As Robotic service leader Orla has to orient staff to the Davinci Robot in order to this Orla utilized evidence based research examples include; Orla shared this information with her colleague’s education and explaining how important the Robot is for our veterans. With the use of evidence based research Orla was able to turn learning the Robot into something that staff dreaded to something that staff are now enthusiastic to learn learning https://www.omicsonline.org/open-access/developing-fundamental-perioperative-nursing-educational-program-of-roboticassisted-surgeries-2471-9846-1000185.php?aid=91525
Recently we started Robotic vasectomy in preparing staff for the surgery for the first time various evidence based articles were utilized for education. Thankfully our first Robotic Vasectomy was a success and it is more popular than we anticipated but thankfully are staff is fully prepared and educated.
https://www.omicsonline.org/open-access/developing-fundamental-perioperative-nursing-educational-program-of-roboticassisted-surgeries-2471-9846-1000185.php?aid=91525
https://www.nursingcenter.com/journalarticle?Article_ID=693755&Journal_ID=54016&Issue_ID=693699
https://www.google.com/search?q=nursing+articles+on+robotic+vasectomys+&sxsrf=ALeKk00Pf1XXLBlIPJu0D4WGjMRmlOoNOQ%3A1618881373464&source=hp&ei=XSt-YNKzGZGs0PEPiZChmA4&iflsig=AINFCbYAAAAAYH45bRo3l2iiXUSXLXY1NEDFOKwrtNcT&oq=nursing+articles+on+robotic+vasectomys+&gs_lcp=Cgdnd3Mtd2l6EAMyBwghEAoQoAEyBwghEAoQqwIyBwghEAoQqwIyBwghEAoQqwIyBAghEAo6BAgjECc6BQgAEJECOggIABCxAxCDAToFCAAQsQM6CAguELEDEIMBOgsILhCxAxDHARCjAjoECAAQQzoLCAAQsQMQgwEQyQM6BQgAEJIDOggIABCxAxCRAjoHCAAQsQMQQzoCCAA6CAgAELEDEMkDOgYIABAWEB46CAghEBYQHRAeOgUIIRCgAToFCCEQqwJQlQJY9nFgl39oA3AAeACAAesBiAG2JJIBBzEwLjMxLjGYAQCgAQGqAQdnd3Mtd2l6&sclient=gws-wiz&ved=0ahUKEwiS1siJ04vwAhURFjQIHQlICOMQ4dUDCAk&uact=5
Keeping our colleagues educated in the Davinchi is ongoing and cannot be done with constant evidence based research.
When a Brigham and Women’s surgeon suggested that we were the institute that she wanted to perform the first Robotic-assisted double sleeve lobectomy at our hospital Orla brought a group of her colleagues together and they researched the topic inside and out so that there were fully prepared.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303070/
If possible outcome was taken into consideration and our staff was fully prepared to take care of the patient unfortunately due to the patient’s anatomy the double lobe was not completed but the patient remained safe throughout the procedure
Orla utilizes evidence based practice in everyday practice that is what perioperative nursing is based on please give some examples
Also when the OR team reorganized the core and the robotics storage area they did it through evidence based research using lean – prior to re organizing anything several evidence based articles were utilized https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303070/
The core and robotics storage in organized and based on the fundamentals of lean –
Please list several articles here.
Orla also used evidence based research when working with her colleagues for a smoke free Operating room here are some examples https://pubmed.ncbi.nlm.nih.gov/29851040/
Thank fully her hard work paid off and the current back currently hold a smoke free cautery hook although some surgeries still need to use the old one we have come leap and bounds all due to evidence based research.
Nursing Ethics in the Operating Room
Nursing is based on ethics but especially when it comes to the operating room. All perioperative nurses must have a surgical consciousness otherwise they do not belong in the operating room where there is no margin for error. When it comes to sterility Orla will not take any chance of opening a non-sterile item on to a field no matter how long that it is going to take for to process a new one. Sterility and patient safety come first. Orla is also excellent at reporting near misses if she is unfortunate enough to witness one an examples includes; a stapler misfired during surgery although not harming the patient, Orla made sure that policy and procedure is followed; patient notified, incident report created, management notified follow up with manufacturer surgeon and engineering and logistics. This is how we will keep our patients safe. Another dilemma Orla encountered while on call duties she was giving a lunch break. On arrival to the OR the nurse who she was given a break to was orienting a new nurse, Orla noticed that the precepting nurse was on her phone instead of paying attention to the new nurse. Although there was no patient in the room. Orla did not say anything but relieved both nurses for their lunch. On their return Orla stayed and observed both of them. The precepting nurse continued to be on her phone Orla just reminded her of the policy on phone usage. Rather than creating confrontation in the room, Orla waited till the case was over and did have a good working relationship with her colleague and utilizing emotional intelligence Orla discussed it with her. The other nurse merely felt that the new nurse was further along and did not need her guidance. Orla explained about role modeling and that its going against nursing ethics not to teach and you cannot teach while you are on you cell phone.
Another ethical dilemma that we come across in nursing is the sharing of information. Orla has worked with all her colleagues and management have worked at updating the most proficient preference cards that this operating room has seen. The culture has shifted from don’t share don’t to email all and update the full team. Orla has always been a leader in this and will always share any information whether it be from conference, colleague or evidence based research Orla will always share.
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