Emergency Surgical Care Nursing Essay Assignment Paper

Emergency nursing is the specialty that encompasses caring for patients of all age groups and conditions, from delivering babies and resuscitating trauma arrests to administering medication. Emergency Nurses treat patients in emergency situations where they’re experiencing trauma or injury. These nurses quickly recognize life-threatening problems and are trained to help solve them on the spot. They can work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. To provide quality patient care for people of all ages, emergency nurses must possess both general and specific knowledge about health care to provide quality patient care for people of all ages.Emergency Surgical Care Nursing Essay Emergency nurses must be ready to treat a wide variety of illnesses or injury situations, ranging from a sore throat to a heart attack. Many emergency nurses acquire additional certifications in the areas of trauma nursing, pediatric nursing, nurse practitioner, and various areas of injury prevention. Related Journals of Emergency Nursing Journal of Patient Care, General Practice, Journal of Community & Public Health Nursing, Journal of Anesthesia & Clinical Research, Journal of Palliative Care & Medicine, Critical Care Nursing Journals, Health Economics & Outcome Research: Open Access, Accident and Emergency Nursing, Journal of Emergency Nursing, International Emergency Nursing, Emergency Medicine Journal, Nursing Research Journals, Academic Emergency Medicine, Australian Emergency Nursing Journal, British Journal of Midwifery, Applied nursing research, Dimensions of Critical Care Nursing, Emergency Nursing Journals, HIV nursing, Cancer Nursing Journals Emergency Surgical Care Nursing Essay

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A surgical nurse, also referred to as a theater nurse or scrub nurse, specializes in preoperative care, providing care to patients before, during and after surgery. To become a theater nurse, Registered Nurses or Enrolled Nurses must complete extra training. There are different specialty areas that theater nurses can focus in depending on which areas they are interested in.Emergency Surgical Care Nursing Essay

There are many different phases during surgery where the theater nurse is needed to support and assist the patient, surgeons, surgical technicians, nurse anesthetists and nurse practitioners. Pr-operative, the nurse must help to prepare the patient and operating room for the surgery. During the surgery, they assist the anesthetist and surgeons when they are needed. The last phase is post-operative, enduring that the patients are provided with suitable care and treatments.

People who want to become surgical nurses attend nursing school and specialize in surgical nursing. They are often required to pass examinations administered by the government or by nursing certification boards before being allowed to work as nurses, and they may also be expected to attend periodic continuing education classes so that they keep up with developments in the nursing field.^{[citation needed]}

Surgical patients (those who have undergone a minor or major surgical procedure) are nursed on different wards to medical patients in the UK and Australia. Nursing practice on surgical wards differs from that of medical wards.

Emergency management and stabilization of the abdominal surgery patient takes two general paths: 1) surgery as the means to stabilization, and 2) ICU care before surgery to stabilize the patient. Two important conditions should not undergo ICU stabilization prior to operative intervention: occlusive mesenteric ischemia and necrotizing soft tissue infection. These two general surgery conditions require surgery to control the underlying process and one cannot get ahead of the disease process with resuscitation prior to operation. Virtually all other conditions have the potential to benefit from a period of ICU management prior to definitive operation as the vast majority of these are related to obstructive, inflammatory or infective processes.Emergency Surgical Care Nursing Essay

Of course, hemorrhage from a ruptured abdominal aortic aneurysm should proceed to the OR and not to the ICU. Vascular surgery processes such as limb-threatening ischemia, extremity compartment syndrome, and vascular hemorrhage need emergent management in either the OR or the angiography suite. As vascular diagnosis and management has become increasingly complex, often divergent between centers, and increasingly non-operative in favor of catheter-based procedures, the remainder of this chapter will focus on the general surgery patient who has undergone an abdominal procedure.

Checklists are not unique to the patient who has undergone abdominal surgery. However, abdominal surgery patients requiring critical care management should be assessed on a daily basis for suitability for liberation from mechanical ventilation, suitability for enteral nutrition, ability to participate in physical therapy, and complications unique to their surgery or the care they have received in the ICU. Most notably, surgical site infection, anastomotic leak, hemorrhage, wound dehiscence, and abdominal compartment syndrome head the list of elements for which one should be assessing on at least a daily basis.

There are no medications that are unique to the abdominal surgery patient. While there is an identified desire for a safe promotility agent, in particular to counteract colonic dysmotility that follows in the wake of opioid analgesia, no consistently and reliably effective agent is currently available. Instead, metoclopramide (10 mg IV/PO q 6; 50% dose reduction in the elderly or those with impaired renal function) and erythromycin ethyl-succinate (500 mg PO q 6 hours) serve as reasonable alternatives. EES may have ideal use in those with diabetic gastroparesis as well.Emergency Surgical Care Nursing Essay

Patients with abdominal surgery may have undergone a typical laparotomy or increasingly a complex laparoscopic procedure. The complications and management generally differ little between the two, with the exceptions that the laparoscopically managed patient will have less evaporative loss and less operative site pain.

The diagnostic approach to the abdominal surgery patient requiring critical care will vary depending on the pre-test probability of a given diagnosis. Because of the vast number of potential complications, it is perhaps more useful to identify general principles and certain exclusionary elements that will guide diagnostic test selection.

In general, patients who have undergone abdominal surgery have incisions that need to be inspected on a daily basis as a clue to surgical site infection. Patients who have undergone natural orifice surgery extremely rarely need critical care; if so, they do not have incisions that are inspectable. Abdominal surgery patients are subject to the same kinds of complications as any ICU patient (i.e., deep vein thrombosis and embolism, myocardial ischemia, organ failure, pressure ulceration, etc.) and should not be considered any differently. On the other hand, abdominal surgery patients are at higher risk for wound failure (direct inspection) and abdominal compartment syndrome (bladder pressure monitoring). Like any other ICU patient, evidence of sepsis should be evaluated with blood, urine and sputum cultures, and a careful inspection of invasive catheter sites.Emergency Surgical Care Nursing Essay

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Emergency Surgical Care Nursing Essay Assignment Paper

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