Professional Practice Development Assignment

Added on - 21 Apr 2020

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Professional- practice developmentProfessional- practice development1
Professional- practice developmentProfessional- practice developmentIntroductionHealth care system is one of the highly complex systems requiring interdependencybetween people(Hood, 2014). Team work is highly crucial in all the hospitaldepartments including operation theatre to enhance patient treatment, care as well assafety for patients/ clients. In a health care system, multitude of health- related servicesare rendered to people inallcare levels includingoperative servicesby closed knit ofmulti-disciplinary personnels involving surgeons, OT nurses, circulating nurses, theatretechnicians as well as other health- personnels by working together as a panel,cooperating and respecting each other, communicating effectively and appropriatelyamong themselves along with sharing resources(Basavanthappa, 2010).Nearly50% of the errors occur in the operation theatre of a hospital. Majority of themoccurs due to improper communication (Pronovost, 2006). Hood (2014) suggested thatthe hospital errors could be prevented by rendering holistic care to the patients byfollowing appropriate communication style, promoting health-team work along withfunctioning collaboratively with other healthcare personnels (Basavanthappa,2010).This post discusses about the importance of team work, communication withcollaboration in a health care system; particularly in an operation theatre along withvaried methods to avoid miscommunications by analyzing an incident that has occurredin the operation theatre of a hospital in Saudi Arabia.2
Professional- practice developmentEvent of incidentA 10 year old girl has undergone liver transplantation (recipient) surgery. The donor liverextraction has hardly taken six hours to finish late by 4 pm and then recipient surgerywas started which was a highly complicated surgery. The surgeon has extracted thenative (diseased) liver which was kept by the OT nurse in formalin without following theguidelines given by KSA for preserving specimens. Then, the surgeon has started toanastamose the donor liver in the recipient’s peritoneum but found that the portal vein istoo short and was also could not be repaired. He was not clear about the surgicalguidelines of KSA and has confusedly asked the nurse to take the liver out of theformalin and wash it thoroughly to graft a vein. The circulating nurse was also not clearabout the surgical guideline to be followed here. Meanwhile, atheatre practitioner hasrefused their idea of taking the diseased liver out and getting a graft in it and has alsocommunicated with the surgeon to call the vascular team-members, but the surgeonwas not sure about it and hence has repeated to the consultant, which was refused byhim. The surgeons and OT nurses were highly exhausted.A practitioner who gets rotation in vascular team and also has attended a course on‘grafting vein’ has advised the surgeon to use an artificial vein graft instead of usingformalin preserved native liver vein graft, which is absolutely not recommended.Altogether, there were greater miscommunication between the surgeons and the nursesand the theatre practitioner, affecting the work quality adversely. More particularly, thesurgeon, OT and circulating nurses were not clear about the surgical guidelines of KSA.The theatre practitioner has also tried to advise the surgeon to check the graft again,3
Professional- practice developmentwhich he has also agreed and checked it whereas the operation room in-charge hasmentioned that it is only the surgeon’s problem but not others problem which typicallysuggests that there is no team work along with miscommunication among theatreprofessionals.The theatre practitioner has prevented a major mistake of taking vein graft from formalinpreserved native diseased liver by appropriate communication with appropriate person(surgeon). Further she has also advised the surgeon to contact vascular team who is inrotation as well as attended vein grafting classes and has tried to work as a team andhas promoted patient safety (prevented the occurrence of harm to the patient) and hasmade an appropriate timely decision and/or suggestion. The surgery succeeded; patientsurvived and the surgeon was highly thankful to the theatre practitioner.This event is considered to be near miss ornarrow escape as itis an unplanned eventthat has not resulted in any illnesses, damages or injuries to the patient; but haspotential to do so (Jabir et al, 2013). Afortunate break in the chain of events hasprevented the patient from fatality(National Safety Council, 2013).In-order to maintain confidentiality, pseudonyms Raihana is used to refer patient,Mohammed is used to indicate surgeon; Fathima to refer OT nurse, Haifa for circulatingnurse and Habiba to refer theatre practitioner; during analysis and discussion of thisincident.Health care is like a team- sport; with teams taking care of patients (Smith, 2010,Manser, 2009). Health care teams function in an environment that encompasses4
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