Type of paper:Â | Essay |
Categories:Â | Medicine Surgery Profession Communication skills |
Pages: | 4 |
Wordcount: | 1033 words |
Requirements for Undertaking a Detailed and Sensitive Assessment
Following my 20 weeks of practical placement as an Operating Department Practitioner, I have affirmed that it is vital for a patient to sign a well-detailed consent form before he/she undergoes surgery. According to the Five Steps to Safer Surgery, which is a summary of the NPSA (National Patient Safety Agency) guidelines, the patient bears the most significant risk in the operating procedure, for if anything wrong with the operating process, he/she could potentially lose their life (Institute for Clinical Systems Improvement, 2009). Formal consent from the patient (or a caregiver) is not a new element in surgery. It ensures that the whole process is formalized and that the patient is aware of what medics intend to do beforehand. Patient inclusion in this manner requires personal effort by the surgeon to inform the patient of the procedures to be done on him/her (Green, Ervine, and White 2002). This is a crucial preoperative process.
The WHO Surgical Safety Checklist is a simplified approach, intended to increase the safety of surgical procedures by ensuring the whole operating team (specialists, Anaesthesia providers, and nurses) are at the same information level before surgery begins. The Checklist is meant to affirm that all essential safety steps are consistently followed for every surgery (WHO, 2014). Albeit many of the steps in the guideline are already standard practice in many healthcare institutions, it was established by WHO that the measures are necessary to increase efficiency and consistency across medical institutions worldwide. The measures include briefing, sign in, time out, sign out, and debriefing (WHO, 2014).
Impact, Role and Interpersonal Skills of ODP and Multidisciplinary Team
An operating department practitioner (ODP) plays a crucial role in the operating theatre team. He/she is responsible for providing high quality and standard care to patients of all ages, in every phase of their operation. Also, some of the interpersonal skills of an ODP include; they should be able to work as part of a team. Second, they should have excellent organizational and problem-solving skills. Third, they should be caring and companionate. Fourth, they should have a long concentration span. ODP plays an essential role in the surgical team. They offer continuous care of the patient throughout the implementation, promotion, and evaluation of the dignity and patients safety during the surgical procedure.
Similarly, the role of the multidisciplinary team is to help in the enhancement of activities after a functional ability, social and psychological health, and after surgical intervention. Some of the interpersonal skills attributed to being part of a multidisciplinary team include; first, they should possess assertiveness. Second, they need to be active listeners and can understand what the patient is communicating. Third, they must possess perfect negotiation skills, which allow a person to reach concession in a problematic situation. These qualities are crucial both in an Anaesthetic as well as operational plans.
Effect of Disease and Trauma on Surgical Process
Consider the scenario of Mr Giovanni, a Jehovah Witness believer. He is a 69-year-old man who has type 1 diabetes and early onset dementia. He has recently been admitted to the hospital for left above knee amputation. Amputation is simply the removal of a limb by surgery, trauma, or medical illness ((McCance & Huether 2014). Since amputating a person is a complicated surgical procedure, proper surgical measures need to be taken to contain the pain or the diseases process in the affected limb. Such a condition, therefore, has a significant influence on surgical interventions. Amputation results into permanent disability and this may, in turn, affect Mr Giovanni's; self-care, image, mobility, and in most cases, it may result in trauma. Due to this reason, medical practitioners need to take Mr Giovanni through rehabilitation, before, and after the surgical operation during the severe treatment stage. As the condition of Mr Giovanni improves, they need to take him through a more intensive rehabilitation program to help him cope with his new way of life. Since this is an intense procedure, Mr Giovanni will have to be administered with Anaesthesia before the surgical procedure.
Anaesthesia is one of the critical components of any surgical procedure. If delivered in insufficient doses, then the patient will be under a lot of pain/discomfort during and after a surgical procedure. If given in excess dosage, then it may lead to the death of the patient (AAGBI, 2012). Anaesthetists of Great Britain and Ireland (AAGBI), the Australian and New Zealand College of Anesthetists, American Society of Anesthesiologists, and the World Federation of Societies of Anesthesiologists have all created policies in the administration of Anaesthesia. It is vital to inspect anaesthetic machines against the manufacturer's guidelines to ensure that the machine functions as pre-programmed. A checklist of the checks performed before the surgery should be kept for formal purposes.
Conclusion
There is a global accord that a program approach is required to handle persistent healthcare matters. This depends on crafted by British analyst James Reason, who inferred that security disappointments are never brought about by disconnected mistakes, with most mishaps coming about because of numerous, littler blunders in conditions with certain hidden defects (Woodhead & Wicker 2005). Reason portrayed this as the 'Swiss Cheese Model' and pushed that associations ought to recognize the individual openings inside their frameworks and make changes to both therapists the size of the gaps and make enough cover, so the differences don't adjust.
References
Accreditation Council for Graduate Medical Education, 2011. Accreditation Council for Graduate Medical Education Common Program Requirements.
Association of Anaesthetists of Great Britain and Ireland (2012), Checking Anaesthetic Equipment. Institute for Clinical Systems Improvement. Health care protocol: prevention of unintentionally retained foreign objects during vaginal deliveries. 3rd ed. Bloomington (MN): ICSI; 2009.
Health and Safety Executive (UK). Human factors: fatigue. The Joint Commission. National patient safety goals (NPSG) (2010). CAMH for hospitals: the official handbook. Oakbrook Terrace (IL) PP. 90-101.
WHO (2014), Safe Surgery Saves Lives Frequently Asked Questions.
Women's Health Care Physicians (2014), Patient Safety in the Surgical Environment.
Green, D., Ervine, M. and White, S., 2002. Fundamentals of Perioperative Management. Cambridge University Press.
Woodhead, K. and Wicker, P., 2005. A textbook of perioperative care. Elsevier Health Sciences.
McCance, K.L. and Huether, S.E., 2014. Pathophysiology: The biologic basis for disease in adults and children. Elsevier Health Sciences.
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