Meeting OR Standards in the Evolving Interventional Procedure Room and Cardiac Catheterization Laboratory (original) (raw)
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International Journal of Bio-Medical Informatics and e-Health, 2022
This article presents a thorough examination of nursing care management within radiology departments, highlighting the challenges and innovative practices that have emerged in this specialized field. The evolution of nursing roles in radiology is explored, from traditional responsibilities to the more complex, multifaceted roles they play in contemporary healthcare settings. Significant challenges are identified, including patient safety, management of radiological emergencies, handling of contrast media reactions, and ethical and legal considerations. The article emphasizes the critical skills and competencies required for radiology nurses, along with the importance of continuous training and professional development. It also explores the use of advanced technology in patient care, the implementation of patient-centered care approaches, and the significance of collaborative practices among interdisciplinary teams. Quality and safety measures within radiology nursing are examined, along with an overview of the current trends and future directions in the field. The article aims to provide insights into the integral role of nursing in radiology departments and to offer recommendations for enhancing patient care and safety in these settings.
Administration in the Operating Room
2022
When referring to the operating room of a health organization, we know in advance that it is a department that is accompanied by multiple requirements and high responsibilities from all the human resources that staff it. Its high demands and great responsibilities result, on the one hand, from the criticality of the state of health of each patient and from the special characteristics that accompany it, from the existing risk of complications during the operation, and on the other hand, from the diversity from which characterizes the team of human resources that staffs the operating room. More specifically, the operating room consists of the director, the head, the head of the department, the medical staff, the nursing staff, the technical department and the administrative department. The medical department is divided into the competent surgeons and anesthesiologists. The smooth operation of this department requires effective cooperation and communication between all members of the surgical team. Clear definition of roles and responsibilities plays a key role in avoiding unwanted conflicts between surgeons, anesthesiologists and nurses. The director and the head of the operating room, as well as the head of the department, play a leading role in avoiding these conflicts. For this reason, these jobs must be staffed by employees who, in addition to technical skills, have administrative and communication skills. The wider part of the operating room of a health organization should be staffed by health professionals who have increased experience in their specialty and have all the necessary knowledge, in order to make a proper preoperative assessment of the patient's health condition and timely and effective anticipation and treatment problems that may arise during the surgical procedure.
Surgery, 1998
Background. Correct performance of invasive skills is essential, but residents often undertake such procedures after no or minimal instruction. Methods. We instructed eight postgraduate year 1 (PGY1) residents in the cadaver laboratory using a competency-based approach (CBI). Each resident had been evaluated before the laboratory during patient encounters. Group instruction in endotracheal tube insertion (ET), venous cutdown (VC), and chest tube insertion (CT) was followed by individual pretesting and hands-on teaching, with 100% competency the goal. Failure was considered an inability to perform the task correctly or within 120 seconds. After the laboratory, residents were evaluated for correctness and rapidity of performance. ET, CT, VC,. Postlaboratory failures were 0 for all. Prelaboratory complications consisted of ET, 3.3 ± 1.1; CT, 1.9 ± 1.0; VC, 3 ± 1.0. Postlaboratory complications were 0 for all. Prelaboratory times (seconds) were ET, 66.5 ± 30.8; CT, 104 ± 4.1; VC, 116.3 ± 0.7. Postlaboratory times were ET, 25 ± 7; CT, 65.5 ± 10.7; VC, 81.3 ± 2.5. Changes were statistically significant for all (P < .03, nonparametric). Residents performed 20 CTs with 1 pneumothorax, 80 ETs with 2 failures, and 20 VCs with no complications. Initial trauma resuscitation time decreased from 25 to 10 minutes.
Filling the void: defining invasive bedside procedural competency for internal medicine residents
Journal of graduate medical education, 2013
Residents perform invasive bedside procedures in most training programs. To date, there is no universal approach for determining competency and ensuring quality and safety of care. We developed and implemented an assessment of central venous catheter insertion competency for internal medicine and internal medicine-pediatrics residents, using measurements for knowledge, skill, and attitude and linking them to procedural outcomes. We conducted a cohort study of a 4-week, resident-run procedure service from July 2007 through June 2011 at a large academic medical center. Knowledge was assessed by using a written test, technical skill by using a checklist, and attitude by self- and supervisor assessments of residents' confidence and capability. Competence was defined as (1) a minimum written test score (70%); (2) a perfect checklist score; (3) a resident's self-assessed confidence and capability scores of 4 or 5 of 5; and (4) faculty rating of the resident's confidence and ca...