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An anesthesia machine, with the vitalsigns monitor screen on the left, and the electronic medical records computer screen on the right. His vitalsigns are heart rate = 100, BP = 150/80, respiratory rate = 20 breaths/minute, oxygen saturation 95% on room air, and temperature 100.2 Dr. A meets Mr. Doe and interviews him.
Your station in the operating room consists of an anesthesia machine; a bevy of vitalsigns monitors; a computerized pharmacy cart; a cart full of syringes and equipment; and the computer which handles the hospital’s electronic medical record (EMR). The surgery will take approximately three hours. Do you have any questions?”
One registered nurse had a fulltime job locating appropriate brain dead heart donors within a 60-90 minute Learjet trip from Stanford. A separate team of physicians and nurses was responsible for assembling a waitlist of prospective heart transplant recipients, and for arranging housing for them within the San Francisco Bay Area.
On physical exam, her vitalsigns are normal, her lungs are clear, and her heart exam is positive for the clicking sound of a mechanical valve and a 2/6 systolic murmur. The surgeon injects 2% lidocaine at the skin incision site, and the surgery begins. Vitalsigns remain normal with BP=110/70, P=80, and oxygen saturation=99%.
Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vitalsigns (i.e. An inference from this data is that lesser amounts of general anesthetic drugs are required between induction and incision. A patient’s weight can be misleading.
Monitor patients vitalsigns and communicate any concerns to the surgical team. Postoperative and Recovery Care After surgery, Surgical Physician Assistants help with: Closing incisions and dressing wounds. Experience as an EMT, paramedic, nurse, or medical assistant can strengthen an application.
I scanned the operating room monitors and confirmed that her vitalsigns were perfect. It had been five hours since the initial skin incision. Melody was on the debate team and the varsity tennis team, and for three years she worked with Alzheimer patients at a nursing home in Palo Alto. Her life was my responsibility.
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