Swansea Bay University Health Board’s Post

My favorite week of the year is here...Orthopaedic Nurses Week! A week dedicated to the nurses who believe in helping their patients get back to moving and enjoying life. I have been a certified orthopaedic nurse for 10 years and a part of the skeleton crew for most of my career. When I think about Orthopaedic nursing I see a profession that has had to innovate and adapt to new models of care over the last 5-7 years. Five years ago we were just beginning to think about what outpatient total joint surgery would look like. Many of us were skeptical of how we could do this large scale; however, we also believed it would take a team effort. Examples of that team effort include improved adoption of ERAS protocols, teaming up for pre-op patient optimization with our preoperative colleagues, improved pain management by anesthesia, pre and post-op therapy changes, and educational shifts by joint navigators are some of the many efforts that nurses are a part of. By 2026, it is estimated that over 50% of all joint replacements will be done on an outpatient basis. The innovation of caring for patients in the home has been a team effort. What innovations are you seeing as Orthopaedic Nurses? What are other opportunities for innovation? #nursinginnovation #orthopaedicnurse #orthonurse #orthopaedicnursesweek #nurseinnovation #innovation

📱Netherlands-based team reduced in-person preoperative visit by 73.1% with a smart triage systems, modernizing pre-operative workflows. 👩⚕️🧑⚕️PACMAN was designed by a team consisting of three anaesthesiologists, three nurses certified with a Bachelor's degree in Nursing in PreOperative Screening (POS), one registered nurse and the pre-operative clinic department coordinator. 📍 Study Overview: Conducted at a tertiary medical teaching hospital in ’s-Hertogenbosch, The Netherlands, this single-centre, retrospective study evaluated PACMAN’s impact on pre-operative screening processes. 📊 Key Findings: • 73.1% of consultations transitioned to phone evaluations (PhC), reducing the burden of in-person consultations (in-PC). • 20% increase in department efficiency, optimizing personnel and resource allocation. • 1.3% unanticipated peri-operative event rate, confirming safety. • The majority of PhC patients were classified as ASA-PS I-II or stable ASA-PS III, ensuring appropriate triage. 💡 Conclusion: PACMAN’s success in reducing in-person preoperative visit by 73.1% highlights the critical role of smart triage systems in modernizing pre-operative workflows. Source EJA - Manuela Di Biase, Babette van der Zwaard, Barbe Pieters: https://lnkd.in/ez5QMt-r #EJA #Anesthesia #PreOperativeScreening #Surgery

FUN FRIDAY! PROACTIVE VS REACTIVE By Shelene Giles, FIG Education, Inc. CEO Author, Teacher Excerpt Goals of Life Care Plan (continued from Tuesday) For example, the individual with an L4 spinal cord injury may have had optimal care and education throughout his or her hospitalization. He may have been properly fitted for a wheelchair including a seating evaluation. This is important to minimize the development of pressure ulcers and optimize his ability to return to home and work. He or she may have been in perfect health and exceptional level of fitness before their unfortunate injury. He or she may not have ever had a decubitus ulcer or any skin breakdown because of a high-quality rehabilitation program. These preventive measures include proper positioning, seating evaluations, and education on unweighting. A reactive Life Care Plan includes things such as debridement of a Stage IV decubitus ulcer of the sacrum, wound care supplies, and plastic surgery consultation. It provides recommendations for flap advancement surgeries with subsequent post-operative care and management. The item itself, not to mention the frequency of occurrence of a decubitus ulcer, will be difficult to defend as necessary with any degree of certainty. This a possible complication of an immobile individual. This complication has not occurred in this example. With the proper preventive treatment of this and other complications should not occur. There is no history of occurrence, frequency of occurrence, treatment history, or recovery upon which to base a future treatment recommendation. This possible skin breakdown or decubitus ulcer can only be identified in the Life Care Plan report as a potential complication. But the components of treating an existing decubitus ulcer cannot be outlined based on any actual history. Well thought out and proper recommendations in the Life Care Plan are intended to minimize complications. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

Sponsored: Patient-centred care in spinal surgery: leading the way at Nuffield Health Patient-centred care has been a key focus for health professionals for the last decade, and for good reason. Involving patients throughout their pathway has consistently shown to improve outcomes and enhance their overall experience. However, turning the ideal of ‘patient-centred care’ into a reality is often easier said than done. #nurse #nurses #nursing #health #healthcare #NTAwards #spinalsurgery #patientcentredcare https://lnkd.in/encF-k2S

FUN FRIDAY! PROACTIVE VS REACTIVE By Shelene Giles, FIG Education, Inc. CEO Author, Teacher Excerpt Goals of Life Care Plan (continued from Tuesday) For example, the individual with an L4 spinal cord injury may have had optimal care and education throughout his or her hospitalization. He may have been properly fitted for a wheelchair including a seating evaluation. This is important to minimize the development of pressure ulcers and optimize his ability to return to home and work. He or she may have been in perfect health and exceptional level of fitness before their unfortunate injury. He or she may not have ever had a decubitus ulcer or any skin breakdown because of a high-quality rehabilitation program. These preventive measures include proper positioning, seating evaluations, and education on unweighting. A reactive Life Care Plan includes things such as debridement of a Stage IV decubitus ulcer of the sacrum, wound care supplies, and plastic surgery consultation. It provides recommendations for flap advancement surgeries with subsequent post-operative care and management. The item itself, not to mention the frequency of occurrence of a decubitus ulcer, will be difficult to defend as necessary with any degree of certainty. This a possible complication of an immobile individual. This complication has not occurred in this example. With the proper preventive treatment of this and other complications should not occur. There is no history of occurrence, frequency of occurrence, treatment history, or recovery upon which to base a future treatment recommendation. This possible skin breakdown or decubitus ulcer can only be identified in the Life Care Plan report as a potential complication. But the components of treating an existing decubitus ulcer cannot be outlined based on any actual history. Well thought out and proper recommendations in the Life Care Plan are intended to minimize complications. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

Emergencies rarely occur with a doctor present in the vicinity. Healthcare delivery cannot fall short in their absence. Apart from doctors, US and UK permits Nurse Anesthetists, and Advanced Practitioner Registered Nurses to intubate patients in an emergency. Undergraduates of Anesthesia and Operation Theatre Technology had their first conference at the Narayana Institute. Over 90 students were trained in the skills of emergency airway management and intubation. They received guest lectures on Anesthesia machine assembly, pediatric surgery and cardiothoracic surgery. Training cadres of health professionals in life-saving skills reduces patient mortality and improves outcomes in acute emergencies. #Clinicalskills #Conference #Physicianassistant #OTT

🔦 Let’s shine a light on Stephanie Moring, RN — a Beacon of ambulatory surgical care excellence. 🔦 Stephanie is Pre-Op/PACU/PAT Nurse Manager at Advanced Joint and Spine Institute in Orlando, which Compass and local physician partners opened earlier this year.  “Opening a new center comes with its own set of challenges — you wear many hats,” says Stephanie. “But that’s the most rewarding because you’re absorbing and learning so much information that you can use in your practice and hopefully share with other new sister facilities facing similar challenges.”  Stephanie began her career as an ER trauma nurse, later moving into surgical services with a focus, now, on orthopedics.  Stephanie’s advice to someone considering an ASC nursing career: “Be open-minded and willing to learn. If you enter this environment with a flexible mindset, it will only add to the success of the center." #ASC #Nursing #Orthopedics 

FUN FRIDAY! PROACTIVE VS REACTIVE By Shelene Giles, FIG Education, Inc. CEO Author, Teacher Excerpt Goals of Life Care Plan (continued from Tuesday) For example, the individual with an L4 spinal cord injury may have had optimal care and education throughout his or her hospitalization. He may have been properly fitted for a wheelchair including a seating evaluation. This is important to minimize the development of pressure ulcers and optimize his ability to return to home and work. He or she may have been in perfect health and exceptional level of fitness before their unfortunate injury. He or she may not have ever had a decubitus ulcer or any skin breakdown because of a high-quality rehabilitation program. These preventive measures include proper positioning, seating evaluations, and education on unweighting. A reactive Life Care Plan includes things such as debridement of a Stage IV decubitus ulcer of the sacrum, wound care supplies, and plastic surgery consultation. It provides recommendations for flap advancement surgeries with subsequent post-operative care and management. The item itself, not to mention the frequency of occurrence of a decubitus ulcer, will be difficult to defend as necessary with any degree of certainty. This a possible complication of an immobile individual. This complication has not occurred in this example. With the proper preventive treatment of this and other complications should not occur. There is no history of occurrence, frequency of occurrence, treatment history, or recovery upon which to base a future treatment recommendation. This possible skin breakdown or decubitus ulcer can only be identified in the Life Care Plan report as a potential complication. But the components of treating an existing decubitus ulcer cannot be outlined based on any actual history. Well thought out and proper recommendations in the Life Care Plan are intended to minimize complications. #nurses #ot #pt #crc #doctors #casemanagement #legalnurseconsultant

Preparing for a C-Section: What to Know 🫄✨ A C-section is a significant surgery that requires careful preparation. Whether planned or emergent , understanding the process can help reduce stress and improve your experience. Here's what you need to know to prepare for a C-section. Pre- Surgery Expectations: Medical Prep, Anesthesia and Team Roles 1. Medical Preparation: • Pre- Up Assessment : Before your C-section, your medical team will evaluate your health and review your medical history. This ensures any potential risk are managed. You may need blood test, and an IV placed for fluids and medications. • Fasting: You'll likely be instructed not to eat or drink for several hours before the surgery to prevent complications during anesthesia. 2. Anesthesia: • Spinal or Epidural Anesthesia : Most C-sections are performed under spinal or epidural anesthesia , meaning you'll be awake but numb from the waist down. This allows you to be alert and involved while ensuring you don't feel pain. • General Anesthesia: In rare cases, general anesthesia maybe used if there are specific medical concerns, causing you to be asleep during the surgery. 3. The Surgical Team : • Obstetrician or Surgeon: The lead surgeon will perform the procedure, ensuring the health and safety of both mother and baby. • Anesthesiologist: This specialist will manage your anesthesia. , ensuring you are comfortable and safe throughout the surgery. • Nurses and Assistants : Surgical nurses will assist the team , monitoring your vital signs and helping with surgical instruments. A scrub nurse ensures everything remains sterile . 4. Supporting Your Comfort: • you'll have a support person ( partner, family member or doula ) with you, depending on the hospital policies. Understanding the process ahead of time can help ease anxiety. Discuss any concerns you have with your health care provider to ensure a smooth experience for both you and your baby. 📢 Join the Conversation Have questions about preparing for a C-sections or the anesthesia process? Drop them in the comments _ I'm here to help! #CSectionPreparation #PostnatalCare #MaternaHealth #Pregnancyjourney #CSectionAwareness #HealthcareProfessionals •

#hiring *RN, Registered Nurse - Acute Orthopedics*, San Antonio, *United States*, fulltime #opentowork #jobs #jobseekers #careers #SanAntoniojobs #Texasjobs #HealthcareMedical *To Apply -->*: https://lnkd.in/gAJjV-5v DescriptionSummary:The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.CHRISTUS Santa Rosa Hospital - Medical Center (CSRH-MC), located in the South Texas Medical Center, provides a high-level of care through compassionate hands, experience physicians, and advanced technology, including the da Vinci Surgical Robot System and the Mako Robotic-Arm Assisted System. Services at the 178- bed facility include Acute Care of the Elderly Unit, cardiology, diabetes care, emergency care, general surgery, kidney transplantation at the CHRISTUS Transplant Institute, orthopedics, outpatient rehabilitation and aquatic therapy, Senior Behavioral Health Center, urology, and the Wound Care and Hyperbaric Center.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.Documents patient history, symptoms, medication, and care given.Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.CORE COMPETENCIESStandard I: Utilizes the Nursing ProcessUses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and familiesCommunicates findings to appropriate healthcare team membersDevelops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practiceImplements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goalsEvaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)Performs timely reassessment and documentationMust be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient