Competency of student nurses in the operating room Essay Example for Free

Competency of student nurses in the operating room EssayLEGEND4-Competent (Student performs consistently in an effective and expeditious manner) 3-Progress Acceptable ( execution of instrument is usually effective and efficient but not always) 2-Needs value (progress in performance is too slow to judge satisfactorily task performance is not done congruously for majority of the time0 1-Progress Unacceptable (no progress in performance has been demonstrated and/ or performance is consistently ineffective and inefficient)CORE capabilitySCOREREMARKSA. safe and quality nursing look at1. utilizes the nursing process in the care of OR leaf nodea. Obtains comprehensive lymph nodes training by checking complete accomplishment of the preoperative checklist/ clients chartb. Identifies priority needs of the client at the Operating Roomc. Provides needed nursing interventions found on identified needsd. supervises clients responses to surgery2. Promotes safety and comfort of patients i nside the ORa. Transports client safely from the unit to ORb. Transfer client safely from the stretcher to OR bed, OR bed to stretcher, stretcher to RR bed (e.g. use of side rails)c. Places properly grounding pad under the patient for electro-operative equipmentd. Monitor vital signse. Provides physical comfort utilizing comfort devices/ techniquesf. Provides needed blankets and sheets to prevent hypothermia and provide privacyg. Assist in proper and safe positioning of clients in breeding for surgeryh. Observes the principles of strict surgical aseptic techniques within the work area at all timesi. Observes universal precautions in handling body fluids3. Performs the functions of the inscribe nursea. Drapes the operative field correctlyb. Performs surgical strike down correctlyc. Dons surgical gowns and gloves correctlyd. Serves gowns, gloves and drapes asepticallye. inclined(p) surgical instruments, sponges, sutures and other supplies in functional transcriptionf. give ways instruments, sponges, sutures and other materials according to surgeons preferenceg. Performs surgical count accuratelyh. Performs after care of the surgical instruments4. Performs the functions of the circulating nursea. Prepared the surgical table and all needed equipment and supplies for surgeryb. Assist the anesthesiologist in the induction of anesthesiac. Performs the surgical skin preparation of the clientd. Checks with the scrub nurse the completeness of surgical sponges, needles and instrumentse. Anticipates the needs of the surgical teamf. Ensures intactness and functionality of all contraptions ( e.g. IVF BT IFC NGT)g. Helps in the after care of all equipment and the OR as a wholeh. Hand additional instruments and supplies aseptically as neededi. Check sheet integrity and sterility of OR packsi.1. Sets up the OR Room needed equipmenti.2. Receives client for surgery/ endorses client post-operatively i.3. Assists in skin preparation and draping of client5. Administer medicat ions and other health therapeutics safely6. Executes legal orders of the surgeon/ anesthesiologist accurately and timely7. Evaluates patients response to interventions8. Monitors patients progress during surgery and immediate post-op phaseB. Management of resources and environment1. Ensures availability, completeness and functionality of OR equipments2. Observes protocols in unrestricted, semi-restricted and restricted areas in the OR3. Performs proper disinfection and sterilization protocols4. Observes proper disposal of hazardous and non hazardous wastes. Observes proper handling and up keeping of OR resources5. Observes OR policies, procedures and protocols on infection control6. Conducts inventory of OR resources7. knowingness of the institutional evacuation and location plan both for fire, earthquake and other major emergencies.C. Health Education1. Implements appropriate health education activities to client based on needs assessment of the intra-operative client2. Reinforces pre-operative health teachings to clientD. Legal Responsibility1. Adheres to legal and institutional protocols regarding informed consent and other legal documentsE. Ethico- moralistic Responsibility1. Respects the rights of the OR client2. Accepts responsibility and accountability for own decision and actions as an OR nurse3. Maintains privacy and confidentiality of clients schooling4. Adheres to the Code of Ethics for NursesF. Personal and Professional Development1. Performs OR functions and according to professional standards2. Possesses positive attitude towards learning surgical and OR-related knowledge and skillsG. Quality Improvement1. Reports significant actual or potential observations regarding the surgical client2. Reports positive or negative variances at the OR3. Identifies and reports variances in sterility and other OR activitiesH. Research1. Disseminates results of OR-related research findings to clinical group and other members of the OR team as appropriateI. Reco rds Management1. Maintain legible, accurate and updated documentation of patient care in the chart/ and OR dorms2. Submits timely, complete an accurate surgical slips and Or write-ups for cases handledJ. Communication1. Utilizes therapeutic communication skills with patients, significant others and members of the health team2. Establishes professional relationships with members of the surgical/ health team3. Utilizes proper channel of communication4. Observes complete and accurate endorsement procedures5. Uses appropriate information mechanism to facilitate communication inside the OR and with other departments in the hospitalK. Collaboration and Teamwork1. Collaborates plan of care with other members of the health team