The Elliot hospitals surgical services microsystem is a unique and complex environment. With a group of clinicians and staff that work together with a shard clinical purpose, to provide care for the surrounding community. The Operating room (OR) is an ever changing microsystem that has many moving part to help it function adequately. In this essay, I will outline many of the important dynamics that comprise the microsystem of the OR, and describe why each element is needed to help service its community.
The purpose of the Surgical Service at the Elliot Hospital is to be commitment to the highest standards for quality care. They wish to ensure the best in surgical outcomes. Each and every patient can expect a dedicated staff to adhere to the …show more content…
It is the job of the circulating nurse, who is clean not sterile to observe the practices of other team member to insure sterility is maintained. It is surgical protocol that the operating room establish a sterile field and environment to prevent pathogenic contamination and to have full infection control and prevention. Sterility is established in the following manner. Scrubbed staff prior to entering the OR must conduct a wet scrub hand hygiene procedure. They then must dawn the appropriate sterile personal protective equipment to insure their own sterility as well as the working field. Either the surgeon or circulating nurse than uses a surgical prep solution such as Choraprep or Iodine to prep the surgical site before draping occurs. Sterile drapes and covers are used to surround the surgical site to ensure and establish a sterile field. All equipment used in close proximity of the sterile field must also be adequately draped. All tool and instrumentation used within the sterile field must be properly sterile and sterilized prior to use. The circulating nurse and scrub tech insures equipment sterility by meticulously check the packing in which the item is contained. At any time during the procedure if sterility is compromised the team must be notified and action must be conduct to correct this breach and prevent further contamination. Sterility is important because it prevents the …show more content…
Measuring patterns of outcomes, processes and practices regularly help and OR run efficiently and improve on areas of need. In the Elliot OR there are multiple white boards that outline statistical information to help the staff focus and to act as a reminder for areas of need. They as well highlight proficiency levels. There are many metrics in which an OR can assess but a few I have found the Elliot sees as a priority which include, case start time, turnover rates, case estimate duration vs. actually rap up, complications, appropriate staffing, outcomes and patient satisfaction to name a few. These are measured with the initiative to help increase OR productivity, satisfaction, and increase patient
The purpose of the Surgical Service at the Elliot Hospital is to be commitment to the highest standards for quality care. They wish to ensure the best in surgical outcomes. Each and every patient can expect a dedicated staff to adhere to the …show more content…
It is the job of the circulating nurse, who is clean not sterile to observe the practices of other team member to insure sterility is maintained. It is surgical protocol that the operating room establish a sterile field and environment to prevent pathogenic contamination and to have full infection control and prevention. Sterility is established in the following manner. Scrubbed staff prior to entering the OR must conduct a wet scrub hand hygiene procedure. They then must dawn the appropriate sterile personal protective equipment to insure their own sterility as well as the working field. Either the surgeon or circulating nurse than uses a surgical prep solution such as Choraprep or Iodine to prep the surgical site before draping occurs. Sterile drapes and covers are used to surround the surgical site to ensure and establish a sterile field. All equipment used in close proximity of the sterile field must also be adequately draped. All tool and instrumentation used within the sterile field must be properly sterile and sterilized prior to use. The circulating nurse and scrub tech insures equipment sterility by meticulously check the packing in which the item is contained. At any time during the procedure if sterility is compromised the team must be notified and action must be conduct to correct this breach and prevent further contamination. Sterility is important because it prevents the …show more content…
Measuring patterns of outcomes, processes and practices regularly help and OR run efficiently and improve on areas of need. In the Elliot OR there are multiple white boards that outline statistical information to help the staff focus and to act as a reminder for areas of need. They as well highlight proficiency levels. There are many metrics in which an OR can assess but a few I have found the Elliot sees as a priority which include, case start time, turnover rates, case estimate duration vs. actually rap up, complications, appropriate staffing, outcomes and patient satisfaction to name a few. These are measured with the initiative to help increase OR productivity, satisfaction, and increase patient