• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

Advanced Anaesthetic Practice (AS1) "Critical Incident"

Extracts from this document...

Introduction

University of Portsmouth Portsmouth Institute of Medicine, Health & Social Care Diploma in Higher Education Operating Department Practice / Registered ODP 2001 - 2003 Unit: Advanced Anaesthetic Practice Title: Critical Incident Diploma in Higher Education Operating Department Practice/RODP UNIT NO: AAP NAME: Advanced Anaesthetic Practice TITLE OF ASSIGNMENT: Critical Incident YEAR: Year 2 DATE: 4th July 2003 I affirm that this Assignment together with any supporting artefact is offered for assessment as my original and unaided work, except in so far as any advice and/or assistance from any other named person in preparing it, and any quotation used from written sources are duly and appropriately acknowledged. Signature of course member:.................................................. Date:.......................................... Contents Introduction...............................................................................Page 1 The Incident................................................................................Page 2 Making sense of the incident.............................................................Page 4 What was learnt and how this will be used in future practice......................Page 8 Conclusion...............................................................................Page 11 References...............................................................................Page 12 Appendix 1 .............................................................................Page 14 Appendix 2 .............................................................................Page 15 Appendix 3 .............................................................................Page 15 Appendix 4 .............................................................................Page 16 Word Count: 2033 Critical Incident Introduction This assignment presents a critical analysis and examination of an incident, which occurred during the participation of caring for a patients anaesthetic care needs during a caesarean section The Diploma in Higher Education in Operating Department Practice emphasises the importance of examining practice through analysis and discussion and recognises reflection as being an essential part of the learning process there for helping to bridge the theory-practice gap. The theory-practice gap in nursing has been referred to, in the past, as a problem for nurses, both for those in academia and those in clinical practice (Thomson, 1998). Rolfe (1998) seems to suggest that the problem is so bad as to be putting lives at risk. Throughout the assignment an attempt is made to reflect on the assessment, planning, delivery and evaluation of care provided to the patient. It also discusses and demonstrates how analysing the incidenthas enabled a student operating department practitioner (ODP) ...read more.

Middle

Theatre practitioners have often complained that individualised care planning could be greatly improved if they were able to undertake preoperative visiting (Carter & Evans, 1996). This incident demonstrated that it is the ability to really listen to what the patient is saying, clarifying that they have understood what was said and acting on the information gained that really helps provide effective care. Although there is often only a short time between the practitioner meeting the patient and the patient becoming unconscious through being anaesthetised it is time which is vitally important in clarifying whether the patient fully understands the procedure they have consented to (Department of Health, 2001). The incident highlighted that patients may consent to procedure without fully understanding them or because they feel they are not being given a choice. By simply asking the patient if they understand what it is they have consented to and whether they are happy with the plan of care gives the patient the opportunity to raise any concerns and the practitioner the knowledge that the patient is fully informed. Working in the theatre environment means working as part of a multiprofessional team. Campbell (1999) suggested the essence of theatre nursing is teamwork and Harris (1996) suggests that teams can achieve together what individuals could never achieve alone. By working together and showing respect for each other, the anaesthetist and practitioner ensured the patient received their chosen care. It is individuals who make up a team and each individual will have their own ideas, values and beliefs. By being able to respect and listen to what each individual in the team is saying conflict can be avoided and each individual's contribution is valued. Although it is personally felt as a student ODP sufficient knowledge and experience is necessary to make such an effective decision. The experience gained from the incident will be taken into account and reflected on in future practice. ...read more.

Conclusion

epidural anaesthesia may be more alert and less sedated as they have not received any general anaesthetic agents through the placental circulation. * The patient's airway is not compromised. * Reduced risk of aspiration which could cause Mcndelson's syndrome * Opportunity to be awake during delivery. * Opportunity of being able to breast feed their child as soon as they deliver. (Casey, 2000) Appendix 6 General Anaesthetic Risks Pregnant women are at more risk of hypoxia and are more difficult to oxygenate than non-pregnant women because of the respiratory changes that occur, pregnant women use more oxygen because of their high metabolic rate. The situation can be made worse by other factors for example obesity and interstitial fluid retention all make it harder to visualise the larynx for successful intubation. Even though fluid retention is a common feature in pregnancy, a more frequent problem is the risk of hypovolaemia which can be due to obstetric complications or very commonly prolonged labour leading to exhaustion. A pregnant women is at greater risk of pulmonary acid aspiration, as regurgitation of acidic stomach contents is more likely, 30mls of acid aspiration of stomach contents can lead to catastrophic aspiration pneumonitis (Mendelson's syndrome). The general precautions for this are to give IV ranitidine as soon as they decide to operate and Sodium Citrate orally immediately pre op. the other precaution is to always use a rapid sequence induction with pre-oxygenation and drugs given in bolus injections. The other problem with general anaesthetic is that there is moderate reduction in psyedocholinesterase in pregnant women compared to the non-pregnant women, this is notable post-partum. Although suxamethonium works the same it's effects may be prolonged. Also some of the drugs used in a general anaesthetic may effect the fetus, anaesthetic drugs cross the placenta and can therefore a deep anaesthetic would sedate the baby and risk birth apnoea, so narcotics or sedatives should not be given to the mother before delivery. (Collins & Gurung, 1998) ?? ?? ?? ?? 18 1 ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Healthcare essays

  1. Nursing : An Example of a Clinical Incident

    When completing this health promotion session Tannahills model of health promotion was used. This model was used because both the health visitor and myself felt this model was easiest to comprehend and apply. This is also a health promotion model that was mentioned on numerous occasions during lectures and so

  2. Reflection on Interprofessional Learning

    As I am going to be working in a very team oriented environment I was looking to increase my team working skills within this module. Teamwork is not the same thing as a team. Katzenbach & Smith (1993) see the team as a means rather thanan end, while teamwork is about performance and how to achieve the primary objective.

  1. The aim of this assignment is to critically evaluate the biopsychosocial perspectives and influences ...

    which could have been based on the principles of the Biopsychosocial model of health, but both are classed as a disease, although there is an ongoing dispute as to whether this title is appropriate. The Baldwin Research Institute (2006) states that 'the disease concept strips the substance abuser of responsibility

  2. Euthanasia - an analysis of the theories and principles which guide healthcare practice and ...

    Kant believed that it is deemed an essential duty always to tell the truth because he believed that in this way respect for the individual is demonstrated. He also believed that all life should be preserved. Kantians argue that it is impossible to have a meaningful relationship unless it is

  1. Diathermy; a two pronged attack. In this assignment, the responsibilities of the operating ...

    On the 'ear, nose and throat' (ENT) operating list in theatre twelve at the Leicester Royal Infirmary (LRI), a procedure known as 'Submucous diathermy to the inferior turbinates' is sometimes undertaken. Symptoms to be addressed are swelling to the lining of the turbinates (curved shelf of bone)

  2. An appraisal of a piece of research-based evidence relevant to healthcare practice - handwashing ...

    Furthermore a problem is that it can be difficult to generalise the findings to a wider population, as it can sometimes be a certain social or cultural group, which can show bias. Convenience sampling is not very rigorous as it just involves the most accessible participants (Marshall,1996).

  1. I will discuss and identify a nursing skill whilst on placement. The nursing skill ...

    related to activities of living (Ropes et al 2000) I also was requested to demonstrate my skills in order to put in practice all the theory I learnt in the class on how to assist an order person with personal hygiene , I chose bed bath because Tommy resisted the

  2. Care versus Control: make a critical analysis of the debate, locating it in terms ...

    assessing the 3 areas of risk, and what constitutes interviewing in a ?suitable manner?, ultimately, the AMHP must use their skills and knowledge to interpret the law to make good judgements about whether someone?s right to freedom (Article 5, Human Rights Act 1998) can be ?trumped? (Yianni, 2009). Peay (2003:14)

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work