Advocate for patient safety
One of your friends from your student days who is now working in the oncology ward of your hospital challenges you with this question: ‘When are you going to take up real nursing' again?' What two (2) examples of perioperative patient care would you describe as ‘real nursing' in response to this question? Provide rationales that explain how these examples of your practice as a ‘real nurse' reflect the philosophy of perioperative nursing and patient-centred care.
What will be an ideal response?
Rationale: Patient advocacy, a generally accepted part of the nurse's duty of care, is heightened during the patient's perioperative journey, particularly at those points in the journey where the patient is most vulnerable. The nurse's role as advocate for patient safety is to protect the patient from harm caused by incompetent, unethical or illegal practices. This applies equally to the nursing care delivered in the perioperative environment and period as in the oncology ward. Some examples include:
assessment of the patient's physiological and psychological status before, during and after surgery
responding to and communicating this assessment to the patient care team
detecting medical or physical conditions that may generate a referral to another health professional before surgery can proceed or even delay surgery until the patient's health status improves
implementing care.
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a. avoid situations b. explain situations c. relive situations d. talk about situations
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