English1101 – English Composition
Rosie Branciforte
Final Draft – Documentation as a Surgical Technologist
02/08/2017
McCann School of Business and Technology – Monroe Campus
Abstract
Surgical technologists are vital for pre-op, intra-op and post-op patient care. Documentation is key when providing medical treatment to a patient; medical professionals use documents to protect a certification or license that is in their name. Inaccurate charting can lead to several avoidable mistakes including: Miscommunication, improper coding and billing of a patient’s visit, loss of surgical material and tools and mislabeling of medications. When a medical professional interacts with a patient in any manner including taking …show more content…
When a surgical technologist is performing that role, he or she counts aloud, and the circulator documents everything that is being said. Once the documentation is completed, the circulator repeats aloud what has been said, and then the documentation must be verified. Keeping a physical count can save a patient’s life. Inaccurate documentation can lead to complications for the patient, and the responsibility for those complications falls directly on the circulator and surgical technologist. In a matter of eight years, almost eight hundred patients had materials left in their bodies. Over ninety percent of those people had to stay longer than they expected because of miscommunication and poor documentation. It also resulted in sixteen of those lives taken way too soon due to an error that was completely avoidable.(Jaslow, R. …show more content…
Mislabeling something in the operating room can cause severe harm to the patient. The accuracy of medication can be the difference between life and death. Mislabeling is a mistake that can be avoided by careful attention to detail. The operating room consists of a fast pace that is a matter of life and death for the patient. When a prescription is given to a patient it is triple checked by the different staff that is administering it, in a fast pace, this may be overlooked. (Massachusetts general says drug errors…2015) Miscommunication has started wars; it has no place in an operating room. Improving listening skills improves communication skills and, consequently, overall patient care. In the 90s there were 98,000 lives taken prematurely due to lack of communication in the operating room. (State of Health. 2014) Listening and communicating effectively are vital in any medical situation in which lives are at