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Essay / Reflective Journal - The Duty of a Nurse in the Surgical Department realized its important role in the perioperative environment. Aseptic technique refers to the practice of creating and maintaining a sterile environment used for sterile procedures (Laws, 2010a). This is extremely important because minor and repetitive violations of the sterile environment are one of the main factors increasing the risk of surgical site infection (Harrop et al., 2012). Travel nurses should check the expiration date and integrity of the packaging and wear correct PPE before opening items. Each item must maintain its sterility; therefore, the configuration must be constantly monitored. Instrument nurses should create the sterile field using sterile drapes as they minimize the transfer of microorganisms. They should also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).MedicationsPreoperative phasePharmacology is an essential part of perioperative practice . Medication use is closely monitored during the perioperative period. Preoperatively, certain medications should be stopped before surgery because they increase surgical risk, including anticoagulants, tranquilizers, corticosteroids and diuretics (Laws, 2010b). In fact, these medications can increase the risk of respiratory depression, infection, fluid and electrolyte imbalance, and increased risk of bleeding (Hamlin, 2010). Open communication is important to obtain a medication history and to identify medications taken before surgery. If any of these medications have been...... middle of paper ...... patient safety, gathering necessary supplies and checking if necessary equipment works, setting up the field sterile, the maintenance of its sterility and the completion of all operations. the documents. Hamlin (2010) further states that nurses may be required to provide emotional support during the induction phase of anesthesia. Post-operative phase Although students were not allowed into the recovery unit, I was able to speak to one of the recovery nurses. I learned that a nurse's duty of care includes monitoring the patient's vital signs and level of consciousness, as well as maintaining a patent airway. Assessment of pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical department, the goal is to assist in the recovery process, as well as provide referral details and education on the care required when the patient returns home (Hamlin, 2010).
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