Day Surgery

Learning Report

1) Required to assess the patient and resources, plan for the scheduled surgery and postdischarge care, implement the plan, and evaluate the patient's and family's understanding of the information and their ability to provide for self-care at home in as little as 2 hours. 

2) I saw pictures of different endoscopies that have preformed at MMH. An Endocope is an instrument that can be introduced into the body to give a view of its internal parts.

3) The best thing that happened was that I got see different endoscopes that have been done, and I got to see the beginning of the admission process for surgery to take place.

4) The worst thing happened was that majority of the time I sat there. 

5) There was mistake.

6) This week: Bad- It was bad, because I literally had to ask the nurse if I could come in and observe. I sat there from the beinning to the last part of the experience. 

Experience Report

1) The technology I observed was the charting of different patients. Then on one of the walls there was a t.v. that had a list of all the surgerys witht he case number, OR in or out, and then post-op in or out. Also, the nurse admiting the patient. 

2) For diagnostic proedures, there were some OR nurses waiting to go into surgery, and they were reading up on their patient to see how much of each medication to give, if they signed the treatment form, they know the surgery and what. The anastegolist would read up to see how much to give, and then get the correct amount. 

3) For therapeutic produres, the nurse who I finally got to follow made sure that the patient knew exactly what the procedure was going to be, and then she also inserted an IV.

4) The patient had previous surgies. He had a broken his leg, which has a rod in which had happened several years ago.

5)  No abbreviations or medical terminology used.

Journal 

   When I arrived on the floor everything was very organized and clean. There were separate rooms that were small, and a hospital bed and a 1 chair for a family member to be there. There were proper medical things that were in there, like fluids and other things. The personnel ignored me, and it was like I wasn't even there. When I went to the nurses station and introduced myself, and everything. In response to me, I got, "here is a chair and a book." I thought was very rude. They continued their shifts, and it seemed like they didn't even know I was there.
   The staff was not straight up rude, but did ignored me. They went on their day, with charting and calling and scheduling opperations. Communication between the staff was very friendly, and you could tell that several of them are very good friends. The communication between staff and patient was warm and welcoming. The nurse that I watched was very welcoming. She didn't just go through all the steps, but also asked them personal questions and family questions. The diagnostic procedures were very simple. The operating nurses came and read their patients file and made sure everything was covered. Diagnostic prodcures, the nurse that I followed input an IV, so the patient could have fluids running through his body. 
   I learned the steps of how to admit a patient, and go through the pre-surgery questions and checking of everything. They really made the patient seem warm and welcomed. They asked some personal questions, plus asked if he knew what the surgery was, and was asked to expain it back to her, things like that. 
   The time I had was not that great, because of the personal. I didn't expect anything going on to the unit, but I was kinda disappointed by the way they treated me indirectly. I want to learn, and even if it's taking vital signs I want to learn. This someting I am passionate about and I want to know more. I don't think it's that hard to show me around and let me know things that happen on the floor, instead of me showing a book.