DSU blues

[sparkie]

undefinedDSU sluesDSU bluesundefined :uhoh21:

Any nurses out there have concerns about surgical patients not being fully prepared both physically/mentally for surgery???

I've recently had experience with pts. who because of not been given a pre op visit, prove to be a real challenge to do their assessment, stat labs, medication review, start IV's (keeping in mind the dehydration factor) and any other needed intervention,(resp updraft, special x-ray's). To top it all off, NO H&P!!! (because the surgeon would hand carry it or has NEVER seen the pt. before).

It' just seems like a Murphy's law, and the pt is generally a poor historian, sooo... trying to draw info from them is like pulling teeth and all the time trying to maintain professionalism, and not wanting to miss any important facts 'cause the pt is having general anesethia. Of course, the pt had to have some "nutrition too, (they were not told they couldn't).

Am I the only one out there with this type of frustration??

Sorry about the poor grammer/run on sentences, but I just needed to vent :uhoh21:

[unknown99, BSN, RN]

OMG!!! That is so true!!! It goes on alot, now, with outpatient surgery and all. Don't get me wrong same day is great, and I would love to work on a same day unit, but I have found in my rotating to the SDCU, that , while there are not alot of patients that are not fully prepared, there are a few. And, in my opinion just one that is not prepared is one too many!

[sharann, BSN, RN]

This is the surgeons doing. They schedule surgery and think that their responsibility ends there. We have many patients who are scheduled who the surgeon has not SEEN yet. They have not been informed nor do they know what is happening. It makes me crazy. I also fault the OR scheduler. They should know to ask if the patient has been seen yet(given certain docs track records). Most doc's do see their pt before scheduling though.

[sparkie]

OMG!!! That is so true!!! It goes on alot, now, with outpatient surgery and all. Don't get me wrong same day is great, and I would love to work on a same day unit, but I have found in my rotating to the SDCU, that , while there are not alot of patients that are not fully prepared, there are a few. And, in my opinion just one that is not prepared is one too many!

I really appriciate your reponse, to dsu blues. Boy was I really needing to vent about the whole senario (sp?). Just to update you our team did some brainstorming about how we could remedy admissions like the one I wrote about. It may not yield us the results we'd like to see, but at least we're trying.

I'm so greatful for having all nurses just like you who can lend a sympathic ear

Take care,

nursie-poo

[sparkie]

This is the surgeons doing. They schedule surgery and think that their responsibility ends there. We have many patients who are scheduled who the surgeon has not SEEN yet. They have not been informed nor do they know what is happening. It makes me crazy. I also fault the OR scheduler. They should know to ask if the patient has been seen yet(given certain docs track records). Most doc's do see their pt before scheduling though.

Hi Sharann,

Yes, I do think that the reponsiblilty is with the surgeons, and many do have an attitude about what or and dsu staff duties entail. Gee, what do you think would happen if we all weren't so in to backing them up, just for the sake of being considerate for the patient, safety and all the other good stuff we do quietly and unassuming??

we do have a good or scheduler, but lately the problems may also be part of the MD's office not comunicating with pts. and us for changes in condition or

surgery dates times,etc.

So....we'll all keep trying to work on some good changes

Thanx again to you and allnurses.