Perioperative Nursing - Assignment
Added on 2021-06-18
13 Pages3692 Words38 Views
Professional DevelopmentHealthcare and Research
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Perioperative nursing1PERIOPERATIVE NURSINGName:Department:School:Date:
Perioperative nursing 2IntroductionACORN focuses on improving and standardising perioperative nursing care, supporting and educating preoperative nurses. ACORN’s mission statement is to represent perioperative nursing and the organisation undertakes the range of operation to accomplish its mission. Perioperative nurses have an obligation that numerous other counterparts see as highly procedural and task concentrated (Butterworth, Mackey and Wasnick 2013, pp. 64). Yet, proficient and well educated perioperative professionals are believed to be important for patient attention to warrant appropriate medical results. Similarly, perioperative nurses in Australia oversee their own practices, and as a group of professional nurses, act to construct understandingthat enlightens practices on a broader specialised level. Perioperative health care comprises a numerous specialty duties such as circulating, scrubbing, holding bay, anaesthetic, or instrument nurse (Keene 2009, pp. 13). Other obligations include patient assessment, education and surgeon’s assistant. It is quite often that perioperative nurses can fill more than one responsibility during specific procedure depending on the complexity and nature of the operation(Ross, Dressler and Scheurer 2016, pp. 24). Similarly, some nursing titles are used interchangeably in varying hospital and medical facilities. Thus, the prominence of nursing presence during surgery, in terms of nurse’s capability to ensure safe outcomes for the patient, is being progressively identified. The challenging scenario is being encountered by perioperative scrub and scout nurses ona day-to-day basis. The perioperative nurse learns their practice through clinical experience and education in their normal learning schedule. The Australian Council of Perioperative Nurses (ACORN) brings the guidelines and teaching to the arena for the Australian perioperative nurses.Thus, the learning offered by the perioperative sections in which the nurse is hired is steered by
Perioperative nursing 3the ACORN competency standards. The competency standards monitor the nurses to acquire thetalents to competently provide perioperative care in the most courses of actions or where the disaster situation in which each medical practitioner’s competency is tested. Thus, this reflectivepaper will concentrate on specifically challenging situation operation encountered by myself, junior nurse, and surgeon. The Gibbs reflective model, 1988, will be utilised to reflect on the challenging situation (Mindtools 2016). The paper will also deliberate on my feeling of anxiety in these challenging situations. The assessment of this setting will display my accomplishment of the ACORN competency standards through the operations, and the incidence where the progression of my abilities and counterparts is vital. During the examination of this reflection, clinical proof will display the importance of interdisciplinary communiqué and the paybacks of using checklist for intraoperative perioperative exercise. The paper will also display the importance of checking an extra set of equipment prior to surgery and the importance of theatre operation manager liaising with the procurement department to buy new Trigen tibial nailing apparatus. An action plan will illustrate how I harness my competencies for emergency in regardto the Distal Tibial Nailing in the future.DescriptionOne of my late weekend shift (1 pm to 9:30 pm) we received a patient for Distal TibialNailing. I was the only staffs who know orthopedic surgery on that shift. My other colleague wasjunior and she scrubbed only one time for Nailing. She told me she wants to scrub for the casefor her up skilling. We checked the patient in and checked the consent against patient ID.Checked the implants with surgeons such as Tibial Nail Size, all disposable guide wire and drillbit and were ready for the surgery. I informed radiology department that we are ready for an x-ray. I told the surgeon the scrub nurse does not have much experience in this case and surgeon
Perioperative nursing 4was happy to scrub with her. Anesthetist put the patient in sleep. She scrubbed in and I openedall the instruments and consumables in a sterile manner. Surgery started and I had to explain tothe scrub nurse how to assemble the instruments and the sequence of the surgery during theprocedure. I had to do the entire circulating job and on top, I had to guide the scrub nurse made Ibit stressful.According to the size of Tibial nail reaming is done. Nail opened and the surgeon wasabout to put the nail in. Suddenly the JIG fell on the floor from the scrub nurse. That was aterrible situation for all of us. The instrument that we used for the nailing was Trigen. We haveonly two Trigen sets in our facility. I ran to set up a room and looked for the second Trigennailing set and I could not find it. I rang floor coordinator and ask her to look for it. She checkedwith CSSD staff and realised it is in the washer. I informed the surgeons about it, they were soannoyed. The surgeon was not happy to put the nail without the JIG and also not appropriate. Icould not explain the stress that I went through that situation. Scrub nurse apologised manytimes.Finally, the surgeon decided to do the open reduction and internal fixation (ORIF). Heasked me to get small fragment set and distal tibial plate. I took it from setup room and openedeverything for ORIF. It took another two hours to finish the surgery. This incident causes extraanaesthetic and surgery time. Also, it wasted an implant which cost a lot.FeelingsThe above challenging situations were very hard for me as I was only the nurse with theorthopaedic knowledge at that time. I had stress and apprehension due to the urgent nature of theoperations, the lack of specialist staff with relevant knowledge, and the needs to prepare for the
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