...transferred to the surgical unit. She will look at all lab values for the patient and make sure that the surgical checklist has been filled out and signed. The RN will check to see that the informed consent form has been signed and address any concerns the patient or family may have at this time. If the patient requires further explanation about the impending surgery, the RN will notify the surgeon at this time. If the patient is ready to have the surgery, the RN will make sure the patient is prepared for going into the OR. For this, the nurse will make sure the patient is in a hospital gown, underwear may or may not be allowed, make sure that all jewelry, money, or valuables have been given to family or locked in a safe place at this time. The RN will put the ID band on the patient and make sure that it has all correct information. She will also ask the patient if the surgeon has come by and marked the site for the procedure being done. If the patient is wearing dentures or any prosthetic devices, these items will be removed at this time. The patient will be allowed to empty bladder before being transferred to the surgical suite if needed. In the immediate preoperative period, the RN will review and update the patient’s chart, reinforce any teaching that needs to be done, ensure that the patient is correctly dressed and marked for surgery, and give any prescribed preoperative drugs. While I was in the OR I was able to observe the roles of the surgical team and their actions...
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...my mind to. Every person has the opportunity to share their unique talents, gifts, or abilities. I pride myself on my determination and will to give back to the community I live in. Throughout my education and experience I have found healthcare to be a perfect avenue through which I can share and give back. Entering into this vocational program will not only enable me to play a role in the medical profession, but also strengthen my character as a contributing, self-sustaining member of society. Through my research of the Surgical Technologist profession I have recognized a few key characteristics which match well with what I know I possess. Accountability, responsibility, promptness, assertiveness and teamwork are all vital facets that build up to an ideal Surgical Technologist. I certainly possess these traits. Paired with my experience through school as well as my various employment opportunities I know I am an ideal candidate to become a Surgical Technologist. To begin, I would like to highlight my experience as a member of student government while attending Calamba Doctors College in the Philippines. As a public relations and communications officer I acted as a liaison between students and the governing body, as well as between the different departments within the college. This extra-curricular opportunity gave me chance to advance my efficiency and efficacy as leader. Further, as a PR and Comm. Officer, I held great responsibility with streamlining cohesion between...
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...Absorbable Sutures versus Staples for Cesarean Sections Victoria Fath Kent State University Absorbable Sutures versus Staples for Cesarean Sections Introduction The Merriam-Webster Dictionary (n.d.) defines a Cesarean section as, "A surgical operation for giving birth in which a cut is made in the mother's body so that the baby can be removed through the opening." "Cesarean delivery is the most common major surgical procedure performed in the United States and elsewhere. Currently, approximately a third of pregnant women in the US and 15% worldwide deliver by cesarean, and this prevalence is on the rise" (Dana Figueroa et al., 2013, p. 33). Since Cesarean sections are incredibly common and are only increasing, the risks for complications, such as infections, increase with it. To try and decrease the risks as much as possible, this study aims to look at the differences between two types of closing material used in Cesarean sections; absorbent sutures and staples. Are absorbable sutures more effective and safer than staples for Cesarean sections? The purpose of this study is to compare absorbent sutures and staples for clients undergoing a Cesarean section and to see which material has a lesser risk for infection and wound complications, which is more cost effective for the hospital, and patient satisfaction. This paper will help shed light on this subject by compiling multiple research articles and journals to create a better understanding on which...
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...Surgical scrubbing is an important factor in order to prevent infections on patients who are undergoing surgery. All hospitals should follow specific protocols on how to perform a surgical scrub in order to prevent surgical site infections. The purpose of this study was to see which circulating nurse had the least amount of bacteria on their hands after the initial scrub depending on what they used to scrub their hands. This study was conducted on 60 circulating nurses. There was one control group and two test groups. The control group used 3 ml of chlorhexidine gluconate 4% only, one group used the same product but with a nail pick, and the last group used the same product but with a nail brush. The samples from their hands were obtained at 2 different times: immediately before the scrub and 1 hour after the surgical scrub. The control group who did not use the pick or the brush were the ones that had the least amount of bacteria on their hands. To follow were the nurses that used the pick then the brush. The findings did indicate that there is no significant difference on performing the scrub alone. However, it did indicate that the scrub alone, without the pick or the brush, was the most effective in reducing bacteria for a surgical scrub. Reference Alcan, Aliye O. & Korkmaz, Fatma D. (2012). Comparison of the efficiency of nail pick and brush used for nail cleaning during surgical scrub on reducing bacterial counts. American Journal of Infection...
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...Loel Cadiz is a registered nurse, and he currently works at Olive View Medical Center in Los Angeles, California. I will address him as Tito Loel in this essay, because he is married to my aunt, Tita Jhoy. Moreover, I chose to interview him, because I was able to get a hold of him easily, and I knew that he would give me a straightforward response to all of my questions. Due to his busy schedule, I only had the chance to speak to him last Sunday on the phone at 6:30 am. While I was talking to him on the phone in the living room, I recorded our conversation with my mother’s iPad. During the early 70’s, his grandfather was one of the few selected from his town that managed to become a sugar plantation worker in Hawaii. In 1994, Tito Loel’s grandfather was able to petition his family to come to the United States as immigrants. At the time, Tito Loel was 17 years old, and he enrolled at Farrington High School in Kalihi, Hawaii. In order to have enough credits to be able to graduate by his 3rd year in high school, he took correspondence courses. Other than being a student, he also worked part-time at a fast food restaurant so as to not burden his family with allowances. After graduating from Farrington High School, Tito Loel attended Honolulu Community College. However, during his first semester, it dawned on him that it was difficult to go to school and work at the same time. As a result, he joined the United States Marine Corps in 1997 to alleviate his financial burden. As Tito...
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...Going to the hospital is never a fun thing. If you go to a hospital today you might see something that captures your eye, a robot roaming the halls of the hospital. However this is not the only robot that is in the hospital. The start of robot creations began ~270BC by an ancient Greek engineer, Ctesibus, who made organs and water clocks with movable figures. Since then there has been major breakthrough in robotics. Working in the hospital for the first time was a very interesting experience for me. As I was walking down the hallway I was suddenly shocked at what I saw. There was a robot roaming the hall. At first I had no idea what it was and what it was doing in the hospital. I later learned that this robot played a very essential role at the hospital. The robot transferred medication to and from the pharmacy. A lot of hospitals nowadays use robots like the one I had seen which looked like to be roaming the halls. The reason that hospitals use such robots is it makes the transportation of medication safer since there is no longer a need to have to worry about anyone steeling any medication. The robot can also collect a patients sample and deliver the patients sample to a doctor or the labs for work. These robots can automatically adjust to its environment by adding new parts of the hospital to its internal map. The robot is also able to overcome any obstacle that is put in its path by using inferred sensors and cameras to tell when a person is walking anywhere...
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...MBA 6006 section 103 20 May 2016 Intuitive Surgical Analysis In order to attain and preserve a global competitive advantage in today’s market, businesses must push to create and produce innovative products and services for their customers. When looking at the success of gained by organizations like Apple, Amazon, or Google, their innovative successes has allowed them to achieve global reign in their individual business areas. The success gained by these companies cannot be credited to only the vision of their CEO/leader but the credit for the success goes to everyone involved in the design, production and management of all the projects within the company. In The Innovator's DNA, innovative leaders have obtained and held onto three prominent skills that these innovative organizations have which generally help contribute to the successes of the respective companies. Along with the DNA of disruptive leaders and organizations, Doyle & Smith (2001) told of what they named “Classical Models of Managerial Leadership”. With having a strong leadership model with the DNA of the disruptive leaders and organizations, organizational leaders have the capability to takeover a global market by creating what will be considered to be a truly innovative product and/or service. One of these great innovative organizations in the medical world is Intuitive Surgical. This robot-aided surgical company created the “da Vinci Surgical System”. This is the companies most innovative and...
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...predominantly run by a surgical system currently known as: Da Vinci; however, the Raven II is another system that is out there and is making an impact on robotic surgery research and studies. There are obvious differences between both systems and their capabilities, but we will investigate further. Additionally, there are a significant number of surgeries that are being performed by the da Vinci surgical robots in hospitals and in regards to research. The Raven II surgical robot is opening doors of opportunity for technological advancement purposes. All this is a driving effort to better improve healthcare services in relations to minimally invasive surgical procedures and to drive the advancement of this technology through industry collaboration. The da Vinci surgical system was originally developed in the former Stanford Research Institute under contract to the U.S. Army; however, the idea of introducing a product for commercial applications was the route taken by Intuitive Surgical in an effort to find different applications for minimally invasive surgical procedures. Every aspect of the da Vinci robotic system is proprietary which includes both the production and assembly of the hardware and software. This closed model approach has allowed Intuitive Surgical to monopolize the surgical robot system market. Results of the success they have had, as of May 2013 they were listed as number eight on the Forbes list for innovative companies. According to Intuitive Surgical, Inc. (2013), 2...
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...Capella University History According to Intuitive Surgical Inc. (2014): The story of telerobotic surgery involves the union of two very different technologies and the emergence of a completely new approach to minimally-invasive surgery. The first of these technologies emerged in the 1940s and was called "telemanipulation" or "telepresence" the sensation that you are in one location, while being in another. In Robert Heinlein’s 1942 science fiction short story, entitled Waldo, the lead character, Waldo Farthingwaite-Jones, was born frail, weak and unable to lift his own body weight. Heilnlein describes a glove and harness device that allowed Waldo to control a powerful mechanical arm by simply moving his hand and fingers. About eight or nine years after Heinlein’s publication, these kinds of remote manipulators popularly known as "Waldoes" were developed in the real world. Using cable and linkages, they were used to move and manipulate hazardous materials and enter hazardous environments inhospitable to humans. The first telepresence robotic arm was developed in the 1950s for the same purpose. Raymond Goertz, an early pioneer in the field of robotics, developed the first master/slave manipulator to handle radioactive material while working for the Atomic Energy Commission at Argonne National Laboratory. . Analysis of Global Context Intuitive Surgical for over a decade has centered their studies on the technology of surgical robotics. The studies were based on the...
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...Innovation Leadership: Intuitive Surgical Leadership Model Intuitive Surgical utilizes the transformational leadership model. Transformational leadership helps management promote motivation, morale, and job performance. Under this leadership, employees and management will be able to help each other grow, which in turn helps the company become more innovative. In comparison to other leadership styles such as applying Nayar’s Employee First, Customer Second (EFCS) culture, Intuitive Surgical falls into a different business industry that acts as a monopoly. In these types of cases, things fall into one roof meaning the company’s goals should be passed down from top to bottom. Some strategies that Intuitive Surgical practiced to ensure success in the organization was to follow strategic objectives that helped growth within the company especially when their 2016 patents expire (Hoffman, 2010). According to Hoffman, the company’s objectives were to focus on key objectives, develop industry alliances, focus on key institutions, focus on leading surgeons to drive rapid and broad adoption, maintain market leadership, and increase patient awareness. By creating industry alliances, companies can collaborate with each other to create innovative ideas together so that the best products can be produced. Under developing industry alliances, Intuitive Surgical “will continue to establish strategic alliances with leader medical device companies… in areas of product development, training, and...
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...innovation. Many inventions do not succeed due to the lack of market research. Successful innovations often disrupt an established technology, meaning that the established technology becomes obsolete, or much less used, and it us the disruptive innovation which takes over. In this paper we will see how Robotic surgery disrupts the traditional human surgery process. Robotic surgery offers small incisions, instruments that bend further than the human wrist, and an enhanced view due to its magnified 3D high-definition. It is highly beneficial due to its reduced chance of bleeding and infection, fewer post-operative complications and a faster recovery. The only commercialized robot in robotic surgery is the Da Vinci surgical robot, which is a production of Intuitive Surgical. The medical domain has already accepted a lot of innovations, it is a domain that has greatly evolved, our health being one of the most important things in life, a lot of research is made around it, and the government is often part in its funding’s. The most revolutionary innovation in the health care center is robotic surgery, which now looks to disrupt the human procedure of surgery, and replace it with robotic surgery. Robotic surgery however still demands the help of surgeons, who are needed to control the da Vinci, the surgeons operate virtually behind a computer station where they can guide the various arms of the robot, and assist the surgery through a magnified 3D high-definition screen. Thus, surgeons...
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...Vega - D# 01487783 Contents Alisha Young Intro to Robotic Surgery 2 Antonice Thomas Timeline 10 Overview 15 The Future 17 Dylan Zinkiewicz Economic Talk 19 Marketing & Media Influence 24 Katherine Vega Psychological considerations and Sociological effects 29 Environmental Implications 33 Brooke White Ethics and Legal Issues 37 Conclusion 45 References 46 Intro to Robotic Surgery Robotic surgery is defined in the medical dictionary as "the performance of operative procedures with the assistance of robotic technology" ("Robotic," n.d.). Robotic surgery is an emerging technology that began its experimental phase in 1985 with the introduction of the PUMA 560 robotic arm. The first use of a robot for a surgical procedure was a neurosurgical biopsy, recorded in 1985. Following this successful surgery was the first laparoscopic surgery using the same kind of robot; the robotic arm. In 1987, a successful cholecystectomy was performed. In 1988, doctors decided to use the PUMA 560 robotic arm for a transurethral resection procedure. Finally, in 1990, the Automated Endoscopic System for Optimal Positioning (AESOP) became known as the first system to be approved by the Food and Drug Administration (FDA) (Samadi, 2015). Robotic surgery is a computer-controlled robot and it focuses on precision. It is a system that is used to enhance the surgeon's skills. Therefore, the science behind this technology is haptics; which is also known as touch. David...
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...Rebecca Pistillo…….26 9. Implications for the Environment by Michael Plesnarski………………………33 10. Moral & Ethical Implications by Karen Quaderer…………………………… 39 11. Bibliography…………………………………………………………………….47 Abstract In this research paper our team will look at the use of Robotic Technology in the medical field, more specifically in the surgical field as well as discuss the issues and implications surrounding the topic. Our discussion will include topics ranging from the history and development of robots that can be found in surgical rooms, political concerns regarding the Food and Drug Administration and their requirements to approve use of these robots, the legal aspect of robotic technology on how to determine which party is held liable in case of accidents or malfunctions that can lead to injury and a legal case that shows the difficulty to prove fault against a manufacturer. Also discussed will be the economic ramifications on our society, psychological, sociological, cultural, moral and ethical impacts on human life, in particular the patients that undergo surgery involving a robotic surgical system, and the environmental impacts of robotics in surgery. It is our hope that through this research paper that we are able to explain to and educate our readers on the impacts of Robotic Surgery as this type of surgery is becoming more popular with doctors in order to...
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...After a large incision is cut into the back, neck, or abdomen, the surgeon will expose the section of the spine in order for the spinal abnormality to be visible by the naked eye. Then, a series of surgical tools are utilized to complete the operation before stitching up the large incision. Minimally invasive surgery requires an incision no larger than an inch in diameter. The procedure is guided by an endoscope, a small laser, and other small surgical tools that all fit into the spinal anatomy without increasing the size of the initial...
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...robot, will resemble the human form. They may eventually become self-aware and conscious, and be able to do anything that a human can. When we talk about robots doing the tasks of humans, we often talk about the future, but robotic surgery is already a reality. Doctors around the world are using sophisticated robots to perform surgical procedures on patients. While robotic surgery systems are still relatively uncommon, several hospitals around the world have bought robotic surgical systems. These systems have the potential to improve the safety and effectiveness of surgeries. But the systems also have some drawbacks. It's still a relatively young science and it's very expensive. Some hospitals may be holding back on adopting the technology. Robotic surgery is the use of robots in performing surgery. Three major advances aided by surgical robots have been remote surgery, minimally invasive surgery and unmanned surgery. 1.1 History In 1985 a robot, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance. In 1988, the PROBOT, developed at Imperial College London, was used to perform prostatic surgery. The ROBODOC from Integrated Surgical Systems was introduced in 1992 to mill out precise fittings in the femur for hip replacement. Further...
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