A Reflective Essay on Surgical and Anaesthetics Roles of Odp for an Abdominal Hysterectomy

3278 Words Aug 5th, 2011 14 Pages
REFLECTIVE ESSAY
ON THE
LEARNING CONTRACT CONSIDERING THE SURGICAL AND ANAESTHETICS ROLES OF ODP FOR AN ABDOMINAL HYSTERECTOMY. By AKINYEMI AKINTARO
0711964

Dip of HE (ODP)
Enhanced Theatre Practice
OPE09-1

REFLECTION ON THE LEARNING CONTRACT.
This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency.
Reflection is a way in which health professionals can bring theory into practice because
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This is the reason for having a Hartmann’s fluid at hand and the important of hartmann’s fluid was emphasised by Casey (2000), along with the establishment of an intravenous access, because the effect of the epidural may cause vasodilatation and a drop in blood pressure due to autonomic and sensory fibres being blocked before motor fibres.
I am better aware now why it is important that that the patient should be informed of the possible risks and complications associated with epidurals. While the anaesthetist would have done this it is an essential role of the ODP to reassure the patient and encourage the patient to ask any question that might be important to them. It is also possible to talk the patient through the procedure of the epidural, like the position; what the patient will feel or won’t feel; the cold spray to the back etc Roles of ODP in during Epidural
When preparing for the epidural administration , I made sure the followings were ready and on hand; A basic universal pack which includes catheter, filter, Tuoy needle and loss of resistance syringe ; 1% or 2 % lignocaine, fentanyl, 10 - 20 mls normal saline, tegaderm and epidural dressing , sleek, transpore e. t .c
I also made available Skin preparation solution of Chlorhexidine gluconate and I litre of Hartmann’s solution.
The ODP also makes sure that before an epidural is performed, the anaesthetic room should be checked to make sure that there is proper equipment for airway management,

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