...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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...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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...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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...Name: Ariagna Briceno Date: 01/23/2012 CIS110 Smartlipo Smartlipo Laser Body Sculpting is a revolutionary, minimally invasive treatment that does something, no fitness routine in the world can: permanently destroy fat cells. Since your body has only a finite amount of these cells, no new fat cells come back. You can finally have that body you have always wanted. How does Laser Body Sculpting work? This laser-assisted lipolysis procedure is performed using a one millimeter cannula (or tube) inserted into the skin. A laserfiber inside of the cannula delivers energy directly to fat cells, causing them to rupture and drain away as liquid. Simultaneously, tissue around the area coagulates, resulting in overall tighter skin tissue. What areas of the body can be treated? Laser Body Sculpting is ideal for the neck, jaw line, arms, breasts, bra fat, abdomen, inner and outer thighs and knees. Who is a good candidate? A perfect candidate is in good health and of normal body weight. How does Laser Body Sculpting compare to conventional liposuction? Convention liposuction is meant to remove greater amounts of fat. However, since this can leave behind unsightly pockets of skin. Is there a recovery period? Laser Body Sculpting is a minimally invasive procedure which usually requires only local anesthesia. Some light trauma can occur, but you will be able to return to work in a couple of days and resume exercise after 2 weeks. How...
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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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...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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...After viewing the Da Vinci Surgical system, I must admit it was a very interesting way of doing surgery. It is done by having the real surgeon working the console that controls the robot’s arms. As of now there is no way to program the equipment, but in time, I believe this will become a reality, with the age of technology advancing quickly; robots will be able to work alone without the aid of an actual person. At this time there is only one company that makes this robotic surgical system. They would like to make this procedure the standard for surgeries by encouraging surgeons and hospitals to adapt this technique. The cost to the hospital will be between $1 and $2.3 million depending on the model purchased. Plus, there is a service agreement that ranges from $100,000 to $170,000 per year. This alone will be a huge expense that the hospital has to endure and the patients will also feel the cost through the rising medical costs. There are some hospitals that have approved and have endorsed the robotic surgery are being better than conventional surgery, but there are not enough clinical trials proving this statement (M.D, 2013). To understand if the hospital facility should use robotic surgery, several things have to be considered. The first one being is the size of the community and how many hospitals there are. If there are less than 25 thousand and have only 1 to 2 hospitals, it would not be a viable solution to the community, if it was to occur and the need was minimal...
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...Abstract Robotic surgery is a described as when a surgeon uses robotic equipment to assist during a surgical procedure. The surgeon manipulates controls which send information to the robotic equipment, telling it what to do. This surgical technology can be used for a wide range of surgical procedures. There are multiple benefits from choosing this type of surgery, but can also cost more than laparoscopic. Robotic surgery has been discussed for over two decades. Over the last decade, it has increased in popularity and applicability. There are many economic concerns over the use of this technology such as the cost versus the applicable use. There are also concerns about the implications the use of this technology will have on the environment, as well as moral and ethical concerns. By providing background information and history of this technology, information on the use of this technology, economical, sociological, and psychological effects and concerns associated with this technology, and information on environmental implications and moral and ethical concerns of this technology, we hope to provide readers a basis to form an educated opinion on the applicability of remote and robotic surgery. Table of Contents Abstract (Jesse Edwards)…...……………………………………………….…………………….ii Introduction (Jesse Edwards)……………………………………………….……………………..1 Description of Robotic Assisted Surgical Technology and What it Means to You (Gregory Dal Porto)………………………………………………………………………………………………1 What...
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...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 profitable...
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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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...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 philosophy...
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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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...Intuitive Surgical, Inc Abstract / Executive Summary Intuitive Surgical continues to lead the surgical robotic market in both market penetration and revenue stream. This company continues its reach to surgeons and patients globally through its opportunity to offer minimally invasive solutions with latest technology. Faced with environmental changes and new competition on the horizon, Intuitive Surgical has some challenges to face while maintaining positive results for investors. Overview This paper is based on research performed on Intuitive Surgical Inc, (NASDAQ: ISRG) and includes details about company’s line of business, place within its industry, and overall business situation as it is perceived by its customer based. Certain company financials will be introduced, analyzed, and discussed throughout the paper to help describe the perspective of value that this company has to investors and consumers alike. An industry analysis will help explain the strengths, weaknesses, and challenges this company faces amidst policy changes and increasing competition. Line of Business and Overall Business Situation Intuitive Surgical, Inc. is a leader in minimally invasive robotic-assisted surgery and competes in the global market. This company has capitalized on the growing demand from surgeons and patients desiring minimally invasive procedures across many surgical disciplines. In January of 1999, the da Vinci System was launched and was the first robotic surgical system...
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