Personal Learning Goal
I hope to learn how outpatient differs from that of the medical surgical floor. I would like to see the different steps that a patient goes through in outpatient surgery. I want to learn the difference in the roles that a Registered Nurse plays in the outpatient setting compared to the other roles they hold in other areas. It also would like to see firsthand the different duties that everyone in the perioperative team has. Finally, I want to experience how the nurse handles day to day tasks in their area.
Rotation Synopsis
The day started off with me introducing myself to the RN in outpatient. She gave me a list of the surgeries that were going to be performed that day, after looking over the patients I let her know which one I would like to observe. She called down to make sure that it was ok with the surgeon. After conformation, she informed me that most of the patients for the day had already been checked in and had IVs, been dressed out, and had their vital signs taken. So, I went with her to watch as she did preoperative instructions on another patient. The patient is given a paper to fill out upon arrival, for their medication list and to state when they last took them. The nurse asks the patient questions and verifies information from that paper and their MAR. The nurse verifies the patient is the right one, the surgery being done, where at on their body, the surgeon doing the procedure, meds taken, if they have eaten, allergies, and if the patient has had any reactions to anesthesia before. They patient that I helped with had already gotten an IV as well as their armband, TED hose, and been dressed out. The nurse also put an ankle ID band on the patient as well. A little while after we were finished in there the patient I was going to be watching was transferred downstairs to a waiting type room were the anesthesiologist, the doctor and circulating nurse come to talk with them. Upon arrival, I went and dressed out in scrubs for the surgical room as well as booties and a bonnet. When I got back the CRNA and a CRNA student were talking with the patient. They confirmed the identity, medication list, allergies, what was being done, where it was located, the surgeon, adverse reactions to anesthesia, family history of problems with it. They then explained what they would be doing for the surgery and the steps before during and after. After they finished the circulating nurse came and got the patient. She also verified that patient’s identity, what was being done, and the person to contact during and after the surgery. Going in to the surgery room I was introduced to everyone. There was a CRNA, a student CRNA, they are not sterile, they took care of the anesthesia, intubating and monitoring vital signs. There was one circulating nurse, this person is preferred to be a RN, they are not sterile, this person helps set up the surgery room with the needed supplies, they help get the patient unto the surgery table, get them comfortable and in the correct position, their number one priority is patient safety, they make sure elbows and hands pads are in place and strapped down, …show more content…
I helped her get the room ready and set up as well as help the patient to the table and help with securing them to ensure their safety. The circulating nurse also showed me what and where to chart the surgical noted.
At close to the end of the day I went back up to outpatient to see if they needed any help with discharging patients. I was able to D/C one IV as well as assist the patient downstairs in a wheelchair.
Pathophysiology of Focus Disease Process
Umbilical Hernia -A hernia occurring at the navel, seen mostly in children, usually it required no therapy if small and asymptomatic. An umbilical hernia usually resolved when the child begins to walk. A hernia is a protrusion of an anatomical structure through a wall that normally contains it. I t may be caused by a congenital defect in the formation of body structures, defects in collagen synthesis and repair, trauma, or surgery. Conditions that increase the intra-abdominal pressure may also contribute to hernia formation. (Davis,
I hope to learn how outpatient differs from that of the medical surgical floor. I would like to see the different steps that a patient goes through in outpatient surgery. I want to learn the difference in the roles that a Registered Nurse plays in the outpatient setting compared to the other roles they hold in other areas. It also would like to see firsthand the different duties that everyone in the perioperative team has. Finally, I want to experience how the nurse handles day to day tasks in their area.
Rotation Synopsis
The day started off with me introducing myself to the RN in outpatient. She gave me a list of the surgeries that were going to be performed that day, after looking over the patients I let her know which one I would like to observe. She called down to make sure that it was ok with the surgeon. After conformation, she informed me that most of the patients for the day had already been checked in and had IVs, been dressed out, and had their vital signs taken. So, I went with her to watch as she did preoperative instructions on another patient. The patient is given a paper to fill out upon arrival, for their medication list and to state when they last took them. The nurse asks the patient questions and verifies information from that paper and their MAR. The nurse verifies the patient is the right one, the surgery being done, where at on their body, the surgeon doing the procedure, meds taken, if they have eaten, allergies, and if the patient has had any reactions to anesthesia before. They patient that I helped with had already gotten an IV as well as their armband, TED hose, and been dressed out. The nurse also put an ankle ID band on the patient as well. A little while after we were finished in there the patient I was going to be watching was transferred downstairs to a waiting type room were the anesthesiologist, the doctor and circulating nurse come to talk with them. Upon arrival, I went and dressed out in scrubs for the surgical room as well as booties and a bonnet. When I got back the CRNA and a CRNA student were talking with the patient. They confirmed the identity, medication list, allergies, what was being done, where it was located, the surgeon, adverse reactions to anesthesia, family history of problems with it. They then explained what they would be doing for the surgery and the steps before during and after. After they finished the circulating nurse came and got the patient. She also verified that patient’s identity, what was being done, and the person to contact during and after the surgery. Going in to the surgery room I was introduced to everyone. There was a CRNA, a student CRNA, they are not sterile, they took care of the anesthesia, intubating and monitoring vital signs. There was one circulating nurse, this person is preferred to be a RN, they are not sterile, this person helps set up the surgery room with the needed supplies, they help get the patient unto the surgery table, get them comfortable and in the correct position, their number one priority is patient safety, they make sure elbows and hands pads are in place and strapped down, …show more content…
I helped her get the room ready and set up as well as help the patient to the table and help with securing them to ensure their safety. The circulating nurse also showed me what and where to chart the surgical noted.
At close to the end of the day I went back up to outpatient to see if they needed any help with discharging patients. I was able to D/C one IV as well as assist the patient downstairs in a wheelchair.
Pathophysiology of Focus Disease Process
Umbilical Hernia -A hernia occurring at the navel, seen mostly in children, usually it required no therapy if small and asymptomatic. An umbilical hernia usually resolved when the child begins to walk. A hernia is a protrusion of an anatomical structure through a wall that normally contains it. I t may be caused by a congenital defect in the formation of body structures, defects in collagen synthesis and repair, trauma, or surgery. Conditions that increase the intra-abdominal pressure may also contribute to hernia formation. (Davis,