Reflection On A Laparoscopic Appendicectomy

This essay will be reflecting on a patient's journey who had a laparoscopic appendicectomy. I observed them from their entrance to the theatre, during the anaesthetic phase, surgical phase and recovery. I will be discussing the importance of communication and the various methods of communication used in the department. I will be using the Gibbs Reflective Cycle (1988). The Health and Care Professions Council [HCPC] (2016) require students to maintain confidentiality in accordance with Confidentiality Policy (Local Policy, 2015) so I will be referring to the patient as Jane. Jane was brought on a bed to the anaesthetic room. The patient was nervous at this time. My mentor and I welcomed her, and the ward nurse handed the patient notes to the …show more content…
5) was maintained at all times in various forms such as using the WHO safety checklist, the Surgical Care Plan, verbally communicating with the patient about how they are about to feel and to members of staff when handing over the patient. Chassidy Davis-Evans (2013) recommends the use of effective communication, humour and music to help alleviate anxiety. The ability for patients to be able to have their questions answered gives them a sense of empowerment when they would feel vulnerable in the perioperative environment. The use of humour has many benefits such as "increases pain tolerance; improves respiration and breathing" (Chassidy Davis-Evans, 2013, p. 359) which can help with both anaesthetic and recovery phases of the patient pathway. The Royal College of Physicians (2017) suggest the use of the SBAR tool as it allows staff to communicate with more confidence and reduces the likelihood of miscommunication between staff. This was followed by all members of staff when handing over to the next phase of the patient pathway. The patient's shoulder pain was caused by "excitation of the phrenic nerve." (J. I. Alexander, 1997, p. 1) during the laparoscopic procedure. During which, CO2 was used to inflate the abdomen which creates space for the team to carry out the …show more content…
Alexander (1997) 'Pain after laparoscopy', BJA: British Journal of Anaesthesia, 79(3), pp. 369-378

Local Healthcare Trust (2016) Elective Access Policy. Version 9. Local Healthcare Trust

Local Healthcare Trust (2016) Swabs, Sharps, Instruments and Accountable Items Policy. Version 3. Local Healthcare Trust

Local Healthcare Trust (2016) Guidance Notes on the WHO Surgical Safety Checklist. Version 2. Local Healthcare Trust

N. Sevdalis, L. Hull, D. J. Birnbach. (2012) 'Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress' BJA: British Journal of Anaesthesia Volume 109 pp. i3-i16. Available at: (Accessed: 08 January 2018) Patient Safety Solutions (2007) 'Communication During Patient Hand-Overs' World Health Organization 1(3) Royal college of Physicians (2017) Improving teams in healthcare Resource 3: Team communication. London: RCP

S. Farrow, C. Farrow, N. Soni (2012) 'Size matters: choosing the right tracheal tube' The Association of Anaesthetists of Great Britain and Ireland, 67(11), pp.

Related Documents