My clinical rotation this week in operation room
Please follow the rubric to write an observation paper
1- TIME OUT is immediately before surgery procedure to ensure correct patient identity, correct scheduled procedure, and correct Surgical site marking. It start before procedure the nurse do it and all surgical team in and anesthesiologist.
correct patient positioning
please read about and cover that in my paper.
2- Safety :
the scrub tech and nurse will count out loud all of the materials. The nurse writes these numbers on a board,
Use Sterile technique during the surgery
Time out before start procedure..
Identify pt by his name and date of birth. And the ID band in his or her hand.
Allergy and any medication before the surgery
Patient’s had the operation site marked for surgery
Three consents one for procedure, one for anesthsea, one for if need blood transfusion.
You can search and see if there is other than what I observe. You should cover at least 5.
Priority nursing diagnosis.: you should write like that my nursing diagnosis
Ineffective tissue perfusion related to surgical procedure as eviedence by BP 100/67, and patient has dranage on the surgical site.
My goal patient will verbalized f by 16:30, 09/25/19.
The intervention: Monitor vital signs. Note color, warmth, capillary refill. Inspect dressing for excess drainage or bleeding or leak of CSF. Monitor intake and out put.
Can you make me one of the ethical dilemma
Personal experience : I am so excited to see the procedure. Also, I like the operation team how work with each other to do their work as best, also I like how scurb nurse and circulation nurse colleprate with each other to make pt safety and not break the sterile filed. I observe three surgery one was about cerebral angiogram the patien female 78 years old intubation and she had drange 100ml. the second c5-6 arthoplasy. replace a damaged spinal disc in the neck with an artificial disc . he was Male 34 years old, the last one was lumbar spinal fusion female 67 years. You can add from your own
Please follow the APA format use two peer reviewed nursing journal articales less than 5 years. follow the rubric that i attach it and i attach my friends paper do as them but not copy their work.
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Questions 19352717
/in Uncategorized /by developercan you please write an observation paper on pre operation room. and please follow the rubric also i attach sample of my friend work please try to do as her
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My clinical rotation for this week is preoperation room. I saw many patients the floor was so busy in the morning. One of the case that I saw 64 years female, she came for Esophagogastroduoddenoscopy. She has history of HTN, hypothyroidism. Consent in, she took her medication for hypothoidism today and she is NPO midnight, and she stop asprin 14/09/2019. Her vital signs is TEM 97.2, pulse 79, BP 162/89, respiratory 20. O2 98%. The nurse ask pt about her name date of birth. And she ask about allergy, procedure and who is the doctor, also, when NPO, what medication she took and when the last time. Then she ask the pt to change dress. Then inserte the IV with the fluid. Bed in lower position and call light with pt. Also take three consent from pt one for procedure one of anthesea and one for blood. Also ask pt to remove the jowlary and glass and dentior. And check the lab result if any abnormality and inform thr surgon and anethesea. Then give hand off report to OR nurse . note in the perioperation no time out only for some surgery.
My nursing diagnosis is
Fear and anxiety related to procedure as evidence by pt verbalize she is restless and not sleep two night and her Bp 162/89.
My goal is
Patien will able to report decrease anxiety and fear and blood decrease to normal level by 1122on 09/18/2019.
Intervention:
Explain the procedure to the pt, answer her questions, put her in comfortable position.
Goal met patent relax and she said feel better and anxiety decrease and I check her BP 128/80) this what i see and you can add more intervention and please follow each suction in rubric
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Questions 19353477
/in Uncategorized /by developerPhase 1: Asking Questions
Evidence based practice begins with asking questions. Have you ever wondered why a certain procedure or process is done a certain way? Have you ever wondered why a certain procedure or process is done instead of a different one? Have you ever wondered if something could be done more efficiently or safer? Have you ever wondered if something more could have been done for your patient before they were discharged? These are all good questions and great places to begin. Phase 1 will be a brainstorming session, you will explore and look at some questions you may have had in the past or some you may have now. Next you will explore your question to see if there is enough evidence to support your question. If you cannot find enough evidence to support your question, you may have just thought of a good research question, however, it might not be the best question for the evidence-based practice project. Remember, EBP is looking at existing evidence and research along with clinical expertise and patient preferences to support our practice, whereas research is a systematic scientific process that leads to new knowledge.
Instructions
Within your group discuss your interest as a nurse. Discuss questions you had or have as a student nurse, write down these questions and ideas. Consider the significance your question has to nursing and the potential impact your project could make. Research your questions and thoughts. Determine if your question could be a good question for this project. Determine if the issue has been addressed either through research or through EBP projects. You may need to revise your question or develop new questions. Finalize your question and be prepared to explain the rationale behind your question and why it would be a good question for the project.
Resources:
Nursing Research (LoBiondo-Wood & Haber), Chapter 1, pg. 49-50, pg. 389
The Agency for Healthcare Research and Quality, AHRQ: www.ahrq.gov (Links to an external site.)
The National Guideline Clearinghouse, NGC: www.guideline.gov (Links to an external site.)
(Links to an external site.)The Joanna Briggs Institute: www.joannabriggs.org (Links to an external site.)
Sigma Theta Tau International, STTI: www.nursingsociety.org (Links to an external site.)
(Links to an external site.)Patty Hanks Shelton School of Nursing, PHSSN: library resources
Once you have found a good clinical question you will put that question in the PICO Question format. The PICO(T) model is the most commonly used model to frame EBP clinical questions. The PICO model helps to focus your question and research to enable you to find relevant research and evidence that can be applied to nursing practice. Please take some time to review the PICO(T) model and some examples.
P: Patient Population/Patient condition
I: Intervention
C: Comparison
O: Outcome
T: Time
Click on the link below for a resource for developing PICOT questions and examples:
PICO Guide (Links to an external site.)
please find me three questions and explain as instruction above. ” my class is nursing resarch and theory
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Questions 19359291
/in Uncategorized /by developerEvidence based practice begins with asking questions. Have you ever wondered why a certain procedure or process is done a certain way? Have you ever wondered why a certain procedure or process is done instead of a different one? Have you ever wondered if something could be done more efficiently or safer? Have you ever wondered if something more could have been done for your patient before they were discharged? These are all good questions and great places to begin. Phase 1 will be a brainstorming session, you will explore and look at some questions you may have had in the past or some you may have now. Next you will explore your question to see if there is enough evidence to support your question. If you cannot find enough evidence to support your question, you may have just thought of a good research question, however, it might not be the best question for the evidence-based practice project. Remember, EBP is looking at existing evidence and research along with clinical expertise and patient preferences to support our practice, whereas research is a systematic scientific process that leads to new knowledge.
Instructions
Within your group discuss your interest as a nurse. Discuss questions you had or have as a student nurse, write down these questions and ideas. Consider the significance your question has to nursing and the potential impact your project could make. Research your questions and thoughts. Determine if your question could be a good question for this project. Determine if the issue has been addressed either through research or through EBP projects. You may need to revise your question or develop new questions. Finalize your question and be prepared to explain the rationale behind your question and why it would be a good question for the project.
Resources:
Nursing Research (LoBiondo-Wood & Haber), Chapter 1, pg. 49-50, pg. 389
The Agency for Healthcare Research and Quality, AHRQ: www.ahrq.gov (Links to an external site.)
The National Guideline Clearinghouse, NGC: www.guideline.gov (Links to an external site.)
(Links to an external site.)The Joanna Briggs Institute: www.joannabriggs.org (Links to an external site.)
Sigma Theta Tau International, STTI: www.nursingsociety.org (Links to an external site.)
(Links to an external site.)Patty Hanks Shelton School of Nursing, PHSSN: library resources
Once you have found a good clinical question you will put that question in the PICO Question format. The PICO(T) model is the most commonly used model to frame EBP clinical questions. The PICO model helps to focus your question and research to enable you to find relevant research and evidence that can be applied to nursing practice. Please take some time to review the PICO(T) model and some examples.
P: Patient Population/Patient condition
I: Intervention
C: Comparison
O: Outcome
i need just 2 question to discuss them with my group for phase one.
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Questions 19361037
/in Uncategorized /by developerMy clinical rotation this week in operation room
Please follow the rubric to write an observation paper
1- TIME OUT is immediately before surgery procedure to ensure correct patient identity, correct scheduled procedure, and correct Surgical site marking. It start before procedure the nurse do it and all surgical team in and anesthesiologist.
correct patient positioning
please read about and cover that in my paper.
2- Safety :
the scrub tech and nurse will count out loud all of the materials. The nurse writes these numbers on a board,
Use Sterile technique during the surgery
Time out before start procedure..
Identify pt by his name and date of birth. And the ID band in his or her hand.
Allergy and any medication before the surgery
Patient’s had the operation site marked for surgery
Three consents one for procedure, one for anesthsea, one for if need blood transfusion.
You can search and see if there is other than what I observe. You should cover at least 5.
Priority nursing diagnosis.: you should write like that my nursing diagnosis
Ineffective tissue perfusion related to surgical procedure as eviedence by BP 100/67, and patient has dranage on the surgical site.
My goal patient will verbalized f by 16:30, 09/25/19.
The intervention: Monitor vital signs. Note color, warmth, capillary refill. Inspect dressing for excess drainage or bleeding or leak of CSF. Monitor intake and out put.
Can you make me one of the ethical dilemma
Personal experience : I am so excited to see the procedure. Also, I like the operation team how work with each other to do their work as best, also I like how scurb nurse and circulation nurse colleprate with each other to make pt safety and not break the sterile filed. I observe three surgery one was about cerebral angiogram the patien female 78 years old intubation and she had drange 100ml. the second c5-6 arthoplasy. replace a damaged spinal disc in the neck with an artificial disc . he was Male 34 years old, the last one was lumbar spinal fusion female 67 years. You can add from your own
Please follow the APA format use two peer reviewed nursing journal articales less than 5 years. follow the rubric that i attach it and i attach my friends paper do as them but not copy their work.
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Questions 19364741
/in Uncategorized /by developerQualitative Research Article Critique
For this assignment you will choose a qualitative research article, I recommend you find something that is interesting to you. The article should be published within the last five years, if you find a good article older than five years I can review it and you may potentially use the article. Please follow the rubric to critique the article. Please look at the longer description on the rubric. Your critique of qualitative research will be different than a quantitative research critique, you will be looking for different things. You will be identifying key elements of qualitative research as well as appraising the trustworthiness of the study. Your critique should be 3-5 pages in length. Please use APA format. Please cite your resources, I will be using your citation to look up your articles so you will not need to submit a copy of the article to me.
Qualitative Research Article Critique
Qualitative Research Article Critique
Criteria Ratings Pts This criterion is linked to a Learning Outcome Critiques method,phenomenon of interest and purpose What qualitative method is used? What is the justification of using the qualitative method? What is the phenomenon of interest, is it clearly identified? What is the purpose of the study and it’s significance to nursing?
1.0 pts
This criterion is linked to a Learning Outcome Critiques, sampling, data collection, and data analysis Is the method to collect data compatible with the purpose of the research? Is it adequate? Is the study completed according to the methods described? Is the sample appropriate? Is the participants and setting described adequately? Is the data collection focused on the human experience? Are data collection strategies described? Is data sufficient, was data saturation achieved and described? What strategies were used to analysis the data, was the researcher true to the data? Is there a logical connection between the data and the analysis?
1.0 pts
This criterion is linked to a Learning Outcome Critiques research ethical considerations IRB approval? Were participants fully informed, was informed consent obtained? Were participants autonomy and confidentiality protected? Were there any other ethical issues to be considered?
0.5 pts
This criterion is linked to a Learning Outcome Critiques study findings, conclusions and trustworthiness Are findings described in context? Are you able to apprehend the essence of the experience from the study? Are findings true to data? Was there existing literature on the topic? If so is the study placed in context to current literature? Is the significance of the study to nursing addressed? Are there recommendations for future studies? Address credibility, auditability, and transferability
2.0 pts
This criterion is linked to a Learning Outcome Format, grammar, and quality •Organizes paper such that reader can follow student’s argument. •Uses articles (evidence) to support your critique. •Research articles published within the last five years. •Appropriate APA format.
0.5 pts
Total Points: 5.0
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Questions 19383151
/in Uncategorized /by developeri need to write reflection paper about Hospice and follow the rubric
Hospice is relationships with end of life patients.
During my time
I went last week to hospice and at the early morning I attended to nursing meeting they are discussed the patients health care and how are they doing after that I went with my nurse to visit two small town near to my city. we visited nursing home there are two patient in each home assignment for my nurse the nurse take their vital signs and ask the nursing home about their health and how they feels one of the patient was very sick and he has difficult breathing his extremity cold and pale he is at the end of his life. and he has GI bleeding and rectal bleeding the nurse hospice nurse ask the home nurse to keep him NPO also we went to the home health nursing in Clyde city to visit the patient he was sleeping and the nurse assessed him. also I saw one patient pass away and their family called the nurse while we are in the way and the nurse responded fast and Changed her direction to see this patient first he was diagnosed with end stage of cancer and he has history of COPD and DM and Hypertension and I observed how the nurse did the assessment and support the family of death patient. after that she called the funeral home to take the die patient
the diseases like end stage of renal disease, lung cancer, alzahimer,demintia,….
in the hospice there are interdisplary staff are nurses social worker, aid service, volunteer, chapel faith, pharmacy,
the visit according to patient’s health status some of them need three days on the week some one day
the nurse took the medications for the patient from hospice before she leave. like pain medication and she took dressing
that what happen with me during my rotation you can read more about hospice in Abilene tx and write two pages reflection paper cover all the points in rubric. thank you.
and don’t forget APA format.
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Questions 19399305
/in Uncategorized /by developerThe page you’re looking for is not found!Blog ArchiveCopyright © 2019 HomeworkMarket.com Read More
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Questions 19417967
/in Uncategorized /by developeruse this article an do what i need in the attachment paper
Bae, S. H., & Fabry, D. (2014). Assessing the relationships between nurse work hours/overtime and nurse and patient outcomes: systematic literature review. Nursing outlook, 62(2), 138-156.
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Questions 19423223
/in Uncategorized /by developerWhat type of research is most valuable to the nursing profession, Qualitative or quantitative. Support your argument.
The initial reply should be 200 words and should include at least one peer-reviewed journal article reference
this is discussion question for class nursing theory and research
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Questions 19445757
/in Uncategorized /by developerOutcomes and Putting it all Together
During this phase you will evaluate what you have discovered through your evidence and literature search. It is a time of putting it all together and making sense of what the evidence tells us. Somethings to consider are as follows. Consider if the literature supported your question or not. If it did not support your question it is okay, you simply have to objectively report your findings. Consider the outcome identified in your PICO question, based on the evidence will your intervention lead to that outcome? Consider if your work was implemented into practice, how would you measure the success or desired outcome? When you think of a method of measurement remember what we have learned in regards to validity of measurements.
Instructions
Evaluate the evidence found through your literature search. This will be a collaborative effort as you all have an article you critiqued. I encourage you to take advantage of your group site here on Canvas. You will need to summarize the findings of your search and evaluate it. Next, establish your recommendations for practice. Please include strong rationale based on the evidence found. If there is a recommendation for implementation into practice, include a method of evaluation. How will you measure the success of the intervention. Finally, you will begin to put all of this information down. You will be building a Power Point Presentation and a Professional Poster.
Learning Activity
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