Hospital - The Patient's Experience Flashcards
What kinds of surgery are associated with orthopaedics?
Athroplasty
Trauma - fracture fixation
Soft tissue surgery
What are examples of elective surgery?
- Degenerative - athroplasty (hip, knee, shoulder, ankle)
- Spinal surgery
- Deformity (congenital) correction
- Traumatic (but delayed)
What are examples of emergency surgery?
- MVA
- Spinal surgery
- Fractures
- Acute tendon ruptures
What is the process prior to elective surgery?
GP - initial consultation, xray, blood tests
Physio - Treatment, 6-8 sessions
GP - follow up, xray, blood tests
Surgeon - xray. blood tests, chest xray, ECG, referral to other doctors
What happens on the day of elective surgery?
- Patient admitted to hospital
- Patient given clothing
- Meets with surgeon and anesthetist
- Pre-med
- Travel to theatre
- Anasthetic
- Surgery
What happens when a patient arrives at hospital requiring trauma surgery?
- Assess injury
- Stabilise emergency medical status
- Plan/consent treatment
- Wait for medical team/theatre
- Pre-op consent, meds/diet as necessary
- Travel to theatre
- Anasthetic
When is medication given post surgery?
In the hospital drug rounds
- After handover (8am, 3pm, 10pm)
- Before morning and afternoon tea
What does post-surgery physio consist of?
- Mobilisation
- Chest
- Exercise, education (wounds, dressings, medications)
- Discharge planning
What does ISBAR stand for?
I: Identify who you are, patient is, your role
S: Situation - what is going on with the patient
B: Background - clinical background/context
A: Assessment
R: Recommendation
What should be considered when planning discharge?
- Mobility
- Food/shopping/transport/hygiene - carer?
- Getting home
- Medication
- House set-up
- Wounds
- Stitches
- Referral letters/communication
- Review appointments with surgeon
- Equipment needed
