Manual handling of the patients requires a lot of safety issues. While handling patients who might not be able to execute their daily tasks on an independent basis, the healthcare professional has to also take care of their own body mechanics and postures (Garzillo, 2020). I was posted in the surgical ward and my job was to mobilize patients who had underwent hip surgery. While handling patients there should be a specific way followed to minimize the risk on the healthcare professional as well as on the patient. There is requirement of use of proper assistive devices to be utilized, so that the effort can be distributed and the impact on the body can be reduced by multiple fold as fold. As per NMBA guidelines the nursing professionals should be constantly engaged in securing the patient and preventing risk associated with these post-operative cases (NMBA, 2017). It is important for the nurses to ensure their as well as the patient’s security.
Before handling this patient, I didn’t have much experience of handling any orthopaedic case. I tried my best to get acclimatize with the routine of the surgical ward. I was also trying to get aquatinted with manual assistive device such as walker, crutches, canes and so on, which are used om a daily basis in helping the patients, making the process of mobilization quite easier for them. I was not very confident in managing the patient wit the help of these assistive devices (Odom, 2017). I however, tried to do a detailed research on the skills that are required to make the most use of these equipments for reducing the additional constrain on the patient’s body. I also attended the mandatory training for using these assistive devices and it helped me get a better insight on how to use these equipments to enhance the desired outcomes in my patients. I also worked closely with the physical therapists and observed them handling the patient. This also helped me a lot in knowing what all things to be taken care of, while mobilizing the patient.
The whole incidence was able to teach me how to be confident while handling patient care. This is also vital from the point of view of establishing a good trust with my patient. By gaining a sound confidence within myself I was also able to achieve a sense of control over handling strenuous and stressful situations (Van, 2016). From this point onwards I will be considering safety of the patient as the first priority while managing care of the patient. I was also able to manage few patients who were quite stubborn and wanted to follow their own routine. This was also reflected in certain patients who were quite overconfident and were not acquainted with the risks involved in attempting to do the exercises on their own. These patients also didn’t follow the instructions that were given to them. With gaining confidence in the process I was also bale to facilitate and independent status while managing their care. I was also able to resolve any conflict that arose from these situations and enabled smooth facilitations of healthcare delivery to the patients.
The incidence has taught me to take everything up as a challenge and to learn new things with eth help of the same. I will try to make myself more known with the various assistive devices that are generally used in the process of mobilizing post-operative orthopaedic patients. These mechanical devices can do wonders in terms of ensuring safety and security of the patient while manually handling them. Having a prior knowledge about the functioning of the system and having a good insight on the skills required can help in shaping the confidence largely, while manually handling the patient. As mobilizing the post-operative patients is imperative from the point of improving healthcare outcomes in the patients (Murray, 2019). I will be trying to gain more knowledge on the technicalities involved in this process. I also acknowledged that in order to gain trust of the patient and improve the healthcare outcomes, it is important to give the patient full autonomy in the process (Rao, 2017). This will also be helpful in promoting a level of independent status of the patient and thus, improving and pacing the recovery process of the patient.
During my first few weeks of being posted in the orthopaedic ward, I took the concept of mobilisation of patients quite casually and as a normal protocol. However, this task might not be as simple as it may look. I was well aware of the various techniques, assistive aids and restrictions related with mobilizing these patients as I had a sound theoretical knowledge of the working of the concept. However, I found myself a little less equipped, when it came to putting that theoretical knowledge into practical and clinical practice. I was talking help of other team members such as physical therapists, as I found myself not confident enough to execute the task on an individual basis (Feng, 2018). I had a strong apprehension, when it came to handling the patients undergone hip surgery. I was worried of these patients having a fainting episode during mobilization, which is a common phenomenon observed in post-surgical patients. I also had to take care of my own body posture while managing care of the patient.
I was however, able to brush myself up, with the constant learning and insights that I was able to gain while handling patients over my due course of tenure. I had multiple incidences that helped me gain a good knowledge of the techniques and thus, helping me in grooming my skill sets as well. It also made competent enough to handle emergent cases as well.
The following incidence helped me realising the importance of safety concerns while delivering patient care. This is also vital from the point of view of attaining excellent health care outcomes and speeding the recovery of the patient. from my point of view the role of multidisciplinary team approach is the best way to deal with the patients. As physical therapists are well-trained in this process and are aware of the techniques that can reduce the risk to the patient by multiple folds, they can be of vital importance in this process. Before going on with eth treatment intervention the medical personal can also get themselves acquainted with the various assistive device and their importance in ensuring smooth facilitation of delivery of medical care to the patients. This will also be helpful in reducing the chances of errors and thus, will help in patient gaining confidence in their care provider as well.
Feng, J. E., Novikov, D., Anoushiravani, A. A., & Schwarzkopf, R. (2018). Total knee arthroplasty: improving outcomes with a multidisciplinary approach. Journal of Multidisciplinary Healthcare, 11, 63-68. DOI https://dx.doi.org/10.2147%2FJMDH.S140550.
Garzillo, E. M., Monaco, M. G. L., Corvino, A. R., D’Ancicco, F., Feola, D., Della Ventura, D., ... & Lamberti, M. (2020). Healthcare Workers and Manual Patient Handling: A Pilot Study for Interdisciplinary Training. International Journal of Environmental Research and Public Health, 17(14), 49-71. DOI https://doi.org/10.3390/ijerph17144971
Murray, M., Sundin, D., & Cope, V. (2019). New graduate nurses’ understanding and attitudes about patient safety upon transition to practice. Journal of Clinical Nursing, 28(13-14), 2543-2552. DOI https://doi.org/10.1111/jocn.14839
NMBA, 2017. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/nurse-practitioner-standards-of-practice.aspx
Odom-Forren, J., Reed, D. B., & Rush, C. (2017). Postoperative distress of orthopedic ambulatory surgery patients. Aorn Journal, 105(5), 464-477. DOI https://doi.org/10.1016/j.aorn.2017.03.005
Rao, A. D., Kumar, A., & McHugh, M. (2017). Better nurse autonomy decreases the odds of 30‐day mortality and failure to rescue. Journal of Nursing Scholarship, 49(1), 73-79. DOI https://doi.org/10.1111/jnu.12267
Van Dyk, J., Siedlecki, S. L., & Fitzpatrick, J. J. (2016). Frontline nurse managers' confidence and self‐efficacy. Journal of Nursing Management, 24(4), 533-539. DOI https://doi.org/10.1111/jonm.12355
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