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A Day in the Life of a Surgery Nurse in the Operating Room (OR)

EARN Cares

Properly and safely positioning the patient for surgery to adequately expose the surgical site while preventing injuries and falls. Leading and participating in the official surgical time out to verify the correct patient, correct surgery, on the correct site, with all available supplies and instruments.

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WHAT ANESTHESIOLOGISTS DO… AN EXAMPLE ANESTHETIC

The Anesthesia Consultant

An anesthesia machine, with the vital signs monitor screen on the left, and the electronic medical records computer screen on the right. His vital signs are heart rate = 100, BP = 150/80, respiratory rate = 20 breaths/minute, oxygen saturation 95% on room air, and temperature 100.2 Dr. A meets Mr. Doe and interviews him.

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HANGOVER AFTER GENERAL ANESTHESIA

The Anesthesia Consultant

Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vital signs (i.e. Additional IV narcotics can be added post-extubation if the patient complains of significant pain. A patient’s weight can be misleading.

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WHEN SURGEONS, OR PATIENTS, TRY TO TELL THE ANESTHESIOLOGIST WHAT TO DO — 14 EXAMPLES

The Anesthesia Consultant

The surgeon intends to supplement your intravenous (IV) sedation with local anesthetic at the surgical site. His vital signs are normal, with a respiratory rate of 12 breaths per minute. Because he’s been medicated, the option of having him sign a consent and performing a femoral nerve block now is out of the question.

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EXTUBATION IS RISKY BUSINESS. WHY THE CONCLUSION OF GENERAL ANESTHESIA CAN BE A CRITICAL EVENT

The Anesthesia Consultant

The patient’s vital signs remained normal and the ET tube was removed. The patient is going to rip their sutures out or have bleeding from the surgical site.” The anesthesiologist inserted a suction catheter into her mouth to remove the vomitus. The lung examination with a stethoscope confirmed normal breath sounds.

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TEN COMMANDMENTS OF ANESTHESIA

The Anesthesia Consultant

You learn to inject propofol and intubate a patient in the first few months, but its a lifetime journey to master the medical aspects of evaluating and treating the heart, lungs, brain, kidneys and vital signs during anesthesia care. The goal is to be a perioperative (around the time of operation) doctor, not a technician.

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Surgical Data Integration vs. Operating Room Integration

Caresyntax

Data points are constantly being collected throughout the surgical continuum, such as: Electronic medical records. Pre- and post-operative vital signs. Surgical instrument usage and patterns. Pre-operative consultation findings. Video and imaging data. Anesthesia risk data. Diagnostic test results.