Anesthesia Care by Nurses Its Purposes and Importance
Purposes of Peri-anesthesia care includes importance and involvement nursing care of in health care.
Purpose Of The PACU
The PACU is designed and staffed for the intensive
observation and care of patients after a procedure that required anesthesia.
Criteria for inclusion in the PACU must be clearly described and exceptions to
the policy must be explicitly delineated.
The impact on the staffing and use of recovery beds for a variety of services has created a particular concern: the use of the recovery unit to perform special procedures or to monitor patients who have undergone special procedures, such as: B. Cardiac catheterization, arteriography or other special radiological tests, and electroshock therapy.
A more recent development
is the use of PACUs for patients in the intensive care unit (ICU) or telemetry
or emergency room when beds are not available in those hospital rooms. The
shortage of hospital beds has also turned the PACU into a holding area for
surgical patients. Specific policies and procedures must address any special
procedures performed in the room and the care of these non-surgical patients.
Nursing Employees
Nursing staff must be qualified nurses providing direct
patient care. Each unit should also have a clinical nurse for
orientation and training needs and for direct patient care experience. The
clinical nurse specialist also performs in research and consulting roles.
Vocational or practical nurses licensed in the area may be employed to assist
the professional nurse, but must be supervised by a registered nurse at all
times. Some units use
Professional or practical nurses as members of their
transport teams. Unlicensed support staff must be under the direct supervision
of a registered nurse.
Nursing students are not to be employed as PACU staff.
Students are assigned to PACU primarily for observation. Any patient care provided
by nursing students should only be under the direct supervision of a permanent
nurse. Private duty nurses or “floaters” should not be used for recovery unit
staff unless they have been specifically trained and have up-to-date recovery
skills.
Continued Employment Of Nursing Staff In The PACU
Much information is now drawing our attention to the
existing nursing shortage, which will only worsen over time. This deficiency
has many facets. One factor is the upcoming retirement of baby boomer nurses.
At the same time, fewer nurses are graduating and the demand for nurses is
increasing. At the same time, many colleges and universities have recently seen
an increase in the number of nursing applicants only to be turned away due to a
lack of qualified nursing educators.
Nursing as a whole has begun to deal with the decline in the number of its practitioners. A hospital bed has also transformed the PACU into a waiting room for surgical patients. Specific policies and procedures must address any special procedures performed on the ward and the care of these non-surgical patients that fit within the nursing profession. Some believe that austerity measures in the health sector, which led to layoffs a few years ago, have discouraged some young people from taking up jobs with an uncertain future.
Other articles cited abuse by doctors, low wage limits, inflexible work
schedules, and forced overtime as key factors. The expanded possibilities of
female students are also taken into account. Today's female students have more
options than the baby boomers did. These options have attracted some of the
young people to other professions. Recruitment in nursing and in certain
hospitals is a hotly debated topic. Once peri-anesthesia nurses are hired,
retaining these experienced workers becomes a major challenge. Some research
has found that nursing manager leadership behavior had the greatest impact on
hospital nurse retention .
The retention of qualified nurses is increasingly becoming a
priority for nursing administration. In exit interviews, nurses cite an
unhealthy work environment as a reason for leaving the workplace. There are
still problems in dealing with the nursing staff
Other factors related to job satisfaction and retention included flexible work schedules, reasonable salary scales, and shared leadership. The manager creates and controls flexible working hours and a common governance philosophy. Managers need to reconsider traditional beliefs that nurses should work fixed shifts. The 7:00 a.m. to 3:30 p.m. shift is a thing of the past.
A creative manager works with nursing staff to accommodate
individual work schedules. The mother who has to take her children to the
school bus before work may prefer to work from 8:00 a.m. to 5:00 p.m. to 4:30
p.m. instead of the traditional opening times of 7:00 a.m. to 5:00 p.m. m. to
3:30 p.m. m. For mothers or fathers who work the night shift, a 5:00 p.m.
applies. m. to 1:00 a.m. m. may be better suited to accommodate childcare
issues. Introducing a 10-hour shift or a split shift helps fill the gaps.
Creative staffing solutions are key to employee retention and employee
satisfaction.
It is the manager's responsibility to create an environment conducive to the growth and development of employees. A 1982 survey conducted by the American Academy of Nursing identified nursing variables that attracted and retained high-quality nurses. These variables include nursing autonomy and personal and professional satisfaction and nursing practice, which resulted in two outstanding performances.
As a result of this survey, the Magnet
Recognition Program was created to recognize healthcare organizations that
demonstrate excellence in nursing. Centers that strive to be recognized as
magnet centers have found that the nurses employed at the center provide
quality patient care. Nurses who believe they have the necessary support and
resources to provide quality patient care are more likely to be satisfied in
the workplace.
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