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Zece Lei Arellano

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Location: Quezon City, NCR, Philippines
Professional Status: Employed
Looking For: Employment
Occupation: OR/PACU Nurse
Skills: O.R. Staff Nurse provides direct and indirect nursing care pre-operatively, intra-operatively and post-operatively to client while in O.R. and P.A.C.U. to meet his physiological, psychological and sociological needs.

A. Provides Peri-Operative Nursing Care to Patient
• Visits patient a day prior to surgery, assess emotional readiness and provides psychological support and reassurance. Reports any unusual observations.
• Assist and accompany patient to operating room before, during and after the operation.
• Receives patients for surgery. Checks and identifies the patient and accomplish pre-operative checklist.
• Perform preoperative skin prepping for orthopedic patients the night prior to surgery.
• Checks the type of scheduled operation and the performing surgeon.
• Coordinates with the surgeon for any preferences in instruments to be used, supplies and equipments needed.
• Prepares the operating suite, instruments, packs and equipments necessary for the operation.
• Assist the operating team skillfully either as scrub nurse/circulating nurse.
• Assist in positioning of the patient and the preparation of the operative site
• Maintains strict asepsis intra-operatively.
• Assumes responsibility for correct sponge, needles and instruments count, certifies and documents properly.
• Maintains accurate documentation with the proceedings of patient care given.
• Maintains proper functioning of equipments used (e.g. Anesthesia machine, pulse oxymeter, electrocautery machine, suction machine, etc.) so as to provide the patient and operating team with optimal efficiency.
• Be concerned all the time with the patient’s safety, welfare, and comfort
• Coordinates with other departments (Laboratory, X-Ray, Cardiology, Pulmonary) as the needs arises.
• Checks vital signs, dressings, tubes and output before transferring patient to P.A.C.U. or Ward for proper endorsement and documentation.
• Transport or transfer patient safely and makes proper and clear endorsement.
• Responsible for preservation, labeling, documenting any tissues or specimen taken from the patient.

B. Provides Nursing Care to Patient in the Post-Anethesia Care Unit (P.A.C.U.)
Receives patient from O.R. nurse for continuity of care.
• Assesses patient’s condition, monitors vital signs until stable.
• Assess post-operative site, drainage, output and fluids and refer accordingly.
• Provides actual nursing care needed.
• Reassures patient as consciousness is regained. Orients patient to date, time and place.
• Monitors fluid therapy and blood transfusion, outputs and drainage and documents.
• Refers any abnormalities or impending complications accordingly.
Checks proper functioning of gadgets if connected to any.
• Endorses patient to Ward with proper documentation.

C. Unit Management
• Participates in disinfection of O.R. making sure that the unit is mechanically sterile.
• Controls the physical and emotional atmosphere in the rooms allowing team members to concentrate on the tasks without distraction.
• Identifies reports and follow-up needed repairs.
• Participates in staff meetings, problems in the unit, policies to be developed as necessary.
• Performs individual assignments efficiently (e.g. OR census, instruments and equipments inventory, consumable stocks and pharmacy inventory, control of narcotics, etc.)
• Performs On-Call Duties (24 hours stay in the OR) and Sunday call.
• Participates in disinfection of rooms, instruments, and equipments used during the day.
• Refills stocks, medicines, fluids used and checks machines and equipments in all the rooms making sure of its good condition for the next day or any emergency cases.
• Checks and allocates packs and instruments to be used for the next day’s scheduled operations.
• Makes compilation and recording of the day’s OR cases.
• Submits complete report of the day’s operations and next day’s operations to Nursing Service Office in duplicate copy.
• Checks and returns all sterile instruments and packs from Central Supply to the sterile room.
CASES HANDLED:



A. Abdominal Surgery
• Abdominal Laparotomy
• Herniorrhaphy / Hernioplasty
• Cholecystectomy
• Pancreatectomy
• Spleenectomy/Spleenorrhaphy
• Hepatectomy

B. Gastrointestinal Surgery
• Endoscopy
• Vagotomy
• Gastrectomy
• Small Bowel Resection
• Appendectomy
• Colostomy
• Hemicolectomy
• Transverse Colostomy
• Abdomino-Perineal Resection (MILES Operation)
• Hemorrhoidectomy
• Fistulotomy / Fistulectomy

C. Laparoscopic Surgery
• Laparoscopic Cholecystectomy
• Laparoscopic Appendectomy
• Laparoscopic Herniorrhaphy
• Endoscopic Thyroid Surgery

D. Breast Surgery
• Breast biopsy
• Simple Mastectomy
• Modified Radical Mastectomy

F. Thoracic Procedure
• Thoracotomy

G. Vascular Surgery
• Vein Ligation and Stripping
• Arteriovenous Fistula
E. Genito-urinary Surgery
• Hypo and Epispadias Repair
• Circumcision
• Transurethral Resection of the Prostate
• Suprapubic Prostatectomy
• Urolithotomy
• Varicocoelectomy
• Orchiectomy / Orchidopexy
• Vasectomy
• Cystoscopy

H. Orthopaedic Surgery
• Open Reduction and Internal Fixation
• Bone Plates and Screw Application
• Arthroplasty
• Insertion of External Fixators
• Amputation of Extremities
• Release of Carpal Tunnel Syndrome
• Casting

I. Neurological Surgery
• Craniotomy
• Craniectomy

J. Plastic Surgery
• Cleft Lip/ Palate Repair
• Blepharoplasty
• Mammoplasty
• Liposuction
• Rhinoplasty
• Breast Augmentation
• Rhytidectomy

K. ENT Surgery
• Nasal Polypectomy
• Tonsillectomy
• Thyroidectomy

L. Renal Procedure/Surgery
• Nephrectomy
• Neprolithotomy
• Retrograde Pyelogram

M. Obstetrics and Gynecology Surgery
• Cesarean Section
• Myomectomy
• Hysterectomy (Vaginal, Abdominal, Laparocopic-Assisted)
• Salphingectomy
• Oophorectomy
• Dilatation and Curettage
• Total Abdominal Hysterectomy Bilateral Salphingo-oophorectomy
• Bilateral Tubal Ligation

N. Minor Surgery
• Excision Biopsy (Mass)
• Incision and Drainage of Abscess
• Debridement of wound/burn
• Fine Needle Aspiration Biopsy/Cytology
• Cauterization of Warts

O. Others
• Intrajugular Catheter Insertion
• Tenckhoff Catheter Insertion
• Chest Tube Insertion
• Central Venous Catheter Insertion


MACHINES / EQUIPMENTS HANDLED:
• BP Apparatus
• Digital Themometer
• Anesthesia Machines
• Pulse Oximeter
• Electrocautery Machine
• Laparoscopic Instruments/Machine
• Cardiac Monitor with Defibrillator
• ECG Machine
• IV Infusion and Syringe Pump
• Suction Machine
• Light Source/ Headlight
Relationship Status: In a Relationship
Looking For: Friendship
Height: 5'4" (163 cm)
Smoking: Non-Smoker
Religion: Methodist
4010 views since 25 February 2011
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