Writer to choose
GUIDELINES —-
PERIOPERATIVE ROTATION OBSERVATION PAPER
Directions:
• Answer the following questions based on your PERIOPERATIVE ROTATION Observational
Experience.
• Reflect on the overall learning opportunity.
• Paper is to be typed, APA. Questions may be answered in general narrative format.
PERIOPERATIVE ROTATION
Experience.
QUESTIONS – PREOPERATIVE PERIOD
1. What are the unit nurse’s responsibilities prior to sending a patient to the procedure room?
2. What are the nurse’s responsibilities prior to the administration of anesthesia?
QUESTIONS – INTRAOPERATIVE PERIOD
1. What was the procedure you observed?
CARDIAC ABLATION PERFORMED THROUGH ELETRO PHYSIOLOGY
2. What type of anesthesia was administered? What medications were used?
The certified registered nurse anesthetist (CRNA) administered propofol, midazolam, and fentanyl under monitored anesthesia care (MAC) to the patient. The patient was placed in the supine position to gain appropriate access to the femoral veins; these veins were being used to thread a catheter to the inferior vena cava into the chambers of the heart.
3. In what position was the patient placed? Why?
SUSPINE POSITION/ TO GET APPROPRIATE ACCESS TO HIS FEMORAL VEINS, THESE VEINS WERE BEING
USED TO THREAD A CATHETER TO THE INFERIOR VENA CAVA INTO THE CHAMBERS OF THE HEART.
4. Who are the members of the procedure room team? What are the roles of each member?
SURGEON, REGISTER NURSED, CRNA, AND THE SURGICAL TECHNOLOGIES
CRNA ADMINISTERS ANESTHESIA TO THE PATIENT AND MONITORS VITAL SIGNS WHILE THE PATIENT IS UNDER ANESTHESIA…
5. What areas in the procedure room are considered sterile and which areas are not sterile?
RESTRICTED ZONES
SURGERY ROOM / TABLE TRAY ETC
QUESTIONS – POSTOPERATIVE PERIOD
1. What are the nurse’s responsibilities immediately post-procedure?
2. What post-procedure nursing care will be needed by the patient you observed?
SUMMARY – OVERALL REACTION TO THE LEARNING OPPORTUNITY
