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Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

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Outline

Conflict Management (Patient, Perioperative Team, Family)

Guidelines:

“On stage”
Observations, not accusations
De-escalation
Identify need, not flaw
Be direct with inappropriateness

Considerations:

Safety of team
- throwing instruments= bad bad
Active participation in problem solving
recognize when help is needed
Empathy
Break the chain
Avoid appeal to authority

Nurse’s role:

Maintain professional environment
Facilitate interdisciplinary conversations
Patient interviews
After-action, incident reporting
Active reduction of conflict intraop

Pitfalls:

Emotions
No fault incidences
- Looking for blame where there is none
Passive aggressive behavior
Indirect address of inappropriate behavior

Examples:

Gensurg difficulty with endoloop, swears this isn’t“my loop”(Clarify need, offer alternatives, avoid appeal, same team)
Patient upset regarding NPO status (empathy, mirroring, observations not accusations, education)

Linchpins (Key Points):

The OR RN is positioned to provide calming presence and matter-of-fact assistance in the OR to accomplish safe patient care

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Transcript

References

Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).

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Concepts Covered:

Study Plan Lessons

1st Degree AV Heart Block

3rd Degree AV Heart Block (Complete Heart Block)

Acute Respiratory Distress

Atrial Fibrillation (A Fib)

Blunt Abdominal Trauma

Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)

Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)

Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)

Dysrhythmia Emergencies

EKG Basics – Live Tutoring Archive

Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)

Head Trauma & Traumatic Brain Injury

Increased Intracranial Pressure

Intracranial Hemorrhage

Premature Ventricular Contraction (PVC)

Sinus Bradycardia

Sinus Tachycardia

Supraventricular Tachycardia (SVT)

Triage in the ER

Ventricular Fibrillation (V Fib)

Ventricular Tachycardia (V-tach)

Triage Nursing Mnemonic (START)

02.14 Shock Stages for CCRN Review

02.06 Heart Murmurs for CCRN Review

02.02 Cardiomyopathy for CCRN Review

02.15 Hypovolemic Shock for CCRN Review

02.16 Cardiogenic Shock for CCRN Review

02.17 Septic Shock for CCRN Review

03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review

03.02 Diabetes Insipidus for CCRN Review

03.05 Endocrine Practice Questions for CCRN Review

1st Degree AV Heart Block

3rd Degree AV Heart Block (Complete Heart Block)

Acute Inflammatory Disease (Myocarditis, Endocarditis, Pericarditis) for Progressive Care Certified Nurse (PCCN)

Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)

Acute Renal (Kidney) Module Intro

Addisons Disease

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)

Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)

Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)

Artificial Airways

Atrial Fibrillation (A Fib)

Brain Death v. Comatose

Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)

Cardiac Stress Test

Cardiac Tamponade for Progressive Care Certified Nurse (PCCN)

Cerebral Perfusion Pressure CPP

Chest Tube Assessment Nursing Mnemonic (Two AA’s)

Chest Tube Management

Chest Tube Management

Chronic Kidney Disease (CKD) Case Study (45 min)

Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)

Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)

Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)

Cushings Assessment Nursing Mnemonic (STRESSED)

Dialysis & Other Renal Points

Endocarditis for Certified Emergency Nursing (CEN)

Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)

Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)

Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)

Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)

Hemodialysis (Renal Dialysis)

Hepatic Disorders (Cirrhosis, Hepatitis, Portal Hypertension) for Progressive Care Certified Nurse (PCCN)

Intracranial Pressure ICP

Lacerations for Certified Emergency Nursing (CEN)

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

Neurogenic Shock for Certified Emergency Nursing (CEN)

Nursing Care and Pathophysiology for Cardiogenic Shock

Nursing Care and Pathophysiology for Cardiomyopathy

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Distributive Shock

Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology for Hypovolemic Shock

Nursing Care and Pathophysiology for Pancreatitis

Nursing Care and Pathophysiology for Pneumothorax & Hemothorax

Nursing Care and Pathophysiology for Sepsis

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Nursing Care and Pathophysiology for Valve Disorders

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Endocarditis and Pericarditis

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)

Nursing Care Plan (NCP) for Acute Kidney Injury

Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Anaphylaxis

Nursing Care Plan (NCP) for Angina

Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)

Nursing Care Plan (NCP) for Blunt Chest Trauma

Nursing Care Plan (NCP) for Cardiogenic Shock

Nursing Care Plan (NCP) for Cardiomyopathy

Nursing Care Plan (NCP) for Chronic Kidney Disease

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Endocarditis

Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis

Nursing Care Plan (NCP) for Heart Valve Disorders

Nursing Care Plan (NCP) for Hepatitis

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hypovolemic Shock

Peritoneal Dialysis (PD)

Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)

Pneumothorax for Certified Emergency Nursing (CEN)

Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)

Premature Ventricular Contraction (PVC)

Respiratory Alkalosis

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

Spinal Cord Injury