Father Saturnino Urios University Nursing Program Butuan City July 8, 2011 RUBY CORAZON Y.

EDIZA, RN MAN DEAN, NURSING PROGRAM Dear Maam; An Urian Greeting! We, the Level VI Nursing Students, N43 Group 3 is currently having Research II Subject. We are humbly asking for your permission to allow us to have our research testing to be started next week (July 11-16, 2011). Our research title is The level of involvement of Staff Nurses in Operating Room experience of the Level IV Student Nurses in selected public hospitals in Butuan City, and the respondents of the study are the to Level assess IV the learning Student Nurses assigned in public and hospitals in Butuan City. The purpose of this study is involvement, in contribution participation of the OR Staff nurses in the student nurses Perioperative Phases: Preoperative, Intraoperative and Postoperative phase. The result of the conducted test will be part of our Thesis. We would maintain confidentiality with each student nurses answers. Hoping for your kindest consideration. Thank you and God bless.

Respectfully yours, Jayrald D. Rosales Alchivan N. Paradiang Mycl Angeli L. Sumalinog Lovely P. Peligrino Carla Mae A.Boston Emman Joshua R. Cadiente Noted by: Jenelyn V. Bontuyan, RN, MAN Research Adviser Frederick C. Amihan, RN, MAN

Level IV Coordinator

Approved by: Ruby Corazion Y. Ediza Dean, Nursing Program

THE LEVEL OF INVOLVEMENT OF OR STAFF NURSE IN THE OR EXPERIENCE OF THE LEVEL IV STUDENT NURSES IN SELECTED HOSPITALS IN BUTUAN CITY

I.

Instructions: Please supply the needed data below.

Respondents Profile:

Age: _______ Gender: ( ) Male ( ) Female

Type of Student: ( ) Regular ( Courser ) Irregular ( ) Shiftee ( ) 2nd

II. LEVEL OF INVOLVEMENT:

Direction: Rate each item below by checking the box that corresponds to your answer. Kindly check () each item honestly and please do not leave unanswered item according to:

4- Always 3- Partial

(Fully performed the task/skill) (Moderately perform the task/skill)

2- Sometimes (Seldom perform the task/skill) 1- Never (Task was not performed)

OR STAFF NURSE EVALUATION

The OR Staff nurse was able to assist the student nurse/me in the following task/responsibilities:

Preoperative Phase: 1. Observe the general physical status and interaction with the family. 2. Assess psychosocial behavior, sensory perceptual alterations and emotional status 3. Take and record the vital signs as baseline data. 4. Verify the undergone laboratory test results such as X-rays, CBC, and urine exams. 5. Administer perioperative medications while observing safety precautions (the 3 checks), as ordered. 6. Assess the level of anxiety and apprehension

of the patient regarding the impending surgical procedure.

history of allergies in food and in medications

8. Develop of appropriate plan of care.

materials needed for the upcoming surgery Perform preoperative nursing activities such as voiding before the surgical procedure, having oral hygiene, removal of jewelries, dentures, and any piercings in the body.

10.

Intraoperative Phase: 1. Identify the patient and had introduced self. 2. Review the chart for the verification of the correct site of Surgery and checklist. 3. Report to the physician or anesthesiologist any relative or absolute contraindications to intraoperative medications that may be used. 4. Assist the transfer of the patient safely into

the OR bed. 5. Properly position the patient and maintain correct body alignment. 6. Monitor safety precautions such as putting restraints and explained its importance in simple and understandable terms. 7. Perform aseptic techniques such as surgical handwashing and observing and maintaining the principles within the sterile field. 8. Maintain OR standards and recommended practices for the perioperative patient. 9. Preserve patients dignity and avoid undue exposure by drapes.
10. Ensure or help ensure the

equipment to be use is working properly such as the suction machine and BP apparatus.

Postoperative Phase: 1. Assess the breathing. 2. Monitor and vital signs. patients record the

3. Note skin warmth, moisture, and color 4. Assess surgical site and wound drainage systems. 5. Assess the patients level of consciousness and orientation 6. Assess the pain level, pain characteristics (location, quality) and timing and type 7. Administer analgesic as prescribed and assess their effectiveness in relieving pain. 8. Position the patient to enhance comfort, safety, and lung expansion. 9. Assess IV sites for patency and infusion for correct rate and solution. 10. Assess urine output

11. Emphasize

the need to begin deep breathing and leg exercises.

12. Provide information to the patient and his/her family.

STUDENTS SELF EVALUATION I was able to perform the following skills/responsibilities during my OR experience:

Preoperative Phase:
1. Observe the general physical status and interaction with the family. 2. Assess psychosocial behavior, sensory perceptual alterations and emotional status

3. Take and record the vital signs as baseline data. 4. Verify the undergone laboratory test results such as X-rays, CBC, and urine exams. 5. Administer perioperative medications while observing safety precautions (the 3 checks), as ordered. 6. Assess the level of anxiety and apprehension of the patient regarding the impending surgical procedure. 7. Review history allergies in food and of

8. Develop of appropriate plan of care.

10.

Perform preoperative nursing activities such as voiding before the

surgical procedure, having oral hygiene, removal of jewelries, dentures, and any piercings in the body.

Intraoperative Phase:
1. Identify the patient had introduced self. and

2. Review the chart for the verification of the correct site of Surgery and checklist.

3. Report to the physician or anesthesiologist any relative or absolute contraindications to intraoperative medications that may be used. 4. Assist the transfer of the patient safely into the OR bed. 5. Properly position the patient and maintain correct body alignment. 6. Monitor safety precautions such as putting restraints and explained its importance in simple and understandable terms. 7. Perform aseptic techniques such as surgical handwashing and observing and maintaining

the principles within the sterile field. 8. Maintain OR standards and recommended practices for the perioperative patient. 9. Preserve patients dignity and avoid undue exposure by drapes.
10. Ensure or help ensure the

equipment to be use is working properly such as the suction machine and BP apparatus.

Postoperative Phase:
1. Assess the breathing. patients

2. Monitor and vital signs.

record

the

3. Note skin warmth, moisture, and color 4. Assess surgical site and wound drainage systems. 5. Assess the patients level of consciousness and orientation 6. Assess the pain level, pain characteristics (location, quality) and timing and type 7. Administer analgesic as prescribed and assess their effectiveness in

relieving pain. 8. Position the patient to enhance comfort, safety, and lung expansion. 9. Assess IV sites for patency and infusion for correct rate and solution. 10. Assess urine output

11. Emphasize

the need to begin deep breathing and leg exercises.

12. Provide information to the patient and his/her family.