PERIOPERATORY PROCESS OF THE PATIENT

I. Answer the following premises:
1. Define the 3 phases of the perioperative process:
to. Preoperative phase
b. Intraoperative phase
c. Postoperative phase

2. Correctly identify the type of surgical intervention:
to. ____________: removes a diseased part of the body. For example, gallbladder removal (cholecystectomy).
b. ____________: repair of multiple wounds.
c. ____________ - Restores function or appearance that was lost or reduced. For example, breast implant.
d. ____________: confirm or establish a medical diagnosis; for example, Biopsy of a mass in a breast or an exploratory one.
and. ____________: replaces malfunctioning structures. For example, kidney transplant.
F. ____________: relieves or reduces pain or symptoms of the disease; does not cure. For example: placement of a gastrostomy.

1. The National Practitioner Data Bank (NPDB) was established to limit the movement of physicians through the US who have negative histories of medical malpractice lawsuits, loss or suspension of licensure, and loss of privileges at previous employers. Although, theoretically, this provides a safety net, such safeguards are not always realized. Why do you think these safeguards may fall through the cracks?

Please respond to one of the two questions listed below.

1. Discuss the relationship between an organizational mission statement, philosophy, goals, objectives, policies, procedures and rules.  Review the mission and goals and objectives within your own organization and evaluate how consistent they are with the organization and how well they are being achieved. How well does your organization communicate these to you? Do you feel you play a role in your organization's mission and how?

2. Identify strategies to manage resistance to change with your organization. Discuss how these strategies could be implemented. Give examples of change you have experienced within an organization and discuss how you responded to change. Why is resistance an expected response to change?

Why do nurses/health care professionals need to understand and be involved in fiscal planning? How involved are you in your organization with this process. Discuss the impact of DRG's, PPS, pay for performance, and the managed care movement on fiscal planning. Consider the reimbursement methodologies that penalize facilities for readmissions, infections, pressure ulcer development etc...What is the impetus of these types of reimbursement methodologies. Do you agree or disagree and why?

3. Describe the impact of a career development program on employee attrition, equal employment opportunity, quality of work life and competitiveness of the organization. Rate your organization's career development program and describe its weaknesses/strengths and the subsequent impact on its workforce.

Mr. Smith's mother had a right radical mastectomy due to breast cancer

• What are the four mechanisms of cellular adaptation? Explain.
• What is the general classification of neoplasms according to their tissue of origin?

Suppose a physician ordered omeprazole capsules p.o. at bedtime for a patient with an active duodenal ulcer. You will note there is no dosage listed. The nurse thought the medication came in only one dosage strength, added 20 mg to the order, and sent it to the pharmacy. The pharmacist prepared the dosage written on the physician’s order sheet. Two days later, during rounds, the physician noted that the patient had not responded well to the medication. When asked about this, the nurse explained that the patient had received 20 mg at bedtime. The physician informed the nurse that the patient should receive the 40 mg dosage for high acid suppression.

Potential Outcome:?

Prevention:?

An order was written for ampicillin 500 mg IV PB q4.h, which was handwritten on the medication administration record (MAR). The registered nurse was distracted while verifying the order and writing in the scheduled times of administration. The nurse saw the number 4 and instead of scheduling the medication every 4 hours, scheduled the medication to be given 4 times a day at 6-12-6-12 timing. For 2 days, the shift nurses each checked to see what medication needed to be given on their scheduled shifts but did not take time to compare the ordered frequency to the scheduled times. Eventually a nurse did look over the entire medication record and noticed the error. The medication times were corrected and the doctor was notified. A medication variance form was completed, documenting the error, and it was submitted to the hospital risk management department.

Potential Outcome:?

Prevention:?

if Florence nightingale were alive today and she took the position that nurses represent platos giardian class and physicians represent the artisan class would she be correct

Your client, a 32-year-old mother of three who has immigrated to the United States (in the last 6 months) from Tegucigalpa, Honduras, is confused as to her next steps in the treatment of her 11-year-old son’s arm, which he injured while skateboarding. Her husband, a chemical engineer at a local business, gave her $20 to pay for the needed x-ray, and she doesn’t understand why that is not enough to pay for the radiological studies. (Learning Objectives: 1, 2)
a.    How would you assess your client’s knowledge base?
b.    What teaching topics would you expect to address with your client?
c.    Which information would be pivotal in determining potential funding sources?
d.    Which potential strategies, related to each potential funding source, would connect your client to the most cost-effective funding source for the needed medical care?

The owner of an aged care facility released the photos and videos of a resident who had dementia without prior consent. The resident's family filed a petition in court against the organisation asking for compensation. What type of penalties should a Nurse expect if found to be in breach of the privacy act 1988 (in 30-40 words). wa

Nurse Pınar, who has just started work, has been sharing on her Facebook page detailed information about patients diagnosed with rare diseases admitted to the wards at her place of work, without using names or pictures. Did she do it right or not?