and gave multiple presentations within the unit and on behalf of department

• No additional staff was called in to assist with the additional patient load to create a safer working environment. • Nurse J who is BLS/ACLS certified did not start compressions immediately when the code was called. They waited for the code team to arrive. Change

If these checklists were in place, the nurses should have easily recognized the onset of sepsis and other potential problems that patient might encounter after surgery. The staff obviously failed to check and double check medication orders. Every single staff nurse and resident who attended this patient in the case of Ketorolac administration missed the medication error. These are errors that should never occur because this is standard of care for every person involved in ordering, filling and administering medication to check and double check on their

"You can 't come Jason they won 't let you in! " My mother raised her voice, "You have school tomorrow and you have to sleep!". I took a breath, "mom, I don 't care I must see her! "