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The role of anesthesiology residents in the OR helps ensure patient safety and optimize surgical outcomes. Under the supervision of the attending anesthesiologist, the resident evaluates the patient and confirms an appropriate anesthesia plan based on the individual needs of the patient (3).
Vigilance regarding a sleeping patient’s vitalsigns was always paramount, but the constant effort to be vigilant could be mind-numbing. Let’s look at the specific ways the internet has changed anesthesia practice: Electronic Medical Record anesthesia intraoperative vitalsigns record Electronic medical records (EMRs).
When you arrive at the PACU, a nurse reattaches your patient to the vitalsign monitors, and discovers that the patient’s oxygen saturation has dropped from 100% in the OR to a severely low value of 80% in the PACU. Whether the monitor readings are recorded in a vitalsign readout of the EMR is a less important factor.
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. 1130 hours—The surgery ends.
The 2018 movie Free Solo showcases Alex Honnold as he became the first person to free solo climb the 3000-feet high El Capitan wall of granite in Yosemite National Park without ropes or safety gear. In a university hospital, a faculty member may supervise two operating rooms each with a resident anesthesiologist-in-training in attendance.
Miller’s Anesthesia , Chapter 7 on Human Performance and Patient Safety, 3 makes several statements pertinent to human error: “. His preoperative vitalsigns were normal with an oxygen saturation of 98%. His preoperative vitalsigns were normal. Human Performance and Patient Safety. He was otherwise healthy.
Perfusionists typically complete: A bachelor’s degree in a science-related field A specialized perfusion program (usually 1-2 years) Clinical training under supervision Certification by the American Board of Cardiovascular Perfusion Continuing education to maintain certification What procedures require perfusion support?
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