VTE Prevention, How Nursing Care impacts clot prevention.

In this is video we review how to prevent venous thromboembolisms. Prior to VTE prophylaxis, total joint replacement surgical population had anywhere from 40-80% incidence of venous thrombosis. Learn how through mechanical and pharmacological prevention impacts patient outcomes.
PACU Nursing Minutes is your premier perianesthesia nursing education resource channel. Here you will find applicable information focused on registered nursing care with a focus on the post anesthesia patient, directed towards recovery post-surgery. PACU Nursing Minutes will review evidence-based practice, that can be applied today! The short videos are informational, to guide you towards further research and education as you become an expert in perianesthesia nursing practice. Are you thinking of getting your CPAN®, Certified Post Anesthesia Nurse, well, tune in here as we discuss many of the core topics covered on the CPAN® certification test? On the PACU Nursing Minutes channel I’ll share with you specific and essential education on providing preoperative and post-operative, perianesthesia nursing care. Are you a nurse working in the ER, ICU, or step-down and considering a new chapter in your nursing career? Well, PACU Nursing Minutes is your channel to brush up on basic concepts of perianesthesia nursing, surgery, anesthesia, and common nursing intervention in the post-operative, PACU department and more!
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Cathy Zuniga, BSN, RN, CPAN
To Contact: [e-mail]
Official Website: www.PACUNursingMinutes.com
Creator and founder of PACU Nursing Minutes L.L.C.
Member of ASPAN, NPANA
Aim for Certification with PACU Nursing Minutes
Nurse of 21 years, I’m passionate about sharing knowledge & supporting the next generation of nurses!
DVT, PE, VTE, Blood clots, Blood clot prevention, Mechanical prophylaxis, Pharmacological prophylaxis, risk factors for VTE, risk factors for DVT, DVT prevention, SCD machines, Ted hose, early ambulation, same day TKA, same day THA, THA, TKA, Arthroscopy DVT prevention, CPAN, CPAN prep, CPAN Certification, PeriAnesthesia, Perioperative, RN, PACU Nursing, PACU RN, Recovery Nursing, PACU, ASPAN, Anesthesia nursing, CRNA, PACU Nursing Minutes

[@dq3391]

thank you for making this chanel. 😊

[@pacunursingminutes]

It's my pleasure! Nurses & Patients are my WHY!

[@scrapbookedmemories7736]

In Denver at St. Joe's, our team had something called the PostOp Dance. It had 3 parts: While laying in bed we say rotate your ankles, squeeze, your buttocks together, then inflate your lungs as far as you can, then yell "Omaha!" (Omaha is the Peyton Manning Broncos football play)

[@pacunursingminutes]

Love it AMY!

[@stephenmarcus9601]

How long, at what point, is too long for a patient not to wake up from anesthesia? Witnessed a nurse being criticized for waiting too long to report difficult to wake patient. Turned out to be R MCA stroke.

[@pacunursingminutes]

Hi Marcus, great question! Well all admission assessments require assessing level of consciousness, if unresponsive Pupil assessment, Respiratory and Cv assessment surgical site, wound check, perfusion etc. and then surgical specific assessments like pertaining nerve and motor assessments. Every missed event should be reviewed to see if something was missed and then learn from that experience. Unfortunately adverse events such as strokes, MI’s occur and post op is a risky time for theses events to arise, if a patient is not awaking after 15 min. As long as ketamine wasn’t given and no prior history of emergence delirium I would assess every 15 min, if after 20-30min something is off. Reversal with sugammadex takes 3-5 min per manufacturer, neostigmine takes much longer, 30-60 min. Assessment to determine if additional reversal is needed, do they have pseudocholinesterase deficiency? What is the kidney and liver function? Time if last NMBA, propofol, etc? Good question 🙋 Always be vigilant in assessing and reassessing your patient, during phase I care, especially until the critical elements are met!

[@jeanniezambo1024]

What if the hospital you work at only uses the SCD’s and not the Ted hose?

[@pacunursingminutes]

I would advocate for both!