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Hi, I need help with essay on Nursing in the theatre recovery room. Paper must be at least 3000 words. Please, no plagiarized work!Download file to see previous pages... A risk management committee re
Hi, I need help with essay on Nursing in the theatre recovery room. Paper must be at least 3000 words. Please, no plagiarized work!
Download file to see previous pages...A risk management committee reviewed all the claims in the company's files. Many cases centred on a failure to adequately ventilate the patient. Relatively straightforward human errors, often technical or mechanical in nature, and failure to recognise them until a very late stage caused many of the problems. The committee concluded that monitoring could prevent catastrophes, and that mandatory monitoring was warranted. Among the goals set were a system of anonymous critical incident reporting and documentation of a collective experience of rare events.
While improvements in the safety and conduct of anaesthesia and postoperative care are very gratifying for the profession, most patients seem to be unaware of or unwilling to enquire about matters that will affect their safety and comfort during and after their operation. An obvious starting point, which has its pros and cons, is to improve patient education about their procedure. Augmenting patient information preoperatively with leaflets, pamphlets, (Timmons &. Bower 1993) or videotape (Knoert et al. 1999) has shown definite benefits in helping to achieve good results with patient-controlled analgesia systems.
GuarMaintaining normal Ventilation and Respiration
Guarding against postoperative atelectasis and pneumonia is another key nursing responsibility. Common circumstances that give rise to these complications include thoracic or abdominal surgery, general anesthesia, intubation, and painful breathing. Smokers face a sixfold increase in risk of postoperative pulmonary complications, and decreasing cigarette consumption within 1 month before surgery doesn't significantly reduce that risk. (However, because nicotine use delays wound healing and increases the risk of surgical site infections, nurse should still encourage patients to quit or abstain perioperatively.) Advanced age also increases the risk of postoperative respiratory complications.
The benefits of postoperative deep breathing are known--a technique the nurse can teach without the benefit of technology. Even if the hospital is cutting costs by providing incentive spirometers only for specific surgeries, nurse can still teach the patient to take 10 deep breaths once an hour. He can be shown how to splint the incision site first and encouraged to hold each breath for 3 to 5 seconds by counting, "one, one thousand. two, one thousand," and so forth to himself with each breath. The nurse should encourage the patient to try increasing his times each hour.
Rewarming Strategies
Postoperative rewarming is a challenge for the critical care nurse because hypothermia can cause coagulation changes, acid-base and electrolyte imbalance, cardiac disturbance and altered drug effects.
