What is the appropriate action to take?
You are the instrument nurse for a laparoscopic hemicolectomy and are organising equipment for the procedure.
What will be an ideal response?
Answer:
Employ graded assertiveness technique, e.g. STEP approach. This will provide the opportunity for you to remain calm and for the surgeon to step in at any part of the approach to comply with your request for her to search the wound. The STEP approach may proceed as follows:
Attention getter: ‘Excuse me, Doctor Smith.'
State your concern: ‘I am certain that there is a sponge still in the wound.'
State the problem as you see it: ‘The sponge will cause complications if we do not retrieve it; or if you continue to close, we will need to carry out an x-ray and the patient will have to return for further surgery if the sponge is located.'
State a solution: ‘We could carry out the count together so you can see why am sure a sponge is missing.'
Obtain an agreement: ‘Would you like to carry out the count now or shall I call for an x-ray?'
You might also like to view...
An older patient is complaining of not being able to sleep because of leg pain. What is the first thing that the nurse should identify when relieving the patient's pain?
A) Cause of the pain B) Psychological factors C) Sleeping position at night D) Medications that could interfere with sleep
Which of the following instructions should the nurse include in the teaching plan of a client who has undergone colostomy?
A) Restrict traveling by air. B) Limit outdoor activities. C) Avoid tight clothing. D) Chew food well.
Which American university opened the first nursing school as a separate department within the university?
a. Harvard b. Teachers College c. Columbia d. Yale
Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to:
A) Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future B) Create a report that emphasizes the cohesiveness of the departmental response to the disaster C) Analyze the effectiveness of the disaster relief teams from respondent states D) Create a postdisaster report for FEMA