Enhanced recovery after surgery is an evidence based, multimodal pathway that is designed to decrease the stress on the patient through out their surgical journey. It focuses on improving the outcome of the patient after surgery, by taking additional steps to manage the patient before, during and after surgery. The longer a patient stays in the hospital post op, there is an increase risk to become susceptible to infections in this regard, the protocol serves as a guideline used to reduce the…
Prior to 2001, CRNA’s were required to be supervised directly by anesthesiologists. When providing medical reimbursement, the federal Centers for Medicare and Medicaid Services (CMS) required CRNA’s to be supervised by physicians. Changing laws and regulations have allowed CRNA’s to have more responsibility in their job settings. As states individually determine nurse anesthetist regulations-- allowing CRNA’s to replace anesthesiologists in hospitals-- the issue may be more about the power of…
Observation of past and current patient safety trends in the U.S. Health industry, it becomes apparent that a multitude of procedural errors which often lead to patient malpractice. Therefore, it is crucial to identify the various aspects into the causes of procedural errors and patient care malpractice. By analyzing this data, management may utilize the information in establishing patient safety initiatives for their respective establishment. In addition, by increasing public awareness of…
heads meet to offer suggestions on how they believe costs can be cut back to meet the budget given to their department for the next fiscal year. One department in a hospital that struggles to stay on budget is the Surgery Department. There are many components involved for a Surgery Department to run efficiently. In the April 2016 Nursing Management magazine it is stated that, “Hospitals work diligently to improve patient throughput,…
Anesthesia is a crucial component to ensuring the comfort and safety of a patient during a surgery, but anesthetic methods were not developed until around the time these photographs were taken. Prior to the implementation of an anesthetic, surgeons used a variety of methods to lessen their patients’ pain with some measure of success. Some managed to get their hands on various narcotics including opium, cocaine, and marijuana; they were all very useful for numbing pain, but extremely addictive.…
invasive surgeries, easily interpreted medical imaging, and portable medical equipment to use at home. Medical robots have significantly advanced the diagnosis in diseases, which gives a better chance for the doctors to make a more efficient recovery plan for the patient. Medical robots are also used in surgeries. “The first documented use of robot-assisted surgical procedure occurred in 1985 when the PUMA 560 robotic surgical arm was used in a delicate neurosurgical biopsy. Robotic surgery has…
type and staging of the actual cancer. Typically, a thoracic surgeon is consulted to evaluate a patient with this form of diagnosis. Different forms of surgical interventions are available depending on the clinical presentation of the tumor. If surgery is warranted, the goal is to remove the tumor and surrounding tissue if affected by cancer. Surgical options available to aid in eradicating lung cancer include a lobectomy, wedge resection and pneumonectomy. A lobectomy is a surgical…
working closely with the nurses and observing countless surgeries. During my time, I learned that a lot of facets of surgery-for instance observing an open body cavity- do not phase me: I tend to lean in to get a closer look rather than shy away. However, in the middle of my second week, I learned that this indifference to the gruesomeness of surgery may not always be a strength. This realization came during the first amputation I observed. The surgery began as every other I had seen where the…
On March 27, 2015, Facebook and Twitter were inundated with the message “Daundre Barnaby, An Olympic Sprinter from Weaver, Drowns.” When I first read this message, I was heart-broken. I desperately wanted it to be a mistake. As the story continued, Daundre, my dear friend, was swimming in the Atlantic Ocean and was swept out to sea by a strong current. Overcome by grief, my emotions were out of control! I was consumed with anger, frustration, and remorse, and at that moment, I knew that my…
in critical condition. They are teetering by a thread, and in order to stay alive they need serious medical attention. They are sped into the operating room where a strong team of brilliant minds and gifted hands are waiting to conduct emergency surgery that consequently save the stranger’s life. The hasty actions and precision of the intelligent team gave a stranger their entire life back, but it is not a huge deal because those doctors are adept in performing miraculous procedures like that…