University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Infection: Post Anesthesia Care Unit (Part 1) Overview
|
|
- Bartholomew Burke
- 5 years ago
- Views:
Transcription
1 Title: To cite this reference: University of South Dakota Simulation Scenario Infection: Post Anesthesia Care Unit (Part 1) Overview Post Anesthesia Care Target Group: First Year Concept: Infection Unit (Part 1 of 2) Nursing Students Tesch, C. (2010). Simulation scenario; Infection: Post anesthesia care unit (part 1). Unpublished manuscript., University of South Dakota at Vermillion. Time Allotment (each simulation is designed to be run in a two hour block of time which equals four clinical hours): Prep: Campus specific (see preparation requirements). Prebriefing: Campus specific (first year students should be longer than second year students according to evidence-based practice [EBP] standards). Simulation: minutes (no longer than 30 minutes). Debriefing: Campus specific (first year students shorter than second year students according to EBP standards). If the simulation episoderuns less than two hours faculty should consider running the simulation again, creating concept maps, creating teaching plans, performing webquests, or implementing other activities that would be beneficial to the students' learning. DocuCare Information: This is a post-cholecystectomy patient who is in PACU and needs a post-op assessment and interventions.
2 Infection: Post Anesthesia Care Unit (Part 1) 2 AACN Essentials: IX Curriculum Alignment Population: Middle Age Caucasian female Concepts: Exemplar: Infection (and Oxygenation as a related concept) Peri-operative patient Knowledge Skills Attitudes Objectives and Outcomes Area Scenario Objectives Course Outcomes Demonstrates understanding of possible post-operative complications. Performs appropriate post-operative assessment. Values the importance of therapeutic communication and appropriate education to the patient and family. 1.1, 2.1, , , 5.3 Student Preparation Prerequisite assignment (the following information should be sent to the students prior to the scheduled simulation). Send the attached to students approximately one week prior to the simulation. Students are expected to bring their laptop, drug book, primary textbook, and completed prep to simulation. Post Anesthesia Care_Student Prep
3 Simulation Setup Infection: Post Anesthesia Care Unit (Part 1) 3 Manikin Settings: Initial Vital Signs Pulse: 80 Blood pressure: 135/82 Pulse ox: 89% Respiratory rate: 16 Temperature: 97.0 PO Cardiac rhythm: SR Lung sounds: Clear Bowel sounds: Absent Other: Pain 8/10 Change in Vital Signs How many minutes until change? Pulse: Blood pressure: Pulse ox: Respiratory rate: Temperature: Cardiac rhythm: Lung sounds: Other: Will increase or decrease based on whether or not student applies O2 Scenario Setting: Setting: Surgical Center PACU Time of day of scenario: 1200 (noon) Patient Condition Clothing: Hospital gown Props: Moulage: Roles for Students Primary nurse Secondary nurse Observers OR nurse (gives report) Patient s spouse Recording nurse Physician Clipboard Chart Blanket/blanket warmer Nurses station - phone, lab book, computer Three 4 x 4 dressings on abdomen- all dry & intact Student Names (faculty) Documents Nursing assessment flow sheet Surgical post-op orders Medication administration record (not included) Equipment List Vital sign equipment Pulse oximeter Incentive spirometer Emesis basin The following should be attached to manikin: Lactated Ringers at 125 ml/hr Foley catheter (60 ml light yellow urine) Patient ID band Nasal 3 L. O2 3 dressings on abdomen (4 x 4s)
4 Infection: Post Anesthesia Care Unit (Part 1) 4 Medication Dosage Route Morphine 4 mg/ml IVP syringe Demerol syringe 50 mg/ml IVP Ondansetron Vial labeled 2 IVP Vial mg/ml Naloxone Vial labeled IVP Vial 0.4 mg/ml 3 ml syringes ga needles Concentration Package See above
5 Infection: Post Anesthesia Care Unit (Part 1) 5 Patient Demographics Last Name: Smith Patient Background First Name: Margaret Gender: Female Age: 48 Ht: 5 5 Wt: 175 lbs Ethnicity: Caucasian Religion: Catholic Language: English English Proficiency: Yes Other: History of present illness: Post-op Cholecystectomy. Pt diagnosed with Cholelithiasis six months prior. Primary Medical Diagnosis: Central nervous system Cardiovascular Pulmonary Renal/Hepatic Gastrointestinal Musculoskeletal Integument Developmental history Psychological history Social history Alternative/ Complementary Hx of hypertension, obesity Smokes three to five cigarettes/day when she is feeling stressed out Cholelithiasis diagnosed six mo ago, c/o indigestion at night C/O night sweats C/O some stress Married with 3 children. Works FT as a bank teller. Mother-in-law recently moved into house. Medication allergies PCN Reaction: Food/other allergies Reaction: Home medications Lisinopril 10 mg PO daily Multivitamin daily Calcium 1200 mg PO daily
6 Prebriefing Infection: Post Anesthesia Care Unit (Part 1) 6 Give students the opportunity to discuss their feelings and fears (can use the round table approach) and then have discussion. The following are SUGGESTIONS/IDEAS for the prebriefing discussion: Read the introductory scenario and then ask the students to reflect and write their answers on a sheet of paper. Discuss their answers. 1. How is a laparascopic Cholecystectomy different than an Open Cholecystectomy, and what are the advantages and disadvantages of each? 2. What size of IV and type of fluid do you expect to see infusing, and why? 3. What assessments are required to adequately determine the respiratory and airway status of a post-op patient? INTRODUCTORY SCENARIO to be read out loud to students (shortened version): Margaret Smith is a 48 year old white female who was brought to the hospital this morning for scheduled laparascopic Cholecystectomy. It is now 1200 and the patient is being transferred from the OR to the post-anesthesia care unit. She is groggy, has pain, has an IV, and has dressings on her abdomen. She also has a foley cath in place. Pair up students and ask them to discuss the key parts of the prep and how they tie into the scenario. This can include: labs & diagnostics, medications, diagnosis, etc. Ask the following: - What is the patient at greatest risk for now, in 12 hrs, and in 24 hrs, and why? - What complications are you on alert for now and in 24 hrs, and why? - Considering this is a fresh post-op patient in recovery; what do you expect to find when you enter the room (patient status, equipment, etc)? The above items are listed to assist faculty in leading a prebriefing discussion with students. Feel free to use some or all of the items depending on the needs of the student group.
7 Infection: Post Anesthesia Care Unit (Part 1) 7 Scenario Introductory Scenario (read to entire group by faculty): Margaret Smith is a 48-year old white female who was brought to the hospital this morning for scheduled laparoscopic Cholecystectomy. It is now 1200 and the patient is being transferred from the OR to postanesthesia care unit (PACU). She is groggy and rates her pain a 7-8 on a scale of She was given 4 mg Morphine before leaving the OR. She snores in between being awakened by the nurse for assessments. She has a maintenance IV. She has three 4 x 4 dressings on her abdomen, which are all dry and intact. She has a foley catheter draining clear yellow urine. The OR nurse transferring the patient will be giving a complete report to the primary nurse in PACU. Timing Nurse/patient actions Expected interventions May use the following cues: Approx. 10 minutes Initial postop vital signs: *BP 135/82 *P 80 *R-16 *T 97.0 PO *O2 sat 89% on 2 L. O2 via nasal cannula *Pain 8 out of 10 Patient: *Lying flat in bed *IV attached to arm *Groggy/groaning and sleeping in between interactions *Complains of nausea *Lung sounds clear *Bowel sounds absent Students perform initial post-op assessment when patient arrives in unit and chart their findings. Student should raise head of bed, and instruct patient to take deep breaths. Can have her use incentive spirometer as well. Raise O2 to 3L. Student puts blanket on patient. Role member providing cues: Spouse: She seems very groggy. Why is that? Margaret: I m cold. Can you get me a blanket?
8 Infection: Post Anesthesia Care Unit (Part 1) 8 Approx. 10 minutes Approx. 5 minutes Patient assessment: *O2 sats 94% with interventions Patient Re-assessment: *Pain at 4 out of 10 *Nausea has subsided slightly *Groggy Student should reassess O2 saturation. Student administers Zofran IV. Student asks about level of pain. Student administers Morphine. Student reassesses pain level and nausea Student gives information to spouse regarding when patient will be moved to the floor based on the Post-Anesthesia discharge scoring criteria. Margaret: I m very nauseous and think I m going to vomit. (VOMITS) Margaret: It hurts so much. 8 out of 10. Spouse: Now what are you giving her? Margaret: That helped a lot. My pain is much better. I m still nauseous but I don t feel like I m going to vomit right now. Spouse: What s going to happen next? When will she be moved to the hospital floor?
9 Debriefing Infection: Post Anesthesia Care Unit (Part 1) 9 Start by asking students about their feelings/thoughts related to the experience. It is alright to let the students lead the discussion at first. Utilize the questions below at your discretion. Debriefing / Guided Reflection Questions for this Simulation: Start out by having the students each state how they are feeling Background: 1. Was there information that was missed in the communication between the OR nurse and the PACU nurse that would affect Margaret s care? 2. What nursing interventions were carried out for Margaret? Which was the priority? Noticing: 1. What assessments are important in identifying potential problems in the areas of: -oxygenation: -pain: -thermoregulation: -safety: -mobility: 2. How were the vital signs affected by the problems Margaret experienced? Interpreting: 1. Did the nurses have sufficient knowledge/skill to manage the situation? 2. Margaret had issues with oxygenation, pain, thermoregulation, and nausea. How did you know how to prioritize interventions? Should any interventions have been done in a different order? 3. Why is strict I&O important? What complications will this alert the nurse to? 4. What risk factors does Margaret have that may affect her recovery? 5. Was the patient teaching appropriate? Was there other information that should have been taught to the patient/family that wasn t?
10 Infection: Post Anesthesia Care Unit (Part 1) 10 Responding: 1. Was the correct information given to Margaret about her surgery and potential postop complications? 2. What patient education should be given to the family about the prevention of infection? What about how to identify whether an infection is occurring? 3. What information would be especially important for the PACU nurse to relay to the surgical floor nurse? 4. Was therapeutic communication used with the patient and family? 5. What criteria does Margaret need to pass before she will be transferred out of the PACU? See the Post-anesthesia discharge scoring criteria at the website listed in the Supporting Documents. Evaluating: 1. Did you have sufficient knowledge and skills to manage Margaret s care in this situation? 2. What went well in this simulation, and what would you do differently if you could run this simulation again? FINAL THOUGHTS: Allow to students to share final thoughts/feelings if they want to. The above items are listed to assist faculty in leading a debriefing discussion with students. Feel free to use some or all of the items depending on the needs of the student group.
11 Infection: Post Anesthesia Care Unit (Part 1) 11 Supporting Documents Forms Patient Chart Information/Forms Post Anesthesia Care_Charts Scripts/Roles Post Anesthesia Care_Script Recommendations For Online Use This simulation could be performed in the mobile simulation unit and streamed to distance students. Students at a distance could participate in the pre-briefing and debriefing sessions using webinar.
University of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Safety: Patient Safety. Overview
Simulation Scenario Safety: Patient Safety Overview Title: Patient Safety Concept: Safety Target Course: First Year Nursing Students To cite this reference Dreke, C. (2012). Simulation scenario; Safety:
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing
Title: To cite this reference: Simulation Scenario Complex Patient: Multi-System Organ Failure Part 2 (Sepsis) Multi-System Organ Failure (MSOF) Sepsis (Part 2 of 2) Overview Concept: Complex Patient Target
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Neural Transmission: Spinal Cord Injury (Part 2)
Title: To cite this reference: Spinal Cord Injury (Part 2 of 2) University of South Dakota Simulation Scenario Neural Transmission: Spinal Cord Injury (Part 2) Overview Concept: Neural Target Group: Second
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Leadership: Triage/Prioritization (Part 2) Overview
Title: To cite this reference: Triage/Prioritization (Part 2 of 2) University of South Dakota Simulation Scenario Leadership: Triage/Prioritization (Part 2) Overview Target Group: Second Year Concept:
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Leadership: Triage/Prioritization (Part 1) Overview
Title: To cite this reference: Triage/Prioritization (Part 1 of 2) University of South Dakota Simulation Scenario Leadership: Triage/Prioritization (Part 1) Overview Target Group: Second Year Concept:
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Mood/Affect: Adolescent Depression.
Simulation Scenario Mood/Affect: Adolescent Depression Overview Title: Adolescent Depression Concept: Mood-Affect To cite this reference Target Group: Second Year Nursing Students Jorgensen, K. & Luken,
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Complex Patient: Acute MI. Overview
Simulation Scenario Complex Patient: Acute MI Overview Title: Acute MI with Dysrhythmias Concept: Complex Patient To cite this reference: Target Group: Second Year Nursing Students Kisner, T. & Warren,
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Communication: Professional & Inappropriate Behavior
Title: To cite this reference Simulation Scenario Communication: Professional & Inappropriate Behavior Overview Professional & Target Group: First Year Concept: Communication Inappropriate Behavior Nursing
More informationNeighborhood Hospital
Physician Progress Notes Time Mon S/P HoLEP Procedure without complications; estimated blood loss < 100 ml; stable condition to recovery room. 1530 To be admitted to Urology following PACU. Dan Stein,
More informationSurgical Weight Loss at Eastern Maine Medical Center Your Inpatient Nursing Stay
Surgical Weight Loss at Eastern Maine Medical Center Your Inpatient Nursing Stay Dear Prospective Patient: I have recently been informed that you are considering weight loss surgery at EMMC. As you know
More informationSt. Vincent s Health System Page 1 of 8. Nursing Administration HOSPITAL SHARED POLICY?
St. Vincent s Health System Page 1 of 8 TITLE: Rapid Response Team FACILITY: St. Vincent s East FUNCTION: ORIGINATING DEPT: Nursing Administration HOSPITAL SHARED POLICY? EFFECTIVE DATE: _X_ Yes No DOCUMENT
More informationSimulation Design Template. Location for Reflection:
Simulation Design Template Date: Discipline: Expected Simulation Run Time: Location: Admission Date: Today s Date: Brief Description of Client Name: Gender: Age: Race: File Name: Student Level: Guided
More informationSimulation Design Template
Simulation Design Template Date: May 7/8, 2008 File Name: Discipline: RN, Charge nurse, medical radiology, pharmacy tech, social work, medicine (whatever is available at the institution) Student Level:
More informationCourse Outline and Assignments
Course Outline and Assignments WEEK ONE 10-16-12 Instructional In Class-Learning to be completed prior to class 10-17-12 Total Hours Assessment 1. proper hand washing techniques 2. donning and removing
More informationBrief Summary. Educational Rationale. Learning Objectives: Nurse. Learning Objectives: Doctor
Simulation Scenario Title Bacterial meningitis Version 10 Target Audience FY doctors & student nurses Run time 10-15 mins Authors Niamh Feely, Andrew Smith, Udesh Naidoo, Paul Wilder, Mark Loughrey Last
More informationGuidelines on Postanaesthetic Recovery Care
Page 1 of 10 Guidelines on Postanaesthetic Recovery Care Version Effective Date 1 OCT 1992 2 FEB 2002 3 APR 2012 4 JUN 2017 Document No. HKCA P3 v4 Prepared by College Guidelines Committee Endorsed by
More informationInstitutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
More informationAbdominal Surgery. Beyond Medicine. What to Expect While You Are in the Hospital. ilearning about your health
ilearning about your health Abdominal Surgery What to Expect While You Are in the Hospital www.cpmc.org/learning Beyond Medicine. Table of Contents On the Day of Your Surgery...3 Your Nursing Care...3
More informationStudent name: Section: Date: Patient initials: Time began: Time ended: Points: Faculty: Points deducted due to:
MEDICATION ACTIVITY This is a timed medication administration check off. It is worth 6 points. It is divided into 3 points for clinical reasoning, being able to correctly identify which meds should be
More informationG: Surgical. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67
G: Surgical College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67 Major Competency Area: G Surgical Competency: G-1 Surgical Nursing Date: June 1, 2015 G-1-1 G-1-2 G-1-3
More informationMontgomery College Nursing Simulation Scenario Library
Montgomery College Nursing Simulation Scenario Library Scenario File: End of Life Discipline: Nursing Student Level: Intermediate-Advanced Expected Simulation Run Time: 15-20 minutes Guided Reflection
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
More informationBeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)
Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret
More informationYou will be having surgery to remove a the distal or tail part of your pancreas.
Distal pancreatectomy You will be having surgery to remove a the distal or tail part of your pancreas. This handout will help you learn about the surgery, how to prepare for surgery and your care after
More informationOvarian Tumor Reduction Surgery
PATIENT EDUCATION patienteducation.osumc.edu Information About Your Your doctor found a mass in your pelvic area. Surgery is used to remove the pelvic mass and to find out if the tissue is benign (not
More informationSimulation Design Template. Date: May 7, 2008 File Name: Group 4
Simulation Design Template Date: May 7, 2008 File Name: Group 4 Discipline: Nursing, medicine, radiology, EMT, possible consultant (specialist ie neurosurgeon via conference call), possible social work/pastoral
More informationSurgical Treatment. Preparing for Your Child s Surgery
Surgical Treatment Preparing for Your Child s Surgery If your child needs an operation, it will be performed at a hospital that has special expertise in heart surgery for children. This may be a hospital
More informationPCC4U PALLIATIVE CARE HIGH FIDELITY SIMULATION SCENARIO
PCC4U PALLIATIVE CARE HIGH FIDELITY SIMULATION SCENARIO CONTENTS Introduction 3 Student learning outcomes 4 Pre-reading 4 Simulation scenario 5 Student information 6 Patient simulator set up 7 Scenario
More informationAbout the Critical Care Center
Patient and Family Education Section 2 About the Critical Care Center The 5-Southeast and 5-East units 5-Southeast and 5-East When You Arrive for a Visit Patient Services Specialist Waiting Rooms Patient
More informationA PARENT S GUIDE TO PEDIATRIC DAY SURGERY PROVIDENCE MEDICAL CENTER ALASKA PEDIATRIC SURGERY 4100 LAKE OTIS PARKWAY SUITE
ALASKA PEDIATRIC SURGERY 4100 LAKE OTIS PARKWAY SUITE 206 929-7337 A PARENT S GUIDE TO PEDIATRIC DAY SURGERY AT PROVIDENCE MEDICAL CENTER Pre- Admission Appointment, Tours and Pre- Registration If pre-
More informationGeneral OR-Stanford-CA-1 revised: Tuesday, February 02, 2016
Stanford University Anesthesiology Residency Program Rotation specific goals and objectives for residents Core Curriculum for PGY 1 Surgery Residents on the Anesthesia Rotation Description: The General
More informationSurgical Technology Patient Care Skills Preop Routine Objectives:
Surgical Technology 8-Jul-09 Patient Care Skills Preop Routine Objectives: 1) Discuss why preop preparation of the patient is important a) Preparing the patient decreases impact and potential risks of
More informationHysterectomy. What is a hysterectomy? How is this procedure done?
Hysterectomy What is a hysterectomy? A hysterectomy is a surgery that removes your uterus (womb). The uterus is one of the organs of the female reproductive system. It is about the size of your closed
More informationUniversity of Massachusetts, Amherst College of Nursing Clinical Makeup Policy
University of Massachusetts, Amherst College of Nursing Clinical Makeup Policy PURPOSE: The University of Massachusetts (UMass), Amherst College of Nursing (CON) is committed to preparing student nurses
More information1. Receives report from EMS and/or outlying facility. 5. Adheres to safety and universal precaution guidelines.
Trauma Nurse Specialist 1. Receives report from EMS and/or outlying facility. 2. Reports to trauma room and signs in. 3. Relays reports to trauma team members. 4. Assists with resuscitation readiness:
More informationEnhanced Recovery Programme
Enhanced Recovery Programme Page 14 Contact details South Tyneside NHS Foundation Trust Harton Lane South Shields Tyne and Wear NE34 0PL For advice please contact ward 1 on 4041001 Or ward 3 on 0191 4041003.
More informationSec Disconnect Go to End Forward Sec Next Report Go To
Effective 3/15/04 escription DICTATION SYSTEM FOR INPATIENT HISTORY & PHYSICALS, DISCHARGE SUMMARIES, DELIVERY (NORMAL) NOTES OPERATIVE REPORTS DIAL 3-4000 LISTEN FOR VERBAL PROMPTS. ENTER: First 5 digits
More informationROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE
ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Kelly Yeh, MD Director of Pediatric Anesthesia Santa Clara Valley Medical Center kelly.yeh@hhs.sccgov.org.,
More informationENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation
Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT
More informationENDOSCOPY ORIENTATION COMPETENCY CLINICAL PLAN PROCEDURE REGISTERED NURSE (RN)
ENDOSCOPY ORIENTATION COMPETENCY CLINICAL PLAN PROCEDURE REGISTERED NURSE (RN) NAME: EMPLOYMENT/TRANSFER DATE: BLS RENEWAL DATE: ALLIANCE ORIENTATION DATE: HOSPITAL ORIENTATION DATE: NURSING ORIENTATION
More informationOne Chance to Get it Right Simulation Scenario 2 End of Life Care at Home
One Chance to Get it Right Simulation Scenario 2 End of Life Care at Home Course lead Course / Curriculum One Chance to Get it Right: Equipping senior health professionals for the challenges of caring
More informationAbout Your Colectomy
UW MEDICINE PATIENT EDUCATION About Your Colectomy How to prepare and what to expect This handout explains a colectomy operation, including how to prepare for surgery, what to expect afterward, recovering
More informationPreparing for Surgery
Preparing for Surgery Patient Education Guide This book is for You should arrive on (date) at (time) 6801 Airport Blvd. Mobile, AL (251) 633-1000 www.providencehospital.org providence hospital It is a
More informationCardio Oesophagectomy
Cardio Oesophagectomy Information for patients Excellent Care with Compassion What is a Cardio - Oesophagectomy? It is the removal of the oesophagus (gullet) where the cancer is situated. Part of the stomach
More informationPreparing for Surgery
Preparing for Surgery Patient Education Guide This book is for You should arrive on (date) at (time) 3801 East Highway 98 Port St. Joe, FL (850) 229-5600 www.sacredheartonthegulf.org Sacred Heart Hospital
More informationSimulation Design Template
Simulation Design Template Date: Spring 2017 Discipline: Nursing Expected Simulation Run Time: 10 mins Location: File Name: Postpartum Hemorrhage (Uterine Atony) Student Level: Maternity Course Guided
More informationUCSD DEPARTMENT OF ANESTHESIOLOGY
UCSD DEPARTMENT OF ANESTHESIOLOGY LEARNING OBJECTIVES FOR POSTANESTHESIA CARE ROTATION, UCSD MEDICAL CENTER I. PATIENT CARE Residents will demonstrate competence in: 1. Placement/Removal of central and
More informationCommunity Health Network, Inc. MEDICAL STAFF POLICIES & PROCEDURES
Community East Community South Community North TITLE: Medical Record Chart Requirements The medical record of care comprises all the data and information about a patient s visit. It functions as both a
More informationHospital-based Care Practitioner- Certified Athletic Trainer (ATC) One year of experience is preferred.
Title: Hospital-based Care Practitioner- Certified Athletic Trainer (ATC) Role Overview: Required Experience: Required Education: Practice Requirements: Prerequisite Skills: As an integral part of the
More informationPreparing for Thoracic Surgery and Recovery
Division of Thoracic Surgery Preparing for Thoracic Surgery and Recovery A Guide for Patients and Families Brigham And Women s/faulkner Hospitals Important Phone Numbers Important Phone Numbers BWH NUMBERS
More informationThe Day of Your TAVR
UW MEDICINE PATIENT EDUCATION The Day of Your TAVR What to expect This handout describes what to expect on the day of your transcatheter aortic valve replacement (TAVR). It includes where to check in at
More informationCRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT
CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT Outreach Objectives To avert or ensure more timely admission to DCCQ To ensure that patients discharged from Critical Care continue to progress
More informationACCOUNT NO. MED. REC. NO. NAME BIRTHDATE ALL ORDERS MUST BE MARKED IN INK WITH A CHECKMARK ( ) TO BE ACTIVE.
PO7071 *PO7071* Page 1 of 5 Weight: kg Height: cm Allergies: Diagnosis Code: Treatment Start Date: Patient to follow up with provider on date: **This plan will expire after 365 days at which time a new
More informationPURPOSE CONTENT OUTLINE. NR324 ADULT HEALTH I Learning Plan. Application of Chamberlain Care Through Experiential Learning
PURPOSE NR324 ADULT HEALTH I Learning Plan This learning plan expands upon the key concepts identified for the course and guide faculty teaching the pre-licensure BSN curriculum in all locations. Readings
More informationLINEE GUIDA PER INFERMIERI PER LA CHIRURGIA AMBULATORIALE NEGLI STATI UNITI
LINEE GUIDA PER INFERMIERI PER LA CHIRURGIA AMBULATORIALE NEGLI STATI UNITI MAIMONIDES MEDICAL CENTER DEPARTMENT OF NURSING PERIOPERATIVE SERVICES PRE-ADMISSION TESTING (P.A.T) I. POLICY: To facilitate
More informationRecognising the Deteriorating Adult Simulation Scenario 3 Chronic Obstructive Pulmonary Disease
Recognising the Deteriorating Adult Simulation Scenario 3 Chronic Obstructive Pulmonary Disease Course lead Colette Laws-Chapman Faculty Course / Curriculum Recognising the Deteriorating Adult Target Delegates
More informationKEY TO INITIALS OF ALL STAFF COMPLETING THIS ICP Print name Designation Initials Signature date
Forename Surname Unit number Address (including Postcode) NHS Lothian Arrived in.unit for procedure Date: & time: GP Address Religion Ethnic Origin Tel. number Next of Kin: /address Tel. number(s):home
More informationCOLON & RECTAL SURGERY, INC.
COLON & RECTAL SURGERY, INC. Please complete attached paperwork and bring to your appointment with your insurance card, co-pay and photo ID. If a referral is required, please be sure to contact your insurance
More informationTotal Knee Replacement
Total Knee Replacement Pre-operative Joint Class Updated: November 2017 Where to Begin Thank you for attending the UNC REX Joint Replacement Class today This presentation is designed to prepare you for
More informationTOTAL HIP REPLACEMENT FLOW SHEET
TOTAL HIP REPLACEMENT FLOW SHEET Before Surgery: Nothing to eat or drink after midnight the night before surgery. Make sure you have a bowel movement the day before surgery. Be sure to attend your pre-op
More informationSubject: Trauma Team Roles and Responsibilities for TRAUMA ACTIVATION patients
UNM Trauma & EM Operational Policies Subject: Trauma Team Roles and Responsibilities for TRAUMA ACTIVATION patients Purpose: To define the roles and responsibilities of personnel responding to trauma activations,
More informationStage 2 GP longitudinal placement learning outcomes
Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health
More informationPatient s Care Path Note: Welcome to Providence Orthopaedic & NeuroSpine TOTAL HIP ARTHROPLASTY. Questions/Concerns. Midlands. Orthopaedics, P.A.
TOTAL HIP ARTHROPLASTY Welcome to Providence Orthopaedic & NeuroSpine Institute. You are scheduled for surgery on your hip. The Care Path is a guide designed to help you and your family know what to expect
More informationThe Day of Your Surgery
The Day of Your Surgery What do I need to do the day of surgery? Take the medications the clinic nurse told you to take with a small sip of water. Brush your teeth or rinse your mouth but spit out all
More informationElective Colorectal Surgery Enhanced Recovery Patient Diary
How can I help reduce healthcare associated infections? Infection control is important to the well-being of our patients and for that reason we have infection control procedures in place. Keeping your
More informationSame Day Admission (in A.M.)
Same Day Admission (in A.M.) Patient Information Booklet Pre-Operative Assessment Clinic Please bring this book to your admission to the Hospital and to all of your appointments For information call 613-721-2000
More informationOpen Hysterectomy Enhanced Recovery (HER) (For elective benign hysterectomy, myomectomy and ovarian/adnexal surgery)
CLINICAL PATHWAY Open Hysterectomy Enhanced Recovery (HER) (For elective benign hysterectomy, myomectomy and ovarian/adnexal surgery) Pre-Admission Unit (PAU) Day of Surgery Pre-op Same Day Admission (SDA)
More informationSubacute Care. 1. Define important words in the chapter. 2. Discuss the types of residents who are in a subacute setting
175 26 Subacute Care 1. Define important words in this chapter 2. Discuss the types of residents who are in a subacute setting 3. List care guidelines for pulse oximetry 4. Describe telemetry and list
More informationSurgical H&P and Consultations Daily Progress Notes and Presentations Post-Operative Notes What should I be doing throughout the day?
Surgical H&P and Consultations Daily Progress Notes and Presentations Post-Operative Notes What should I be doing throughout the day? Surgical H&P s and Consultations For this and all other clerkships,
More informationPatient Controlled Analgesia Guidelines
Patient Controlled Analgesia Guidelines Date: August 2005 Ref : PCD005 Vers : 2 Policy Profile Policy Reference Number PCD005 Version 2 Status Approved Trust Lead Director of Nursing/Acute Pain Team Implementation
More informationUnless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version
Policy No: OP49 Version: 4.0 Name of Policy: Patient Controlled Analgesia in Adult Patients Effective From: 28/11/2017 Date Ratified 21/09/2017 Ratified Medicines Group Review Date 01/09/2019 Sponsor Director
More informationINSTRUCTIONS TO THE PSYCHOMOTOR SKILLS CANDIDATE FOR PATIENT ASSESSMENT/MANAGEMENT MEDICAL
MEDICAL Patient Assessment/Management Medical Essay to Skill Examiners Objectively observing and recording each candidate s performance for feedback. Acting in a professional, unbiased, non-discriminating
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Anesthesia 1. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation.
More informationAnesthesiology 302 Introduction to Anesthesia Goals and Objectives
Anesthesiology 302 Introduction to Anesthesia Goals and Objectives I. The student will be able to perform an appropriate preoperative evaluation, including history, physical exam, and appropriate use of
More informationMIAMI DADE COLLEGE MEDICAL CAMPUS BENJAMIN LEON SCHOOL OF NURSING RN-BSN PROGRAM MANUAL OF CLINICAL PERFORMANCE
MIAMI DADE COLLEGE MEDICAL CAMPUS BENJAMIN LEON SCHOOL OF NURSING RN-BSN PROGRAM MANUAL OF CLINICAL PERFORMANCE 1 INTRODUCTION Welcome to Miami Dade College Bachelor of Science in Nursing Program. The
More informationMONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY
POLICY MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY A policy sets forth the guiding principles for a specified targeted
More informationCNA SEPSIS EDUCATION 2017
CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the
More informationAdmission Record IVF/Gynae
Admission Record IVF/Gynae Surgeon: Operation : of Admission: Please state your full name and date of birth - correct Nurse Checklist Yes No Please tell me your full address - correct Consent form signed,
More informationAdmission Avoidance Course Scenario 6 Infected Pressure Ulcer
Admission Avoidance Course Scenario 6 Infected Pressure Ulcer Course lead Colette Chapman-Laws Faculty Course / Admission Avoidance Target Curriculum Delegates Scenario name Infected Pressure Ulcer Group
More informationTotal Hip Replacement
Total Hip Replacement Pre-operative Joint Class Updated: November 2017 Where to Begin Thank you for attending the UNC REX Joint Replacement Class today This presentation is designed to prepare you for
More informationSUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE
SUNY DOWNSTATE MEDICAL CENTER UNIVERSITY HOSPITAL OF BROOKLYN POLICY AND PROCEDURE Subject: GUIDELINES FOR USE OF THE No. NURSE-17 INTERDISCIPLINARY PLAN OF CARE Page 1 of 5 Prepared by:dianne Woods, RN
More informationCapital Area School of Practical Nursing Fundamentals of Nursing with Medical Terminology Course Syllabus
Course Information: Time: 12:30 4:00 p.m. Theory Contact Hours: 143.5 Instructor Information: Karen Durr RN BSN Office: 217-585-1215 ext. 207 Email: sdurr@caspn.edu Capital Area School of Practical Nursing
More informationMEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER
KINGSTON GENERAL HOSPITAL MEDICATION ADMINISTRATION: BELOW THE DRIP CHAMBER LEARNING GUIDE FOR REGISTERED NURSES AND REGISTERED PRACTICAL NURSES Prepared by: Nursing Education Date: 2001 November Revised:
More informationPatient Diary. Enhanced Recovery After Surgery (ERAS) Total Knee Replacement. Helping patients get better sooner after surgery.
Contact numbers If you need any support or advice before or after surgery please do not hesitate to call us. Claire Ward enhanced recovery nurse (Monday Friday 8-4) 07816448518 Ward 12B 01494426398 How
More informationBossier Parish Community College Master Syllabus
Course Prefix and Number: STEC 101 Credit Hours: 1 Bossier Parish Community College Master Syllabus Course Title: Orientation to Surgical Technology Course Prerequisites: BLGY 110, 120/120L or 224/224L,
More informationOrientation Self-Study Guide Test
Orientation Self-Study Guide Test PRINT Last Name: PRINT First Name: Score: Date: Work Area/Shift: Employee #: 1. Which of the following tasks would be the most appropriate for a registered nurse (RN)
More informationWhat is a Mitrofanoff?
What is a Mitrofanoff? Mitrofanoff is a surgery to make a new pathway from the bladder to the outside of the body. This pathway is used to drain urine from the bladder with a catheter. This may be easier
More informationUnfolding Clinical Reasoning Case Study: STUDENT Sepsis I. Data Collection History of Present Problem: Jean Kelly is an 82 year old woman who has been feeling more fatigued for the last three days and
More informationIf you do not have a chart already created Click Create blank chart to create a new chart. The Dispatch screen will appear
Let s Get Started!!! Click on incomplete chart to finish a previously started chart. Example of Patient Records Page If you do not have a chart already created Click Create blank chart to create a new
More informationCarotid Endarterectomy
P A T IENT INFORMAT ION Carotid Endarterectomy Please bring this book to the hospital on the day of your surgery. CP 16 B (REV 06/2012) THE OTTAWA HOSPITAL Disclaimer This is general information developed
More informationStaff Responsible Procedure Rationale/Reason
Subject: Patient Controlled Analgesia Date: October 2011 UPMC St. Margaret UPMC St. Margaret Harmar Outpatient Center Clinical Practice Council Policy #2005 Overview: To promote appropriate PCA use and
More informationDay Surgery. Patient Information Booklet Pre-Operative Assessment Clinic
Day Surgery Patient Information Booklet Pre-Operative Assessment Clinic Please bring this book to your admission to the Hospital and to all of your appointments For information call 613-721-2000 extension
More informationZ: Perioperative Nursing Specialty
Z: Perioperative Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 263 Major Competency Area: Z Perioperative Nursing Specialty Priority: One Competency: Z-1 HPA Authorizations and
More informationAdmission Avoidance. Scenario 1 Urinary Tract Infection
Admission Avoidance Course Scenario 1 Urinary Tract Infection Course lead Colette Laws-Chapman Faculty Course / Curriculum Admission Avoidance Target Delegates Scenario name Urinary Tract Infection Group
More informationBeth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.
Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard
More informationPROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY
CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.
More informationMinimally Invasive Surgery (MIS) and Open Nephrectomy
P ATIENT INFORMATION Minimally Invasive Surgery (MIS) and Open Nephrectomy (Partial, Radical and Donor) Please bring this book to the hospital on the day of your surgery THE OTTAWA HOSPITAL CP 95 B (03/2013)
More informationNON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM Accreditation Standards. Overnight Stay
NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM NON-HOSPITAL MEDICAL AND SURGICAL FACILITIES ACCREDITATION PROGRAM INTRODUCTION Overnight stay is considered a post-anesthesia level of
More informationPost-operative "Fast-Track" pathways for lung resection. Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic
Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic Surgery Mayo Clinic Post-operative "Fast-Track" pathways for lung resection Dennis A. Wigle Division of Thoracic
More informationMedical Simulation Orientation
Medical Simulation Orientation Familiarization with IMSE s METI ECS Simulation Manikin Getting to know the Simulator Aims and Goals of Orientation To allow participants to familiarize themselves with the
More information