Professionalism
National Pt Safety Goals
Identify patients correctly
Improve staff communication
Use medicines safely
Use alarms safely
pre-op RN main role
Making sure pre-op checklist is complete
Signs and symptoms of PNA
Sudden onset fever, chills, diaphoresis, flushing
Tachycardia
Tachypnea and Dyspnea
Productive or NP cough
Pleuritic chest pain
Fatigue
Signs of a PE?
Dyspnea, tachypnea and air hunger
Sharp stabbing pain with inspiration
Tachycardia and hypotension
Sense of impending doom, anxiety
how to prevent respiratory post op complications
I/S, cough and deep breathe, ambulation
What makes a good team?
communication, valuing everyone's expertise, support
Name band has all correct information
Surgeon name
Procedure being done
Correct site of body is verified
a way to prevent PNA in vulnerable populations
PNA vaccine
Diagnostics for PE
D-dimer
Signs of an incison infection?
Green drainage, warmth, redness, edema, foul smelling
rules of delegation
Right Task
Right circumstance
Right Person
Right directions and communication
Right Supervision and Evaluation
Who obtains informed consent?
Surgeon- solely responsible for obtaining consent prior to pt having any pain meds or anesthesia
types of PNA
Community Acquired (CAP)
MRSA CAP
Hospital Acquired
Antidote for heparin
Protamine Sulfate
Priority assessment in PACU
Airway
what is civility?
treating one another with respect in order to improve teamwork and protect patient safety
Pre-op Labs/tests to be checked
Urinalysis
Blood type and screen
CBC- fluid status, anemia, infection
Pregnancy test
Clotting studies-PT, INR, PTT
Electrolytes- any imbalances?
BUN/CRE
Chest Xray- heart and lung status
12 lead EKG
Elevated WBC, electrolytes, ABGS
Treatment for pleural effusion
Diuretics, thoracentesis
Discharge teaching
when to return to MD,
signs of infection,
activity restrictions,
pain management
Examples of poor civility
Bullying
Gossiping
No teamwork
Pre-op Patient teaching
pain management, d/c instructions, how to prevent complications
How does an elderly patient present with PNA or hypoxia?
Confusion
Signs and symptoms of a Pleural Effusion
Dyspnea
Use of accessory muscles
Unequal chest
Diminished breath sounds
Respiration Rate