Perioperative Nursing

Perioperative Nursing

Nurses provide care and support to patients before, during and after surgery during the perioperative process. The surgical team is formed by a group of healthcare professionals with common goals that coordinate their efforts to achieve them:

•         Surgeons (primary and second surgeon)
•        Anaesthesiologist
•        Holding room nurse
•        Scrub nurse
•        Circulating nurse
•        Nursing assistant
•        Recovery nurse
•        Support staff 

We can do a summary of the different functions of the Nursing in this field:

•         Holding room nurse. The nurse who receives patients in the surgical area and prepares them for surgery in the preoperative area. In some hospitals the circulating nurse and the scrub nurse take this role once prepared the operating room (OR).
•       Nurse anaesthetist. A nurse who assists the anaesthesiologist monitoring the patient during surgery, administering medication, etc. The circulating nurse assumes this role in most hospitals.
•       Circulating nurse. The nurse who is responsible for non-sterile tasks in the operating room. Firstly, she has to prepare with the scrub nurse all devices, instrumentation, medications, etc. in the OR, to receive the patient, to help anaesthetist and during the surgery to care for the patient and to assist the scrub nurse.
•         Scrub nurse. A nurse who "scrubs in" to assist surgeons with sterile procedures at the operating table. She has to check that all the instrumentation is sterile, that there are all things that are required for this specific surgical operation and also other instruments that will probably be useful (anticipating the needs of the operation). She is responsible for maintaining a sterile environment. She helps the surgeons draping the patient, handing and arranging the instrumentation during the surgery, collecting it in the end and separating and removing the sharps properly. Once the instrumentation is clean, sometime the nurse has to review all instruments and preparing them for sterilization.
•       Recovery nurse. The nurse who cares for patients in the post-anaesthesia care unit after surgery.

They are responsible for making sure the OR team provides the patient with the best care possible.

Here I have wanted to do a summary of the roles of perioperative nursing that are unknown to the public and relate from personal experience the concepts of nursing care that we put into practice on a daily basis with our patients from the IMTRA INCOMA Clinic when they are in the operating room.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz

Care in patient care

Care in patient care

In Medicine, the patient is someone that suffers pain or discomfort. From the sociological point of view, the patient is a person receiving services from a healthcare professional to do a test, treatment or a surgical intervention.

Patients are in a vulnerable position, depending on doctors, nurses, therapists, etc. They have to go through bad experiences with injections, ailment, pain, medical techniques they do not understand, loss of privacy, loss of control of the environment, etc.

It is very important that the patient feels secure in all treatment process and the persons around him (doctors, nurses, family, etc.) give him this security.

Nurses know very well the importance of a proper relationship with the patient. In English, there is a term that defines this concept: “Bedside manner”.  We don´t have this phrase in Spanish, but all healthcare professionals know the importance of the meaning.

In the relationship of patient-nurse/doctor, it is very important:

•      Communication (verbal and non-verbal)
•           Forms and expressions of communication
•           Help relationship

Patients need to feel that they are in the best hands (professional and personal). During a treatment or test the patient needs:

•           To feel that he is important for the nurse/doctor
•           To understand technique (it is necessary that you explain it to him)
•           To understand that this is a phase to be better  (improvement or healing)
•           To feel comfortable and confident

It is necessary that the nurse/doctor knows how to handle:

§  Kindness

§  Empathy

§  Accompanying

§  Sympathy

§  To make the patient participant in the technique

§  To transmit relaxation

With all these ideas, I have wanted to do a summary of the principles of nursing care in general and relate from personal experience the concepts of nursing care that we put into practice on a daily basis with our patients in the IMTRA Incoma clinic.

Key words: nurse, patient, communication, help relationship, enfermería, paciente, cuidado, care, relación de ayuda.

Elena Miguel Poza - Nurse, nursing coordinator & trainer - Enfermera coordinadora y profesora de enfermería - IMTRA Instituto Madrileño de Traumatologia (Madrid Spain)
Tel: (0034) 915545405 Email: elena@imtra.es Web site in English: http://www.imtra.eu Web site in Spanish: www.imtra.biz