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Artykuły w czasopismach na temat "Nurse-surgeon"
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Todkill, A. M. "The surgeon and the nurse". Canadian Medical Association Journal 173, nr 9 (25.10.2005): 1075. http://dx.doi.org/10.1503/cmaj.051282.
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Martin, Kevin D., Trevor McBride, Jeffrey Wake, Jeffrey Preston Van Buren i Cuyler Dewar. "Comparison of Visual Analog Pain Score Reported to Physician vs Nurse in Nonoperatively Treated Foot and Ankle Patients". Foot & Ankle International 39, nr 12 (27.07.2018): 1444–48. http://dx.doi.org/10.1177/1071100718788507.
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Background: Patient-reported outcome measures (PROMs) are taking a more prominent role in orthopedics as health care seeks to define treatment outcomes. The visual analog scale (VAS) is considered a reliable measure of acute pain. A previous study found that operative candidates’ VAS pain score was significantly higher when reported to the surgeon compared to the nurse. This study’s aim is to examine whether this phenomenon occurs in patients that do not undergo an operative procedure. We hypothesized that patients’ VAS pain scores reported to the surgeon vs the nurse would be the same. Methods: This study is a retrospective cohort of 201 consecutive nonoperative foot and ankle patients treated by a single surgeon. Patients were asked to rate pain intensity by a nurse followed by the surgeon using a horizontal VAS, 0 “no pain” to 10 “worst pain.” Differences in reported pain levels were compared with data from the previous cohort of 201 consecutive operative foot and ankle patients. Results: The mean VAS score reported to the nurse was 3.2 whereas the mean VAS score reported to the surgeon was 4.2 ( P < .001). The mean difference in VAS scores reported for operative patients was 2.9, whereas the mean difference for nonoperative patients was 1.0 ( P < .001). Conclusion: This study found statistically significant differences between VAS pain scores reported to the surgeon vs the nurse in nonoperative patients. These results support the trend found in our previous study, where operative patients reported significantly higher pain scores to the surgeon vs the nurse. The mean difference between reported pain scores was significantly higher for operative patients compared to nonoperative patients. Level of Evidence: Level III, comparative study.
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McBride, Trevor J., Aaron Wilke, Jamie Chisholm i Kevin D. Martin. "Visual Analog Pain Scores Reported to a Nurse and a Physician in a Postoperative Setting". Foot & Ankle Orthopaedics 5, nr 3 (1.07.2020): 247301142094850. http://dx.doi.org/10.1177/2473011420948500.
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Background: The purpose of this study was to compare postoperative foot and ankle patient-reported visual analog pain scores (VAS) to nursing staff and the treating surgeon during a single encounter. Prior literature established preoperative patients reported higher pain scores to a surgeon as compared to nursing staff. We hypothesized that there will be no differences in postoperative patients’ pain scores when reporting to nursing staff vs a surgeon. Methods: This study was a retrospective cohort of 201 consecutive postoperative foot and ankle patients with 3 follow-up encounters treated by a single surgeon. The patients were asked to rate their pain intensity using the VAS with 0 “no pain” and 10 “worst pain” at 2, 6, and 12 weeks postoperatively by a nurse and surgeon. Results: At all time intervals, the mean pain score was significantly higher when reported to the surgeon, although these were not clinically relevant. The mean scores at 2 weeks were 2.8 reported to the surgeon and 2.5 reported to the nurse ( P < .001). The mean scores at 6 weeks were 2.0 reported to the surgeon and 1.8 reported to the nurse ( P = .002). The mean scores at 12 weeks were 2.3 reported to the surgeon and 2.0 reported to the nurse ( P = .005). Conclusion: This study found that postoperative foot and ankle patients did not overemphasize their VAS pain scores to the physician vs nursing staff. These findings contrast with our 2 previous studies that found preoperative and nonoperative patients reported clinically significant higher scores to the surgeon. Level of Evidence: Level III, comparative study.
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Tobin, Mitchell H. "Surgeon Liability and the Nurse Anesthetist". American Journal of Cosmetic Surgery 15, nr 1 (marzec 1998): 63–64. http://dx.doi.org/10.1177/074880689801500115.
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Bosch, X. "Surgeon accused of letting nurse operate". BMJ 317, nr 7168 (7.11.1998): 1273. http://dx.doi.org/10.1136/bmj.317.7168.1273b.
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Costakos, Dennis T., Lynn Dahlen, Shawn W. Dunlap, Theresa Heise, Renee Muellenberg, Jennifer Richards i Jennifer Walden. "The Neonatal Nurse Practitioner as Surgeon". Pediatrics 141, nr 1_MeetingAbstract (1.01.2018): 566. http://dx.doi.org/10.1542/peds.141.1ma6.566.
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Martin, Kevin, Trevor McBride, Jeffrey Wake, Jeffrey Van Buren i Cuyler Dewar. "Comparison of Visual Analog Pain Score Reported to Physician vs. Nurse, Part II". Foot & Ankle Orthopaedics 3, nr 3 (1.07.2018): 2473011418S0033. http://dx.doi.org/10.1177/2473011418s00337.
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Category: Ankle Introduction/Purpose: Patient reported outcome measures (PROMs) are taking a more prominent role in Orthopedics as researchers and health care networks seek to define treatment outcomes. However, interpretation and clinical applications of PROMs are still under investigation. The visual analogue scale (VAS) is considered a reliable and validated measure of acute pain. In a previous study, it was found that in surgical candidates the VAS pain score was significantly higher when reporting to the surgeon as opposed to the nurse. The aim of this current study is to examine whether this phenomenon occurs in patients that do not ultimately go on to have a surgical procedure. We hypothesize that there will be no difference in patient reporting to the surgeon versus the nursing staff. Methods: This study is a retrospective cohort of 201 consecutive non-surgical foot and ankle patients treated by a single surgeon. The patients were asked to rate their pain intensity by the nursing staff and then by the surgeon using a standard horizontal VAS 0 to 10, from “no pain” to worst pain.” Differences in reported pain levels were analyzed. Results: The mean VAS score reported to the nurse was 3.2 whereas the mean VAS score reported to the Surgeon was 4.2 (p<.001). Contrary to our hypothesis, there was a statistically significant difference in pain scores reported to the surgeon compared to the nurse. We then analyzed the mean difference of pain scores reported to surgeon and nurse for surgical versus non-surgical patients. The mean difference in VAS scores reported to physician and nurse for surgical patients was 2.87 whereas the mean difference for non-surgical patients was 1.00 (p < .001). Conclusion: The current study found statistically significant differences between VAS pain scores reported to the surgeon versus the nurse in non-surgical patients. These results support the trend found in our previous study which demonstrated discrepancies in patient pain reporting, with surgical patients reporting significantly higher pain scores to the surgeon versus the nurse. However, the mean difference between reported pain scores, to the providers, is significantly higher for surgical patients as compared to non-surgical patients. The cause of this phenomenon remains unclear, however, this study provides more information regarding patient reported VAS pain scores in an outpatient clinical setting.
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Paterson, Sue. "Otitis externa: the role of the veterinary nurse". Veterinary Nurse 12, nr 7 (2.09.2021): 306–10. http://dx.doi.org/10.12968/vetn.2021.12.7.306.
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Otitis externa is a common problem in primary care veterinary practice. While the diagnosis and treatment of disease is the responsibility of the attending veterinary surgeon, the veterinary nurse, as an integral part of the veterinary surgeon-led team, plays an important role in the investigation and management of disease. Veterinary nurses are more than capable of assessing the external ear canal both macroscopically and cytologically to help the veterinary surgeon to make a diagnosis. Client facing nurse communications can help with the administration of therapy, provide owner support during treatment to increase compliance and help with follow-up assessments.
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Meyer, Susan C., i Linda J. Miers. "Cardiovascular Surgeon and Acute Care Nurse Practitioner". AACN Clinical Issues: Advanced Practice in Acute and Critical Care 16, nr 2 (kwiecień 2005): 149–58. http://dx.doi.org/10.1097/00044067-200504000-00005.
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Muralidhar, Deutschland, Shiva Sirasala, Venkata Jammalamadaka, Moritz Spiller, Thomas Sühn, Alfredo Illanes, Axel Boese i Michael Friebe. "Collaborative Robot as Scrub Nurse". Current Directions in Biomedical Engineering 7, nr 1 (1.08.2021): 162–65. http://dx.doi.org/10.1515/cdbme-2021-1035.
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Abstract Under-staffing of nurses is a significant problem in most countries. It is expected to rise in the coming years, making it challenging to perform crucial tasks like assessing a patient's condition, assisting the surgeon in medical procedures, catheterization and Blood Transfusion etc., Automation of some essential tasks would be a viable idea to overcome this shortage of nurses. One such task intended to automate is the role of a 'Scrub Nurse' by using a robotic arm to hand over the surgical instruments. In this project, we propose to use a Collaborative Robotic-arm as a Scrub nurse that can be controlled with voice commands. The robotic arm was programmed to reach the specified position of the instruments placed on the table equipped with a voice recognition module to recognize the requested surgical instrument. When the Surgeon says "Pick Instrument", the arm picks up the instrument from the table and moves it over to the prior defined handover position. The Surgeon can take over the instrument by saying the command "Drop". Safe pathways for automatic movement of arm and handover position will be predefined by the Surgeon manually. This concept was developed considering the convenience of the Surgeon and the patient's safety, tested for collision, noisy environments, positioning failures and accuracy in grasping the instruments. Limitations that need to be considered in future work are the recognition of voice commands which as well as the returning of the instruments by the surgeon in a practical and safe way.
Rozprawy doktorskie na temat "Nurse-surgeon"
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Kuronen, Linda, i Linda Gustafsson. "Operationssjuksköterskans upplevelse av operatörens följsamhet avseende sterilitet och hygien på operationssalen : - En intervjustudie". Thesis, Umeå universitet, Institutionen för omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-131972.
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Bakgrund Postoperativa sårinfektioner orsakar stora kostnader för samhället och orsakar patienterna stort lidande. För att förhindra uppkomsten av infektioner behövs förutom operationssjuksköterskans övergripande ansvar för hygien och sterilitet under operation även att operatören har följsamhet till hygienrutinerna för att förhindra att smittspridning sker. Syfte Att undersöka operationssjuksköterskornas upplevelser av operatörernas följsamhet avseende sterilitet och hygien i samband med kirurgiska ingrepp. Samt att identifiera faktorer som enligt operationssjuksköterskorna kan påverka operatörernas följsamhet och förslag på åtgärder. Metod Kvalitativ design, med semistrukturerade intervjuer med åtta operationssjuksköterskor på två sjukhus i norra Sverige. Induktiv innehållsanalys av Lundman & Hällgren Graneheim (2012) användes för analys av data. Resultat Alla operationssjuksköterskor upplevde att operatörerna brast i sin följsamhet och operationssjuksköterskornas uppfattning var att detta dels berodde på kunskapsluckor hos operatörerna men även kunde härledas till dåligt teamsamarbete och bristande ledning. Operationssjuksköterskorna ansåg att stärkande av operatörernas kompetens, ett stärkt samarbete och en tydligare styrning skulle kunna förbättra följsamheten hos operatörerna. Slutsats Inte endast genom att fylla operatörernas kunskapsluckor kan följsamheten till hygienrutiner förbättras utan det är även av betydande vikt att teamsamarbetet förbättras.Background Postoperative wound infections cause major costs to society and causes patients great suffering. To prevent the occurrence of infections surgeon adherence to hygiene routines, in addition to the operating room nurse overall responsibility for hygiene and sterility during surgery, is needed. Aim To investigate surgical nurses experiences of surgeons adherence regarding sterility and hygiene during surgical procedures. And identify factors that according to surgical nurses can affect surgeons' adherence and proposed actions. Method Qualitative design, with semi-structured interviews with eight surgical nurses at two hospitals in northern Sweden. Inductive content analysis of Lundman & Hällgren Graneheim (2012) was used for analysis of data. Result All surgical nurses experienced surgeons to fail in adherence and the surgical nurses opinion was that this is partly due to knowledge gaps among surgeons, but that it could also be attributed to poor team cooperation and lack of leadership. The surgical nurses felt that strengthening of the surgeon's skills, strengthened cooperation and a more distinct leadership could improve adherence among surgeons. Conclusion Not only by addressing the surgeon's knowledge gaps can adherence to hygiene be improved but it is also of significant importance to improve team collaboration.
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Elmberg, Susanne, i Barbro Käller. "Operationssjuksköterskors och kirurgers uppfattning om samarbete i operationslaget". Thesis, Röda Korsets Högskola, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-89.
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Fel i operationssalen kan få stora konsekvenser. Enligt både WHO och Socialstyrelsen är kommunikation och koordination den främsta orsaken till vårdskador inom sjukvården. Operationsavdelningen är den plats inom sjukvården där flest vårdskador händer och de beror ofta på dåligt samarbete i operationslaget. Studier har visat att störst skillnad i uppfattning om effektivt samarbete finns hos operationssjuksköterskor och kirurger. Operationssjuksköterskor beskriver gott samarbete som när deras arbetsinsats respekteras medan ett gott samarbete för kirurger kännetecknas av att ha operationssjuksköterskor som förutser deras behov och följer instruktioner. Syftet med denna studie var att undersöka operationssjuksköterskors och kirurgers uppfattning om samarbete i operationslaget. Det är en deskriptiv kvantitativ studie baserad på datainsamlande genom frågeformulär. Urvalet bestod av 25 operationssjuksköterskor och 42 kirurger. Den mest påtagliga skillnaden i uppfattning om samarbete mellan operationssjuksköterskor och kirurger visade sig i frågan om det är läkaren som ansvarar för samordningen. De ansvariga måste bli medvetna om och komma till rätta med de skillnader i uppfattning om samarbete som finns mellan kirurger och operationssjuksköterskor för att WHO:s checklista och andra interventioner för ökad patientsäkerhet ska kunna få önskad effekt.Errors in the operating room (OR) may have major consequences. According to the Swedish National Board of Health and Welfare and WHO, communication and coordination are the most common cause of harm to patients. Studies in the US have shown that the OR is the most common site in hospitals for adverse events to occur. Differences in perceptions of teamwork exist in the OR, with physicians rating the teamwork with others as good, and at the same time, nurses perceive teamwork as poor. Nurses often describe good collaboration as having their work respected, and physicians often describe god collaboration as having nurses who anticipate their needs and follow instructions. The aim of this study was to investigate Swedish nurses’ and physicians’ perception of teamwork. Operating room personnel, 25 nurses and 42 physicians where surveyed using a questionnaire. The most substantial difference where shown in the perception of who should be in charge of the team. To increase the likelihood of success when implementing the World Health Organization’s Surgical Safety Checklist, leaders should anticipate that differences in perception between members of different professions must be overcome if teamwork is to be improved.
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Blixt, Linda, i Linnéa Sjöli. "Attityder hos operationssjuksköterskor och operatörer kan påverka risken för intraoperativa stick- och skärskador". Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-115274.
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Syfte. Att belysa attityder hos operationspersonal samt risken för intraoperativa stick- och skärskador. Bakgrund. Det finns flera olika tekniker för att hantera stickande och skärande instrument och olika säkerhetsprodukter som kan användas för att minimera risken för stick- och skärskador. Det finns många studier som handlar om lämpliga arbetssätt för att minimera risken för stick- och skärskador, men bara ett fåtal studier som belyser betydelsen av användarnas attityder och inställning till användande av tekniker och säkerhetsprodukter samt uppföljning och rapportering av tillbud. Metod. Studiens design är en empirisk intervjustudie med kvalitativ ansats. Semistrukturerade intervjuer utfördes med sju operationssjuksköterskor och fyra operatörer på två sjukhus i Sverige. Data insamlades oktober-december 2015. Resultat. Resultatet visar på att det finns olika attityder hos operationspersonal som kan påverka risken för stick- och skärskador, vilka redovisas under fyra olika teman: Att ha ett säkert arbetsklimat; Att skydda sig själv, medarbetare och patient; Att vara följsam till riktlinjer och arbetsrutiner samt Att vara oföljsam riktlinjer och arbetsrutiner. Slutsats. Risken för stick- och skärskador går inte att eliminera då det alltid finns riskområden som man som operationspersonal måste ta hänsyn till. Det finns mycket kunskap kring säkerhetsprodukter och tekniker som syftar till att minimera risken för stick- och skärskador men om användarens attityd får styra kanske inte dessa används på rätt sätt om ens alls. I denna studie framkommer det en antydan till att attityder hos operationspersonal kan påverka risken intraoperativa stick- och skärskador.Aim. To illustrate the attitudes of the operating theatre personnel and the risk of intraoperative sharp injuries. Background. There are several ways to manage sharp instruments such as various techniques and safety products to minimize the risk of sharps injuries. There are many studies about working practices to minimize the risk of sharps injuries but only a few that illustrate the importance of attitudes towards techniques and safety products as well as follow up and reporting incidents. Method. The design of the study is an empirical interview study with a qualitative approach. Semi-structured interviews were conducted with seven theatre nurses and four surgeons at two hospitals in Sweden. Data collected October-December 2015. Findings. The findings show that there exists different attitudes of the operating theatre personnel that could affect the risk of sharps injuries. The finding is presented in four themes: To have a safe working environment; To protect oneself, co-worker and patient; To be compliant to guidelines and working practices and To be non-compliant to guidelines and working practices. Conclusions. The risk of sharp injuries can’t be eliminated since there is always a risk of sharp injuries which the operating theatre personnel must pay attention to. There are a lot of knowledge about safety products and techniques for minimizing the risk of sharps injuries but when the attitude of the user come into play the safety product may not be used correctly, if used at all. In this study a indication appears that the attitudes of the operating theatre personnel may be affecting the risk of intraoperative sharp injuries.
Książki na temat "Nurse-surgeon"
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Top-Notch Surgeon, Pregnant Nurse. Harlequin Mills & Boon, Limited, 2008.
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Top-Notch Surgeon, Pregnant Nurse. Harlequin Mills & Boon, Limited, 2009.
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Top-Notch Surgeon, Pregnant Nurse. Mills & Boon, 2008.
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Top-Notch Surgeon, Pregnant Nurse. Toronto: Harlequin, 2008.
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Top-Notch Surgeon, Pregnant Nurse. Harlequin Enterprises, Limited, 2016.
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Top-Notch Surgeon, Pregnant Nurse. Harlequin Mills & Boon, Limited, 2008.
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Kincheloe, Allie. Nurse, a Surgeon, a Christmas Engagement. Harlequin Enterprises, Limited, 2020.
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Nurse, a Surgeon, a Christmas Engagement. Harlequin Mills & Boon, Limited, 2020.
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Kincheloe, Allie. Nurse, a Surgeon, a Christmas Proposal. Harlequin Enterprises, Limited, 2020.
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Kincheloe, Allie. Nurse, a Surgeon, a Christmas Engagement. Mills & Boon, 2021.
Znajdź pełny tekst źródłaCzęści książek na temat "Nurse-surgeon"
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Spence, Roy A. J. "The principles of cancer surgery". W Oncology, 105–17. Oxford University PressNew York, NY, 2001. http://dx.doi.org/10.1093/oso/9780192629821.003.0009.
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Abstract With the current emphasis on a multidisciplinary approach to cancer management, the surgeon is one member of a closely knit team who can all be involved at various stages of the treatment of the patient’s disease. All should be involved in the discussion of the patient’s management in the initial stages. The team may include an oncologist, cancer surgeon, radiologist, pathologist, nurse counsellor, geneticist, plastic surgeon, nursing staff, dietetics, pain team, social worker, and psychologist.
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Hardy, Thomas. "IX". W Tess of the d'Urbervilles. Oxford University Press, 2008. http://dx.doi.org/10.1093/owc/9780199537051.003.0012.
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The community of fowls to which Tess had been appointed as supervisor, purveyor, nurse, surgeon, and friend, made its headquarters in an old thatched cottage standing in an enclosure that had once been a garden, but was now a trampled and sanded square. The...
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Purtilo, Ruth, Byers W. Shaw i Robert Arnold. "Obligations of Surgeons to Non-Physician Team Members and Trainees". W Surgical Ethics, 302–21. Oxford University PressNew York, NY, 1998. http://dx.doi.org/10.1093/oso/9780195103472.003.0016.
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Abstract A New Yorker cartoon depicts several surgeons and other members of the operating team hovering over a shrouded clump amidst a clutter of lights, machines, and other paraphernalia of the operating suite. The perplexed chief surgeon says, to the nurse ‘‘I give up-where’s the patient?’’ A Gary Larson cartoon shows a body part flying through the air from the direction of a patient’s open incision. A member of the surgical team, agape with astonishment, shouts, ‘‘Watch where that thing lands ... we may need it later!’’ A popular film, ‘‘The Doctor,’’ opens with an operating team scene: the ruptured aorta having been repaired successfully, Dr. McKee leads the team across the suite in a dance to the radio’s blaring, ‘‘Let’s Get Drunk and Screw!’’ Only Nancy, the chief nurse, and the object of surgeon McKee’s constant needling and harassment, is not amused. Such stereotypes of the surgeon’s role on the team are further fed today by popular television serials such as ‘‘E.R.,’’ in which the ‘‘real action’’ of medicine often is portrayed as beginning only when the surgeon (or an inexperienced student or resident posing as a surgeon) arrives on the scene wielding a scalpel and creating an ad hoc surgical team by barking orders to everyone in sight. Although it is not the purpose of this chapter to explore why surgeons are the brunt of so much stereotyping, some of the recurring themes are instructive for our examination of the obligations of surgeons to team members.
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Gershun, Martha, i John D. Lantos. "What Are the Risks?" W Kidney to Share, 61–74. Cornell University Press, 2021. http://dx.doi.org/10.7591/cornell/9781501755439.003.0008.
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This chapter examines the risks, both surgical and medical, to donating a kidney. It reviews the financial ramifications of donating a kidney and the nonmedical risks of living with only one kidney — organ damage from contact sports. The chapter then narrates the author's experience of the Mayo Clinic's rigorous evaluation process, from a short briefing with a Mayo transplant surgeon down to one of the most important tests, an abdominal CT scan. The chapter also addresses the highlight of the auhor's long appointment — the donor education class, which involved a meeting with other potential kidney donors, recipients, and caregivers who were also at Mayo for evaluation. Finally, the chapter discusses the author's appointments with Lisa, a nurse transplant coordinator; Margo, a designated donor advocate; and a social worker who was assigned to assess her mental fitness as an organ donor.
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Abraham, D. Chon. "Reforming Nursing with Information Systems and Technology". W Encyclopedia of Healthcare Information Systems, 1137–45. IGI Global, 2008. http://dx.doi.org/10.4018/978-1-59904-889-5.ch142.
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Much of healthcare improvement via technology initiatives address gaining physician by-in (Reinertsen, 2005) and does not adequately address engaging nurses, despite the fact that nurses serve as the front-line care givers and are a primary user group (Wiley-Patton and Malloy, 2004). However, the tide is changing and visibility of nurses as information gatherers and processors in the patient care process is increasing (Romano, 2006). Nurses perform the majority of the data oriented tasks involved in patient care and would benefit most from having access to information at the point of care (Bove, 2006). RADM Romano, Chief Professional Officer of Nursing and advisor to the US Surgeon General concerning public health, recently addressed the American Informatics Nursing Informatics Association and stated “This is the year of the nurse. The technologies that have the means to improve the efficiencies in patient care are in the hands of the nurses.” Nurses need to embrace technology in everyday work or continue suffering the consequences of antiquated methods of computing that take us away from where we work – at the point of care (Abbott, 2006).
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"Diabetes education". W Practical Diabetes Care, redaktor Rowan Hillson, 35–40. Oxford University PressNew York, NY, 2002. http://dx.doi.org/10.1093/oso/9780192632906.003.0004.
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Abstract Diabetes education is essential to patient survival. If you have appendicitis, you go to hospital and the surgeon removes the inflamed appendix. All the patient has to do is lie there whilst the operation is performed. Afterwards some effort is required to start eating again and to mobilize—but the doctors and nurses tell you what to do. In other words, the patient presents the professionals with the problem and they take it away. This process requires little health care knowledge by the patient other than the realization that if your tummy hurts a lot it is a good idea to call a doctor. (Of course, the patient may have a less frightening time if the professionals do explain fully.)Diabetes is very different. It is a chronic lifelong disorder. More importantly, it is the person who has the condition who determines the outcome. The professionals provide advice and a management plan. It is up to the patient to follow this on a day-to-day basis and to expand and adapt it to their particular circumstances. Problems may arise which require a logical extension of the instructions given by the doctor or nurse. The situation may deteriorate and the patient has to know when to seek help, and how urgently.
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Munson, Ronald. "“He’s Had Enough”". W The Woman Who Decided To Die, 83–102. Oxford University PressNew York, NY, 2009. http://dx.doi.org/10.1093/oso/9780195331011.003.0006.
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Abstract I had never seen such a horrible wound. The right half of Walter Post’s face was missing. His cheek was cut away, and his upper and lower jaw had been removed at the midline. Stainless-steel wire bound the remnants of his jaws together. His tongue was a raw stub of cesh protruding from a dark clot that seemed to fill what was left of his mouth. I stood at the foot of the bed in the cramped surgical intensive care room with Walt’s wife Martha and his ENT surgeon, Dr. Roy Stone. Michael, the SICU night nurse, a thin blonde man in his thirties, used metal tongs to pull out the pads of blood-soaked gauze packed into Walt’s wound. With the gauze gone, the bone of the coor of his skull was visible as an irregular white patch in a field of red. Blood was seeping from the edges of multiple surgical wounds. Martha gripped the metal frame at the end of the narrow bed, then turned her face toward the blank yellow wall. Her plump jaw was clenched, and her skin was the pale gray-white color of ashes, yet she didn’t cry. Then, with what seemed to require an effort of will, she looked back at Walt.
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K.C.Cooper, David, i Robert P. Lanza. "The End of the Night Shift". W Xeno, 1–5. Oxford University PressNew York, NY, 2000. http://dx.doi.org/10.1093/oso/9780195128338.003.0001.
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Abstract Imagine this scenario. It is 4:00 A.M. near St. Louis, Missouri. A surgeon-a man in his early 40s-arrives for work. It is his daily routine. He parks his car and enters the building. He changes into green scrubs, exchanges his shoes for white clogs, puts on a cap and mask, and walks through into the scrubup area, where his colleague, a woman of about the same age, is already scrubbing her hands with disinfectant. With their clean hands held out at shoulder height to ensure they are not contaminated by contact with their bodies, they carefully back through the door and enter the gleaming, spotlessly clean operating room. The scrub nurse, already gloved and gowned, hands them sterile towels, and they dry their hands and arms. She helps them into gowns and holds open surgical rubber gloves, into which they insert their hands. The donor is already on the operating table, skin thoroughly cleaned with iodine, sterile drapes covering all but the chest and abdomen. The surgeons are greeted cordially by the anesthesiologist, standing at the head of the table, who is closely monitoring the sleeping donor’s blood pressure and other vital signs. Three operating-room technicians, who have helped prepare the donor for the surgeons, are ready to assist with the retrieval of organs. Bottles of organ preservation fluid hang from stainless steel stands, and polystyrene boxes filled with ice line one wall.
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Edmonds, Michael, i Alethea Foster. "The diabetic foot". W Oxford Textbook of Endocrinology and Diabetes, 1976–89. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199235292.003.1564.
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At some time in their life, 15% of people with diabetes develop foot ulcers, which are highly susceptible to infection. This may spread rapidly leading to overwhelming tissue destruction and amputation: indeed, 85% of amputations are preceded by an ulcer and there is an amputation in a person with diabetes every 30 seconds throughout the world (1). Evidence-based protocols for diabetic foot ulcers have been developed (2), and diabetic foot programmes that have promoted a multidisciplinary approach to heal foot ulcers with aggressive management of infection and ischaemia have achieved a substantial decrease in amputation rates (3, 4). Furthermore, a reduction in amputations has been reported nationwide in diabetic patients throughout the Netherlands (5). Recently, a decrease in major amputation incidence has been reported in diabetic as well as in nondiabetic patients in Helsinki (6). These reports have stressed the importance of early recognition of the ‘at-risk’ foot, the prompt institution of preventive measures, and the provision of rapid and intensive treatment of foot infection and also evascularization in multidisciplinary foot clinics. Such measures can reduce the number of amputations in diabetic patients. Systematic reviews on prevention and treatment have been carried out, e.g. see Eldor et al. (7), and national guidelines have recently been formulated (8, 9). An International Consensus developed in 1999 was re-launched in revised form as an interactive DVD (10, 11) in 2007. This chapter outlines a simple classification of the diabetic foot into the neuropathic and neuroischaemic foot. It then describes a simple staging system of the natural history of the diabetic foot and a treatment plan for each stage. Successful management of the diabetic foot needs the expertise of a multidisciplinary team which should include physician, podiatrist, nurse, orthotist, radiologist, and surgeon working closely together, within the focus of a diabetic foot clinic.
Streszczenia konferencji na temat "Nurse-surgeon"
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Costakos, Dennis T., Lynn Dahlen, Shawn W. Dunlap, Theresa Heise, Renee Muellenberg, Jennifer Richards i Jennifer Walden. "The Neonatal Nurse Practitioner as Surgeon". W Selection of Abstracts From NCE 2016. American Academy of Pediatrics, 2018. http://dx.doi.org/10.1542/peds.141.1_meetingabstract.566.
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Cunningham, Stacey, Amine Chellali, Jose Banez i Caroline G. L. Cao. "Design of a Spatial Aid for Communication in Robotic Surgery". W ASME 2012 11th Biennial Conference on Engineering Systems Design and Analysis. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/esda2012-82804.
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Robots are increasingly being incorporated into the clinical environment. In minimally invasive surgery, robots are used to hold the tools and camera at the operating table while the surgeon performs surgery at a console away from the rest of the surgical team, reducing the opportunity for face-to-face communication. As surgery is a team-oriented process in which surgeons, nurses, and anesthesiologists collaborate to achieve the common goal of delivering care to a patient, any barrier to communication can inhibit the team process required in surgery. This study examined surgeon-nurse spatial communication in a collaborative surgical task in a controlled experiment. It was hypothesized that providing a spatial communication aid would improve performance time and reduce the amount of communication needed for the task. Fifteen dyads of surgeons or novices completed a simulated organ manipulation task using a laparoscopic trainer box in two viewing conditions: aligned (0°) and rotated (90°) camera view. Subjects were divided into 3 experimental groups: control, cardinal directional aid, and grid directional aid. Results show that experts were faster than novices, and the directional aids significantly facilitated task performance. While the volume of communication was not different across the three groups, there was a shift toward a more collaborative style of communication in the cardinal directions and grid conditions. The findings suggest that spatial communication aids can improve performance and promote collaboration in the robotic operating room.