Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
Heads the Surgical team in ensuring the safe movement of sterile supplies; monitoring of appropriate temp and humidity in the OR Core; and facilitating a smooth transition to operational process. Facilitates the movement of sterile supplies from the OR suites and IR/Cath Lab to the OR Core. Monitored the execution of process efficiently minimizing the risk of compromised supplies and eventually wastes. Ms Fernandez directs nursing, cath lab team, logistics and EMS in addressing concerns and employing appropriate communications and actions. This resulted in the absence of compromised supplies, surgical and procedural cases were conducted as scheduled after the project.
(College of Nursing, 2015:24). Nursing Consideration: Monitor vital signs frequently to find the possible side effect of hypotension. Please give a comfortable lying or sitting position for the patient when taking GTN to avoid hypotension and syncope (Brunner and Suddarth’s, et al, 2010: 765
Understanding respiratory volumes, capacities, and measurements will help me perform my job as a medical assistant because they are significant being a medical assistant. First of all, when the patient is on the bed, I will measure the respiratory rate while he/she is at relaxation. In the next, I will observe the rise and fall of the victim 's chest and count the number of respirations for one full minute. Then, I will record the current time, respiratory rate and respiratory characteristics. Spirometry is used diagnose conditions that affect breathing such as asthma, pulmonary fibrosis, and cystic fibrosis.
• During conscious sedation policies were not followed properly. It is required to have vital signs, continuous pulse ox. and ECG monitoring. This needs to be done pre and post procedure. • Post sedation procedures were not followed accurately.
It is therefore, of great importance that the medical professional in charge of a given patient, in this case a TKA patient follow all the five models of evidence based practice. This will ensure that patients get quality care while at the same time the professionals get to improve their experiences(“EBP in Nursing,” n.d.). It is important that medical practitioners gather enough info about the patient they are dealing with especially in the “ask” model. This will enable them come up with the best care and also aid in guiding them on what information they are to research on.
Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient. Sterilization technique ensures that there is no introduction of bacterial agents that may cause serious infectious such as sepsis, and death. Even if a nurse is using the best devices, it does not matter without proper sanitary care (The Fight Against UTIs Continues, 2011). Pericare is an essential component of caring for a patient with a catheter.
Tracheostomy tube has come out. It isn’t going back in. Patient cannot breathe.
Secondly, nurses were not taking any kind of permission from patient before changing her clothes. They were not showing any kind of respect to the patient and acted like as if she was taken for granted. While changing her clothes, the doctor in charge unveiled the curtain abruptly without caring for the patient’s privacy. 2. Other than errors in communication, several safety concerns were presented.
If so, how would your patient care change? ` The performing of a higher quality in the treatment of Rashid Ahmed’s case will require the presence of less errors. As priority, I will wash my hand as soon enter the patient room and put gloves while measuring the patient output. In addition, I will assess the IV site for any redness, swelling, infiltration or drainage before the medication administration. The performance of all this nursing skill will prevent patient complications such as hospital-acquired infections.
Calling every single future specialist! We have to get the 'All Stars ' dealt with straightaway! Turn into a specialist today, analyze and treat your patients. Each of your patients have particular wounds and need your assistance! Its up to you to find any bloopers and help them show signs of improvement.
The literature states the most common complication to be pneumothorax. In our study the incidence of pneumothorax is16% (11 cases) none of which required placement of chest drainage tubes. The incidence of pneumothorax in studies performed by Lee and Sagel13 is 23-43%, Dennie et al 14 is 22.9%, Simpson RW et al15 is 32%, Poe RH et al16 is 27%, Allison DJ6 is 24%, Swischuk JL et al10 is 26.9%, Miller JA et al12 is 7% and Counes DJ 17 is 18%. The incidence of hemoptysis is 3% in our study which also correlates with Lee and Sagel13 and Simpson RW et al 15 studies where the incidence was < 5%.
Introduction Nursing is provision of professional care to individuals, families, and communities in order to make them attain, maintain or recover optimal health and resume the good quality of life. Other than the receiving professional training and possessing well-trained therapeutic skills, nurses should also have good ability of interpersonal communication, because during the process of therapy, large amount of communications are involved in it. Nurses and patients will experience an inter exchange of information between each other so as to reach their mutual goals. Hildegard E. Peplau raised the theory of interpersonal relations, the theory explains the phases of interpersonal process and nurses’ roles in different phases, encouraging
Assessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
Towards the end of the procedure the nurse counted all sponges and needles with the scrub to make sure that no equipment was left within the patient. The nurse also continued to document information such as the length of the surgery and the amount of blood lost throughout the procedure. Lastly, the circulating nurse cleaned the room and then transferred the patient into a hospital bed to be transferred to the post-anesthesia care unit. Ignatavicius and workman (2013) addressed that these are all responsibilities of the circulating nurse (p.
