Preparation of Patients to Ensure a Perfect Surgery Journey - Essay Example

? REFLECTION ON CO-ORDINATION AND MANAGEMENT IN PERIOPERATIVE ENVIRONMENT Introduction Surgery is quite subtle and complex therefore, the department requires skilful management, excellent coordination, integrated disciplinary and well directed approach. This article is a reflection of operation theatre coordination and management. It shows the importance of coordination and quality governance in offering complete satisfaction to surgery patients. The reflection is a typical analysis that incorporated different types of operation theatres. This was to develop a fair conclusion which is well balanced. A single theatre would provide biased reflection. Objectives To express my opinion on the situation as far as all operation theatres are concerned, it is an environment that needs excellent team coordination and expertise. My target was to see how this coordination is perfected in all theatre rooms. The article also includes challenges faced by coordinators in the environment. This is what I recorded as the key common things in all theater rooms. 1. Psychological and physiological preparation of patients to ensure a perfect surgery journey 2. The effective, therapeutic, and safe alleviation of patients’ needs is the promotion of soundness evidence based expertise and knowledge 3. The efficacy of immediate patients’ guidance of postoperative care in the desire to reduce chances of uncontrollable complications Reflection The inclusions integrate the initiatives put in place by the relevant authorities to ensure that patients’ needs are observed by meeting 100% satisfaction and protection. Everything was organized; all attendants were rushing to offer their services to related parties. The duty coordination was complete and the delegation was in reference to the job description. The rooms were unmoved giving patients peaceful feelings as they recovered surgery wounds. Description This is a description of what I recorded. Duties were executed in team; these teams are formed in reference to one's discipline and everyone is encompassed within a distinct role. Failure to raise collaboration approach would lead to full distortion of the objectives in these environments. In case of absenteeism, the individuals ensure that a prior notice is given and necessary precautions are taken. The most frequent precautions taken is requesting the other team members to adjust their activity in order to cover up the gap. The coordinator is also in charge of dealing with disciplinary cases such as lateness; both in reporting and execution of duties. I noticed that everyone is extremely punctual. This is because they are all aware that they are dealing with life, which is quite subtle and requires maximum attention. There are different strategies laid down to identify errors and misrepresentations. The governance of the environment is led by professional growth, patient satisfaction, team building, and personal growth. I noticed that effective team coordination is directly related to health improvement and the development of the well being of the workforce, patients’ morbidity, and mortality (Aritzeta, Swailes, and Senior, 2007). Inter-professional team Inter-professional working was the key problem in the environment. This was as a result of lack of staffs. Nurses executed duties outlined to be executed by subordinate staff. At times, the perioperative registered nurses would go ahead and perform some operations. These efficiencies are common in women related surgeries such as delivery surgeries. All in all, they are biding with their codes of ethics “duty to save life.” Theatre conduct All theatres were unique; the atmosphere was highly encouraging, disturbance was negligible, no noise evidence, and teamwork flow was perfect. Communication systems were satisfactory; intranet communications were fixed at the time of construction. The theatre managers also have availed two ordinary nurses to help perioperative nurses. They act as tool women where they are sent when need be. Movement (traffic) 1. Staff movement in operating theater was minimum 2. Theater operating staff entered and left the theatre through indentified door to hider air flow the room. 3. In an operating theater consideration had been established to minimize staff flow Footwear I noticed that all attendants had protective footwear. After a conversation with one of the matrons, she told me that staffs are encouraged to be in closed shoes (Scholes and Vaughan, 2001). Surgical mask I noticed that all operation staffs were on surgical masks. This mask is used to protect patient from bacteria from staff via their breath. It also protected attendants from blood spillage and other operation fluids (Silen-Lipponen, and Tossavainen, 2005). Clinical governance and decision making Health care professional lack action taking and that can be considered as infrastructure absence. Clinical governance emerged as a solution of resolving problems regarding the provision of public health services. In all the theatres, they all delayed in the initial steps. Their force of action was low; this could have resulted from inadequate staffs. Clinical governance should request for back up from the relevant authorities as it is a common problem in key theatres (Silen-Lipponen, and Tossavainen, 2005). Challenges faced by coordinators Coordinators face some key problems regardless of their aims to perfect coordination. A common problem facing their objectives is lack of enough personnel. Long working hours also affect the activity of workers. It would also be favorable to give mandate to chief coordinators to transfer stubborn employees. This is because some employees show negligence in duty execution. After communication with some of the employees, they commented on remuneration. The government and the authorities concerned should be considerate and award them accordingly. People in this environment All practitioners in this field owe patients duty of care; this was clearly shown from the pace used by the attendants. Research utilization highlights different impacts of effective teamwork. I noticed that all level of patient attention significantly depends on the commitments given by the responsible parties including the clinical governance (Silen-Lipponen, and Tossavainen, 2005). Perioperative Nurse Perioperative nurse refers to a specialized nurse in the field of nursing. She is one of the fundamental person surgical operations. She works in collaboration with other member in the team who include circulating nurse, surgeon, anesthesia provider, and surgical assistants. Her key role was providing nursing care to surgical patients, intra operatively, perioperatively, and postoperatively. Meaning that she is responsible of all concerns of surgical patients before an operation is conducted, in the cause of the operation, and after the operation. She also played the role of directing the other nurses in taking care of patients undergoing operations (Roles of the Perioperative Nurse, 2011). Chief Matron This is the person who is in charge of all healthy undertakings in a hospital including the surgical department. I noticed that theatre governance gives this responsibility to women. She is the one who coordinates the nurses and other cleaning crews in making sure that the operation environments is every conducive for patients’ safety. She supervises cleaning operations and at times gives orders and expects them to be followed (Roles of the Perioperative Nurse, 2011). The surgeon This is the key figure in perioperation environments. They are quite experienced in their duty execution; they were an inspiration to me because executed a highly risk task with courage and caution. In case of any fault, fatal complications would arise. They acted like small gods in saving the life of the dying patients (Roles of the Perioperative Nurse, 2011). Literature of this environment The codes and ethics of this environment are keenly followed by all parties. These codes are in an aim of coordinating the individuals in this field. The chief surgeon does not play any administrative roles but ensures that all operations in the environment are excellent. The matron has some administrative roles in sanitary, meals, and other patients’ well-being issues. The chief director of hospitals is the overall head of the administrative operations in the hospital (Jordahl, 1997). Employees’ transferability After having a brief talk with different team members, I gathered information that they employees in this environment are rarely transferred. Transfer occurs once in a while as a result of disciplinary cases. If an individual acts unprofessional, a warning is issued. If the individual fails to improve after a couple of subsequent warnings, a transfer is issued (Fairchild, 1996). After a conversation with the chief director, he told me that he is in charge of evaluating employees’ discipline. Other senior employees also have a duty to report any incompetence actions or disciplinary issues to the director. Transfer authority is not in the hands of the director, but he is the one who recommends them (Perioperative practice, 2010). Critical knowledge gained I gained a lot of knowledge as far as the environment is concerned. Commitment was the greatest inspiration to me. Everyone in the environment acted responsibly; teamwork led to smooth running. Surgeons’ duties taught me that I should face any risky difficulty with courage (Perioperative Outcomes Initiative, 2011). Assessment strategy Observation was the main strategy used to assess the environment; I spent a lot of time observing what was taking place. I also took time surveying the environment and recording the essential items for further comprehension. I also used basic questionnaires in correcting data that needed employees’ views. I used basic questionnaires in comparing operations in different theatres (Masterson, 2002). We spent time talking with nurses and enjoyed each and every bit, they shared their challenges, interests, and views and this facilitated my work (Perioperative practice, 2010). Effects on my future practice In the future, I will prior plan and make different questionnaires in reference to the teams I want to interview. I will also plan my observation so that the information will be balanced; different data collection methodologies will provide fair data. I will expand the target groups by comparing operations from theatres located in different regions. This will help in drawing fair conclusions as the data involved is rounded. Subordinate teams will also be incorporated in my future reflections (Silen-Lipponen, and Tossavainen, 2005). Summative assessment This is an environment that without team work, nothing constructive can be done. There was excellent corporation, coordination, and delegation of duties. It is a practical example to illustrate the fruits of teamwork and skilful governance (Perioperative Outcomes Initiative, 2011). Conclusion This paper has clearly portrayed activities taking place in perioperation environments; duties played by individual team members and how the administrative roles are executed in the environment. It is a lesson to many. It teaches us the importance of coordination, commitment, proficiency, and teamwork. My request goes to the government; it should work hand in hand with Hospital management teams to ensure that enough staffs are recruited. This will reduce over working employees which at times leads to poor services. References Jordahl, K. A., (1997). Designing an OR procedure book for small health care facilities, AORN Journal (October 1997), Vol 66, N°4, 696-696 Aritzeta. A. Swailes, S. and Senior, B., (2007). Belbin’s team role model: development, validity and applications for team building. Journal of Management Studies 44, 96–118. Fairchild, S. S., (1996). Perioperative nursing: principles and practice (2nd edn). Lippincott, Williams and Wilkins: Boston. Masterson, A., (2002). Cross-boundary working: a macro-political analysis of the impact on professional roles. Journal of Clinical Nursing 11(3), 331–9. National Assembly for Wales (2001). Clinical Governance: a tool kit for Clinical Teams. NAfW: Cardiff. Scholes J, Vaughan B., (2001). Cross-boundary working: implications for the multiprofessional team. Journal of Clinical Nursing 11(3), 399–408. Silen-Lipponen M, Tossavainen K, Turunen H, et al. (2005). Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. International Journal of Nursing Practice 11, 21–32. Roles of the Perioperative Nurse, (2011). Retrieved on 25th November, available at: http://www.aorn.org/CareerCenter/CareerDevelopment/RoleOfThePerioperativeNurse/ Perioperative Outcomes Initiative, (2011). Retrieved on 25th November, available at: http://poi-cqi.org/coordinating-center Perioperative practice, (2010). Chapter 1. Retrieved on 25th November, available at: http://fds.oup.com/www.oup.com/pdf/13/9780199239641_chapter1.pdf Read More