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As a registered nurse, you would think that all this technology supporting the hiring process of nurses would lead to improvements or faster response times but if you have ever spent time on a single application website then you know the frustration and effort that simply goes to waste. What a disaster?!
Imagine this scenario: You’ve just finished anesthetizing a patient in a hospital setting, and the patient now requires transport from the operating room (OR) to the post-anesthesiacare unit (PACU). It’s common for zero monitoring equipment to be attached to the patient. We need pulse oximetry monitoring.
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). You may have nausea after general anesthesia. Do you have any questions?”
The anesthesiologist and the operating room nurse transport the patient to the PACU (PostAnesthesiaCare Unit), where the patient is connected to the standard monitors of pulse oximetry, ECG, blood pressure, and temperature. Her last job was as a home health nurse for a registry company.
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 The BP is 100/50.
Alerts or abnormal vitalsigns and laboratory results are represented by squares and triangles, respectively. The Tower Mode view looks like this (Figure 1): Figure 1 Census View, Anesthesia Tower The Tower Mode includes a display for each individual patient (Figure 2 below).
Additional IV narcotics can be added post-extubation if the patient complains of significant pain. Anesthesia providers typically judge anesthetic dosing depending on: a) patient weight, b) patient age, and c) the patient’s vitalsigns (i.e. A patient’s weight can be misleading.
You learn to inject propofol and intubate a patient in the first few months, but its a lifetime journey to master the medical aspects of evaluating and treating the heart, lungs, brain, kidneys and vitalsigns during anesthesiacare. Be kind to nurses, surgeons, and patients. Nurses are your co-workers and allies.
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