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The Case Study:Case studies are used by nursing professionals to convey patient information and to help promote critical thinking and judgment skills through synthesizing the theory in the Periop 101 didactic into translation of actual clinical practice in the OR focusing on the role of the perioperative nurse in the circulator role. Guidelines:Choose a patient population/procedure of interest to you or that you would like to learn more about and select in advance. Do your research starting with the Alexander’s and the AORN RP’s about the surgical procedure and any other research information you can obtain.This will be a typed paper with enough copies for peers to read. The use of visual aids power points or other items necessary to get your point across or add interest is permitted. Cite referencesIf you use an abbreviation, explain it. The case study is an oral presentation that is allotted 10 minutes with discussion to follow at the post-conference meetings. Be prepared to discuss the rationale for nursing interventions that are patient specific.The Case Study Format Preoperative Phase:Patient History and DiagnosisPathophysiology Relevant lab/diagnostic studies – discuss any abnormal findings and their clinical significance to the patient’s diagnosis as well as impact for intraoperative care. Review the tests done and discuss why they were orderedMedications – be sure to include herbal medications and OTC medications. Nursing diagnoses/interventions/ actions/outcomes Intraoperative Phase:Surgical Procedure –describe actual procedure, was it the same as scheduled? If not, how did this impact the nursing care? Was informed consent valid?Universal protocol (2 pt identifiers, site marking, time out, safe surgical checklist)Safety measures taken( fire, counts, preps, electrical)Positioning, how, why, positioning devices usedInfection control and SSI prevention (Asepsis/aseptic technique, preop and intraop antibiotics per SCIP protocol)Preps, Hair removalWound classification (did it change during procedure, if so, why?)Specimen reconciliationImplants?Blood or blood products required?Equipment used in procedure (i.e. ESU, laser, MIS towers, etc.)Medications and solutions in procedure and rationaleDressing and wound closure considerationsPost-operative Phase:TransferExtubated?Hand offs to PACU or nursing unitDocumentation. ................
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