Competency of student nurses in the operating room Essay

LEGEND4-Competent (Student performs consistently in an effective and efficient manner) 3-Progress Acceptable (performance is usually effective and efficient just not always) 2-Needs Improvement (progress in performance is too slow to judge satisfactorily task performance is not done properly for majority of the time0 1-Progress out of the question (no progress in performance has been demonstrated and/ or performance is consistently ineffective and inefficient)CORE COMPETENCYSCOREREMARKSA. safe and quality nursing supervise1. utilizes the nursing process in the care of OR clienta. Obtains comprehensive clients information by checking complete accomplishment of the preoperative checklist/ clients mapb. Identifies priority needs of the client at the Operating Roomc. Provides undeniable nursing interventions based on identified needsd. Monitors clients responses to cognitive process2. Promotes safety and comfort of patients inside the ORa. Transports client safely from the unit to ORb. Transfer client safely from the stretcher to OR merchant ship, OR bed to stretcher, stretcher to RR bed (e.g. use of side rails)c. Places properly grounding pad under the patient for electro- surgical equipmentd. Monitor vital signse. Provides physical comfort utilizing comfort devices/ techniquesf. Provides needed blankets and carpenters send offes to prevent hyp differentmia and provide privacyg. Assist in proper and safe positioning of clients in preparation for operating roomh. Observes the principles of strict surgical aseptic techniques inside the work area at all timesi. Observes universal precautions in discussion body fluids3. Performs the functions of the scrub nursea. Drapes the operative field correctlyb. Performs surgical scrub correctlyc. Dons surgical gowns and gloves correctlyd. Serves gowns, gloves and drapes asepticallye. Prepared surgical instruments, sponges, sutures and other supplies in functional agreementf. Hands instruments, sponges, sutures and ot her materials according to surgeons preferenceg. Performs surgical count dead on targetlyh. Performs after care of the surgical instruments4. Performs the functions of the circulating nursea. Prepared the surgical table and all needed equipment and supplies for surgeryb. Assist the anesthesiologist in the induction of anesthesiac. Performs the surgical skin preparation of the clientd. Checks with the scrub nurse the completeness of surgical sponges, needles and instrumentse. Anticipates the needs of the surgical police squadf. Ensures intactness and functionality of all contraptions ( e.g. IVF BT IFC NGT)g. Helps in the after care of all equipment and the OR as a wholeh. Hand additional instruments and supplies aseptically as neededi. Check sheet integrity and sterility of OR packsi.1. Sets up the OR Room needed equipmenti.2. Receives client for surgery/ endorses client post-operatively i.3. Assists in skin preparation and draping of client5. distribute medications and other heal th therapeutics safely6. Executes legal orders of the surgeon/ anesthesiologist accurately and timely7. Evaluates patients response to interventions8. Monitors patients progress during surgery and immediate post-op kindB. Management of resources and environment1. Ensures availability, completeness and functionality of OR equipments2. Observes protocols in unrestricted, semi-restricted and restricted areas in the OR3. Performs proper disinfection and sterilization protocols4. Observes proper disposal of hazardous and non hazardous wastes. Observes proper handling and up keeping of OR resources5. Observes OR policies, procedures and protocols on infection control6. Conducts inventory of OR resources7. Awareness of the institutional evacuation and location plan some(prenominal) for fire, earthquake and other major emergencies.C. Health Education1. Implements appropriate health education activities to client based on needs assessment of the intra-operative client2. Reinforces pre-oper ative health teachings to clientD. Legal Responsibility1. Adheres to legal and institutional protocols regarding informed consent and other legal documentsE. Ethico- Moral Responsibility1. Respects the rights of the OR client2. Accepts state and accountability for own decision and actions as an OR nurse3. Maintains privacy and confidentiality of clients information4. Adheres to the Code of Ethics for NursesF. Personal and Professional instruction1. Performs OR functions and according to professional standards2. Possesses positive attitude towards learning surgical and OR-related knowledge and skillsG. Quality Improvement1. Reports significant actual or potential observations regarding the surgical client2. Reports positive or negative variances at the OR3. Identifies and reports variances in sterility and other OR activitiesH. Research1. Disseminates results of OR-related research findings to clinical group and other members of the OR team as appropriateI. Records Management1. Mai ntain legible, accurate and updated documentation of patient care in the chart/ and OR dorms2. Submits timely, complete an accurate surgical slips and Or write-ups for cases handledJ. Communication1. Utilizes therapeutic colloquy skills with patients, significant others and members of the health team2. Establishes professional relationships with members of the surgical/ health team3. Utilizes proper channel of communication4. Observes complete and accurate endorsement procedures5. Uses appropriate information mechanism to facilitate communication inside the OR and with other departments in the hospitalK. Collaboration and Teamwork1. Collaborates plan of care with other members of the health team