Preoperative Nursing Case Study
Preoperative
1) The preoperative nurses reinforced education that was given to the patients by their doctor about the risks and benefits of the procedure they were undergoing. They also ensured that all consent forms were signed and explained the process of the procedure. They started peripheral IVs that were needed and hung fluids and any antibiotics that the doctor ordered before the surgery. The nurses also made sure that the patients followed any instructions that were given to them such as NPO and asked if the patient was still sure they wanted to go through with the procedure.
2) In terms of patient education, the nurse explained to the patient where they would be going for the surgery and the postop recovery procedures. They assured …show more content…
It went very smooth and there were no complications. They made four incisions where they inserted a camera, the cauterizing machine, suctioning, and irrigation equipment. It all took about 50 minutes to complete. The surgeon first went in and removed fat that was covering the gallbladder. She then clamed the bile ducts so there would be no bile spilling into the abdominal cavity after they were severed. Then she began to cut the bile ducts and removed the gallbladder.
2) Medications used were: Versed to initially put the patient asleep; Lidocaine was then used to help intubate the patient; then a anesthetic gas was pumped into the patients lungs to maintain the anesthesia; vasopressors were used during the surgery to keep the blood pressure high enough to perfuse the rest of the organs; a thrombin spray was used after the removal of the gallbladder to stop any bleeding.
3) There were three nurses present during the procedure that were all assigned to different roles. There were two scrub nurses that were in charge of assisting the surgeon with the equipment and one of them was also in charge of constantly monitoring the patient’s vital signs with the anthologist. A circulating nurse was used to chart the whole procedure and fetch additional equipment outside of the room if …show more content…
It is important to see what really goes on throughout this process in order to understand potential risks of having a surgical procedure and what should be done if complications occur. That being said, I don’t feel like I would really enjoy this type of nursing because a lot of skills were not used. The main skill was a thorough nursing assessment. I enjoyed being in the OR and acutally seeing the surgery but I did not like being in a standing position for a long period of time. I would rather be running around a unit checking multiple patinets then standing over an operating table. The one thing that surprised me the most was smelling the burning flesh from the cauterizer as it really made everything seem more real. That is something that I wasn’t really expecting going into
1) The preoperative nurses reinforced education that was given to the patients by their doctor about the risks and benefits of the procedure they were undergoing. They also ensured that all consent forms were signed and explained the process of the procedure. They started peripheral IVs that were needed and hung fluids and any antibiotics that the doctor ordered before the surgery. The nurses also made sure that the patients followed any instructions that were given to them such as NPO and asked if the patient was still sure they wanted to go through with the procedure.
2) In terms of patient education, the nurse explained to the patient where they would be going for the surgery and the postop recovery procedures. They assured …show more content…
It went very smooth and there were no complications. They made four incisions where they inserted a camera, the cauterizing machine, suctioning, and irrigation equipment. It all took about 50 minutes to complete. The surgeon first went in and removed fat that was covering the gallbladder. She then clamed the bile ducts so there would be no bile spilling into the abdominal cavity after they were severed. Then she began to cut the bile ducts and removed the gallbladder.
2) Medications used were: Versed to initially put the patient asleep; Lidocaine was then used to help intubate the patient; then a anesthetic gas was pumped into the patients lungs to maintain the anesthesia; vasopressors were used during the surgery to keep the blood pressure high enough to perfuse the rest of the organs; a thrombin spray was used after the removal of the gallbladder to stop any bleeding.
3) There were three nurses present during the procedure that were all assigned to different roles. There were two scrub nurses that were in charge of assisting the surgeon with the equipment and one of them was also in charge of constantly monitoring the patient’s vital signs with the anthologist. A circulating nurse was used to chart the whole procedure and fetch additional equipment outside of the room if …show more content…
It is important to see what really goes on throughout this process in order to understand potential risks of having a surgical procedure and what should be done if complications occur. That being said, I don’t feel like I would really enjoy this type of nursing because a lot of skills were not used. The main skill was a thorough nursing assessment. I enjoyed being in the OR and acutally seeing the surgery but I did not like being in a standing position for a long period of time. I would rather be running around a unit checking multiple patinets then standing over an operating table. The one thing that surprised me the most was smelling the burning flesh from the cauterizer as it really made everything seem more real. That is something that I wasn’t really expecting going into