...Today I shadowed a CRNA. I was very excited after they put me with a nurse anesthetist. We observed more colonoscopies. Just like most procedures, a colonoscopy requires anesthesia (MT1). Typically, it's performed with a drug called propofol. Propofol allows the pt to be fully sedated but wake up faster. Anytime anesthesia is needed it must be administered and monitored by an anesthesiologist. Sometimes the anesthesiologist has to administer special medications to fit the pt’s needs. Each time the CRNA grabbed a medication they had to go through a passcode. All the medication in the room was locked.(S) The first pt was in for a routine screening. The physician removed multiple polyps from the sigmoid colon. The polyps were placed in a solution...
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...Maria Hernandez Mod 170 Ms. Lily Anesthesiology An anesthesiologist is a medical doctor who cares for a patient before, during and immediately following a surgical or medical procedure by administering the appropriate anesthesia and monitoring the patient for reactions and complications, and to ensure comfort and manage pain. Some of the primary responsibilities of an anesthesiologist include examining the patient to determine the type of anesthetic needed, communicating all relevant information to the appropriate medical practitioners, and administering local, intravenous, or spinal anesthetic to the patient. Anesthesiologists meet with the patient prior to the surgical procedure to evaluate their condition and to review their medical history, they will explain the procedure to the patient so that they know what to expect. During surgery, an anesthesiologist carefully monitors the patient's vital signs—including heart rate and rhythm, blood pressure, breathing, and kidney function—and adjusts anesthetics as needed. When surgery is finished, the recovery phase begins. The anesthesiologist administers medications to reverse the effects of the anesthetic, returning the patient to consciousness if a general anesthetic has been used. After surgery, patients are moved to a recovery room, where the anesthesiologist is still responsible for the patient's vital functions. In the recovery room, nurses and other specially trained staff closely monitor the patient under the supervision...
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...Running head: Critical Analysis of Qualitative Research Paper. Stressors on Anesthetist student Nurse and Coping Skill Name: Angela Francis Course: NRS-433V-0101 Running head: Critical Analysis on Qualitative Research: Problem Statement: Recognized practice nurses furthering their career anesthesiology being challenged by stresses involved in the program course outline as well as post graduation stressors. The problem of this study was the fact that just a minimal awareness about post graduate nurse anesthetist educational program which is mostly entrusted to competency in cultural training, rates of attrition, curriculum of the clinical areas in other words the historic review on transformations in educational programs over a period of decades. This problem not only affect practices in nursing, rather it focuses on fears and worries and thereby discovering ways to enhance the curriculum for nurse anesthesiology by reducing stress on students. Problem of this study marches with it’s naturalism of paradigm and due to the presenting problem replies or responses could be retrieved from the students points of view. The application of grounded qualitative theory method stands as a good choice for this study as it enables the writer to stop the use of inquiry from nurses in other to get data required from participating individuals. By the applied method of obtaining data a reasonable theory came up...
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...with patient after surgery to make sure they are stable. This goal will be fulfil by setting my goal in steps of short term, long term and the ultimate goal. My plan comes into play when all of a sudden, my mum died during a surgery that she was not expected to die from. I plan to achieve my goal by taking one step after the other and letting things fall in place as I took my first step by deciding to go to nursing school. After I received my Associate in nursing which is the foundation in my nursing career. Although I work as a nurse at the moment I still I have hunger and the aspiration of moving forward and progressing towards my personal goal. According to American association of nurse anesthesiologist- The "Association of Nurse Anesthesiology www.aana.com "A nurse anesthetist is a nurse who specializes in the administration of anesthesia. In the United States, a certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who has acquired graduate-level education and board certification in anesthesia. Personal Goal First and foremost goal, my short term goal is to complete my BSN program from University of phoenix. I am in the second week of the program. So far, I have been trying to do all I could to be the best student I could be. I have decided to utilize all the school resources that will help me to be able to write good papers, research papers, reports and even working in team virtually based. Although it is very challenging...
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...Assistants, Allied Health Instructors, and Clinical Laboratory Consultants. Anesthesiology is part of a Medical-Technologist. This paper will include the job description, salary, demands of the job, work experience needed, benefits, education, activities, and daily routine of an anesthesiologist. Anesthesiologists are Doctors of Medicine (MDs) that concentrate on the care of surgical patients and pain relief. As with other physicians, they evaluate and treat patients and direct the efforts of those on their staffs. Some of the primary responsibilities of an anesthesiologist include examining patient to determine the type of anesthetic needed, communicating all relevant information to the appropriate medical practitioners, and administering local, intravenous, or spinal anesthetic to the patient. Other duties may include recording the type and amount of anesthesia administered, maintaining the patient’s vital life functions (i.e. heart rate, blood pressure, body temperature, and breathing) through continual monitoring and assessment during surgery, and conferring with other physicians and surgeons to determine the condition of a patient before, during, and after sedation. Anyone interested in this medical specialty must be dedicated to a lifetime of continuing education in order to stay current with the constantly evolving nature of anesthesiology and pain management. To be successful in anesthesiology, individuals must excel academically, be incredibly detailed-oriented, calm...
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...Anaesthesia 1986; 41:1116-1119. 6. M.Morgan. The rational use of intrathecal and extradural opioids. Br J Anaesth 1989; 63; 165-188. 7. Parvis Naji et al. Epidural Droperidol and Morphine for Postoperative Pain. Anesth Analg 1990;70582-8. 8. J C Tortosa et al. Efficacy of augmentation of epidural analgesia for caesarean section. Br J Anaesth 91 (4); 532-5 (2003). 9. Sylvie Rostaing et al. Effect of epidural clonidine on analgesia and pharmacokinetics of epidural fentanyl in postoperative patients. Anesthesiology 1991; 75:420-425. 10. Torben Mogensen et al. Epidural Clonidine Enhances Postoperative Analgesia From a Combined Low-Dose Epidural Bupivacaine and Morphine Regimen. Anesth Analg 1992;75:607-10. 11. James Eisenach et al. Hemodynamic and analgesic action of epidurally administered clonidine. Anesthesiology 78:277-87, 1993. 12. M De Kock et al. Intravenous or epidural clonidine for intra and postoperative analgesia. Anesthesiology 79:525-531,1993. 13. Anis Baraka et al. A comparison of epidural tramadol and epidural morphine for postoperative analgesia. Can J Anaesth 1993/40:4/pp 308-13. 14. A. E. Delilkan et al. Epidural bamadol for postoperative pain relief. Anaesthesia, 1993, Volume 48, page 328-331. 15. J J Lee et al. Comparison of a bupivacaine-clonidine mixture with plain bupivacaine for caudal analgesia in children.Br J Anaesth 1994; 72: 258-262. 16. Clive H. Wilder-Smith et al. Epidural Droperidol Reduces the Side...
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...The career of my choice is an anesthesiologist. I have always found a great interest in the medical field and specifically in anesthesiology. Anesthesiology is the part of medicine that focuses on anesthesia and anesthetics. Without it, surgery would be painful and unbearable. An anesthesiologist is a physician who administers anesthetics before,during, or after a medical procedure. There job is develop a plan for their patient and to be there during and after their surgery. They make sure that their patient is comfortable for surgery by general anesthesia or regional anesthesia. General anesthesia is when the patient is heavily sedated to the point where they are unaware, while regional anesthesia is numbing the part of the...
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...occupations that I am interested in pursuing cater mostly to males. The professions that interest me are Engineering, Chemistry, and Anesthesiology. I came across an article that discussed the pay differences between male's, and female's in the Science, Technology, Engineering, and Mathematics (STEM) profession's. According to a data study provided by the American Chemical Society (ACS) male chemists earned thirty percent more than female chemists. The findings of their research showed that eighty-three percent of the wage gap is due to differences in work ethic, and productivity, while the remaining seventeen percent is because of discrimination, and other unmeasured allegations. The information that I obtained from the National Society of Professional Engineers, in 2004 there were approximately 192,900 female engineers (62,000 were software engineers) throughout the United States, compared to the overwhelming number of men in this profession, at over 1,515,000. Women are more likely to get hired in the environmental, and chemical engineering fields than men are. However, women are less likely to get hired in the mechanical engineering, and electrical engineering professions than men. In 2006 females made up approximately one quarter of all engineers under the age of 25 in the United Stated. After researching the field of Anesthesiology I found that men are dominating this profession. According to a powerpoint presentation that I read from the Medscape Today News...
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...Im Improvements in Medicine HIS220 Mike Watson Mrs. Debra Chittur 10/6/2014 Anesthesiology was one of the greatest changes from the nineteenth century. Before anesthesiology was introduced, surgery was horribly gruesome and extremely painful to go through. The first documented general anesthetic was performed by Crawford W. Long in 1842; however Mr. Long did not publish the success of Ether. The first public demonstration of general anesthesia was in 1846 by a Boston dentist named William T.G. Morton at the Massachusetts General Hospital. Cell theory was also conceptualized because back in the nineteenth century you had people that could survive surgery only to pass on from infection a few weeks later and doctors could not explain or figure out why until a man by the name Louis Pasteur a chemist from France first demonstrated that there are microorganisms everywhere. What doctors and hospital staff was able to do with this information was to create chemicals that attacked certain microorganisms and wash their hands in it before surgery and vent it through the surgery room to kill in airborne pathogens. To this very day we still use the improvements in medicine ‘pasteurization’. There is always going to be advances in medicine for the future, and looking into some of the future advancements in medicine. Real-time diagnostics should be in the focus for the next few years. The intelligent surgical knife (iKnife) was developed by Zoltan Takats of Imperial College London...
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...Johnson’s hospitalization, one of the staff nurses attempted to report her concern to the chief of anesthesiology. Nonetheless, the chief did not question Dr. Johnson or pursue a formal report regarding the nurse’s concern to avoid confrontation. After the chief dismissed the nurse’s fear, the nurse did not notify anyone beyond the chief of anesthesiology. In this scenario, there is a lack of accountability and supervision by the hospital staff. There were not hospital policies and procedures in place to confirm narcotic drug administration. No one was assigned to counting or confirming the drug logbook to find out where the narcotics were being...
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...infuriated me. The very fact that people’s lives were judged by the amount of money they have, rather than realizing that all humans’ lives were the same made me very irate in regards to the modern healthcare system. All humans feel the same pain, happiness, and compassion much as any other person in this world. Despite my unwavering passion for medicine, I was disgusted that no one has done anything about this easily addressable problem in the healthcare industry....till now. As Theodore Roosevelt once said, “Complaining about a problem without posing a solution is called whining”, so I have made it my duty to arrive at the solution myself. I pondered,”What is a career that I enjoy and can change the lives of many?” I arrived at my answer: Anesthesiology. The field that may not seem...
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...CARTER v. HUCKS-FOLLISS, 131 N.C. App. 145, 500 S.E.2d 177 (1998) Relevant facts: The Moore General hospital is the defendant and the Carter's are the plaintiffs. This case is against the defendant's plea for a summary judgment. The plaintiff underwent a neurosurgery at the defendant hospital and it was performed by Dr. Folliss who has medical staff privileges at the hospital. Due to Dr. Folliss's negligence the plaintiff sustained quadri paresis, painful injuries and disfigurement. The plaintiff commenced action against the defendant hospital in granting clinical privileges to Dr.Folliss who was not board certified, in failing to ascertain if he was eligible to perform neurosurgery and in failing to adhere to the standards of JCAHO. Issue: Is the defendant hospital responsible for the harm caused to plaintiff in not adhering to standards of JCAHO. Holding decision: The appellate court reversed and remanded the summary judgment. Analysis/ Reasoning: The defendant hospital was accredited by JCAHO and as per JCAHO regulations anyone having surgical privileges at the hospital should be board certified. But Dr. Folliss had the surgical privileges and it was renewed even though he wasn't board certified and was not eligible for the exams anymore. The hospital did not take any action to ascertain if Dr. Folliss has taken and cleared the exam and hence it did not adhere to the JCAHO regulations Concur/Dissent: I concur with the decision of the court. SOKOL v. AKRON GENERAL MEDICAL...
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...2004). If the technology is a success, it could help lower administrative costs by reducing payment time by more than 75 percent, while allowing healthcare professionals to access the claims electronically and allowing the claims to be traceable which could also be a benefit by reducing fraud (Anthem, 2004). It is believed that the pen could potentially reduce the overall cost of filing each claim by 20-80 percent without fully revamping the existing processes (Anthem, 2004). The claims filed by physicians for reimbursement are based on the Center for Medicare & Medicaid Service Resource Based Relative Value Scale (RBRVS) with a single conversion factor specific to Anthem (Anthem, 2015). However, for anesthesiology and clinical laboratory procedures the relative values for anesthesiology and modified Medicare fees for clinical lab is based on the American Society of Anesthesiologists (ASA) (Anthem, 2015). For on-call physicians, which is to be 24/7 for contracts with Anthem, the reimbursement amount is based on the set amount within that contract (Anthem, 2015). My concerns about health insurance is that it is literally about the money instead of the care the patient receives. Customers pay high price thinking that they are covered for this or that, but when the time comes, there isn’t any coverage or they have to jump through hoops to see a specific type of provider. In addition, the copayments and premiums are so high that some individuals, with coverage, still avoid the proper...
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...http://www.selfgrowth.com Published on SelfGrowth.com (http://www.selfgrowth.com) Home > Articles > Health & Fitness > Medical Advice and Resources > What is Patient Centered Care and how is it Better? What is Patient Centered Care and how is it Better? By Leslie McKerns On May 11, 2007 With the advent of managed care, more patients are seen in shorter amounts of time and the amount of one-on-one time with the doctor seems to be on the verge of evaporating. Escalating pressures on the physician and the medical staff increase as health care approval agencies mandate more paperwork and justification for procedures. From the patients’ perspective, care has become centered not on the needs of patients, but around the needs of the system itself. Patient-centered care is a quality benchmark actively sought by medical care professionals, eager to deliver dignified care and re-establish patient satisfaction. How do we define Patient-centered care and its goals? Patient-centered care treats the patient with dignity and respect, as one capable of making informed decisions and with the rights to express needs and preferences in treatment and expected outcome. Patient-centered care is based upon communication and involves both patient and their families in the treatment options and potential outcomes. Patient-centered care involves the patient in all aspects of their care and empowers them to seek the best solution for management or treatment. It moves the medical practice...
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...The trend of Primary care physicians is declining because new medical students are not choosing it as a career path. Even those who chose it as a career at the start of their practice gradually changed their minds, most deciding to pursue a subspecialty career instead. They are progressing towards other emerging fields of medical and are becoming specialists in new areas of dermatology, anesthesiology, radiology and ophthalmology. Older and experienced Physicians are taking retirement earlier and existing are switching their jobs and changing their fields. Primary care doctors already have to see more patients on routine basis as compare to non-primary and they don't get much time to spend with each patient. They also make, on average, 65% less than non-primary care doctors, yet are required to go through similar years of higher education, completing eight years of undergraduate and graduate education and at least three years in residency, for a total time investment of more than a decade....
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