Month: March 2016

9th OR Case: EGD (Esophagodoudenoscopy)

Setting up of EGD is as easy as that of Colonoscopy. Supplies/Equipments used: a. Stretcher in room b. Pentax Tower – Enter patient info on Endo Pro c. Towel d. Roll (2 Bed Linens) Procedure: 1. Set up room. Order procedure through Endo Pro. 2. Interview patient. Check CONSENT and lab works, if ordered. 3. Position patient on Lateral Left, place roll behind patient’s back. 4. Annotate pictures, if needed. 5. Obtain bottle, if needed. 6. Stickers for the specimen bottle, if needed. It is a fast procedure. I was on the middle of charting when I saw the...

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7th – 8th OR Case: Colonoscopy

If I thought that ESI is easy, Colonoscopy is so far way easier. The supplies used depend on Dr’s preference. SUPPLIES/EQUIPMENTS Colonoscopy Machine (Change Sterile Water everyday) Suction Canisters Towel (under patient) 2 Bed Linens (roll for bump) KY Jelly Bovie (rarely used) Specimen Container Snare (Rotating/Non-rotating) 3 warm blankets As soon as Surgical Tech takes Colonoscopy Tower inside OR Room, turn on computer and select Endo Pro to check in patients. Have suction canisters ready for the procedure. Same procedure for all patients when it comes to answering all pre-op questions. (Name and DOB – verify on wristband,...

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3rd – 6th OR Cases – ESI (Epidural Steroid Injection)

All cases assigned to us today are ESI (Epidural Steroid Injections). This is not alien term to me as I’ve spoken to so many patients in Loma Linda about Steroid Injections, why they chose ESI and why they are coming back to do it again. I’ve seen as many as 20 (?) scheduled in one day for Epidural Shots, so 4 is not that much in comparison. Of course, the Clinical side is so much different from that of the non-clinical aspect of a patient’s visit, so to be given that opportunity to see it happening, and be a...

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2nd OR Case: Cheilectomy Exostectomy

As fancy as it sounds, it is actually commonly referred to as Bunionectomy. It is a surgical procedure performed to remove bone spurs from the base of the great big toe. With research, most RA patients have hallux rigidus, it is a condition wherein the joint wears away from the base of the big toe. Our patient today don’t have arthritis. Hers is genetic in nature, as per our surgeon, and is probably uncomfortable with her shoes more than anything else. So she needed it taken out. As an OR Nurse, main duty is to make sure the Patient...

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1st OR Case: Laparoscopy Cystectomy with Possible Oophorectomy

On my first day I was given the chance by my nurse preceptor, Amy, to observe on one of the last cases in the OR. It is for a Laparoscopy Cystectomy. Prior to entering the OR, I observed as she went over all the blood work results taking notes on the discrepancies on the levels, I listened as she interviewed the patient with set questions, and helped out a little with setting the OR, counting of pre-op supplies to be used, reconciling medications, and positioning and prepping the patient. It was a long and tedious process that require so...

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