State of the Nation with Jessica Soho tackles issues concerning the Nursing Education in the Philippines. Watch it every weeknights, 9pm on GMA News TV.
“Oversupply of Nurses”
“Declining quality of nursing education”
“Too many nursing schools”
“Unemployed and underemployed Registered Nurses”
“Is a nursing degree a golden ticket to a better life?”
The Operating Room Committee is an interdisciplinary committee charged to coordinate and standardize the care of patients undergoing surgical or other invasive procedures. It is a committee of the medical staff. This Committee oversees clinical practice related to Preoperative, intraoperative and Postoperative procedure care. It has the authority to establish clinical procedure and policy within the Operating Rooms and recommend policy related to those procedures outside of the Operating Room. It works collaboratively with the quality improvement quality to monitor and improve care and ensure patient safety.
Members of the Operating Room Committee
Chief or director of the department of surgery ( a surgeon) – The Chair of this Committee shall be a Physician from one of the surgical specialties or subspecialties.
Director of the anesthesia department (in teaching hospitals only)
Other chiefs or representatives of the specialty services
OR nurse manager – shares with the OR committee, hospital administration and nursing service the responsibility for clarification, implementation and day-to-day enforcement of approved policies and procedures.
OR coordinator or OR business manager
Hospital administrator and director (optional)
Responsibilities and Duties
Responsible for professional practice and administrative activities within their respective departments.
Maintain continuing evaluation of the professional performance of all members of the medical staff.
Serve as liaison representatives between the medical staff and hospital administration.
Formulate policies and procedures pertaining to utilization of facilities, schedule of surgical procedures and maintenance of a safe environment. Policies and associated directives formulated and approved by the committee serve as guides for governing the actions of surgeons, anesthesiologists and the Operating Room nursing staff while in the OR suite.
Utilizes evidence-based medicine to recommend changes in the clinical practice.
Approves policy and procedures that are specific to the Operating Room.
Provides Institutional oversight and direction for staff and faculty education related to operative and invasive procedures and care of the surgical patient.
Ensures an effective process for patient and family education related to surgical care and informed consent.
Works collaboratively with the quality improvement quality to monitor and improve care and ensure patient safety.
Monitors adherence to policies and procedures.
Recommends corrective measures to the hospital administration for efficient functioning within the OR suite.
Korsakoff's syndrome is a condition that mainly affects chronic alcoholics. It is also called Korsakov's syndrome, Korsakoff's psychosis or amnesic-confabulatory syndrome. It is a brain or neurological disorder caused by thiamine or Vitamin B1 deficiency. The syndrome is named after Sergie Korsakoff, a neuropsychiatrist who popularized the theory.
Causes
Chronic Alcoholism. This syndrome is due to the direct effects of alcohol or to the severe nutritional deficiencies that are associated with chronic alcoholism. A lack of Vitamin B1 is common in people with alcoholism thus, Vitamin B deficiency is noted. In chronic alcoholism the condition usually occurs following delirium tremens.
Malabsorption. It is also common in persons whose bodies do not absorb food properly (malabsorption).
Other severe brain disturbances. The syndrome also occurs in other severe brain disturbances such as paralysis, dementia, brain damage, infections and poisonings.
Dietary deficiencies
Prolonged vomiting
Eating disorders
Effects of chemotherapy
Hyperemesis gravidarum
Severe malnutrition. Alcoholism may be an indicator of poor nutrition, which in addition to inflammation of the stomach lining causes thiamine deficiency.
Disease Process
A deficiency of thiamine or Vitamin B causes damage to the medial thalamus and to the mammillary bodies of the hypothalamus. As a result, generalized cerebral atrophy may occur. In cases where Wernicke's encephalopathy, a neurological disorder that causes brain damage in lower parts of the brain called the thalamus and hypothalamus, accompanies Korsakoff's syndrome the disorder is called Wernicke-Korsakoff syndrome.
In most cases, Korsakoff syndrome, or Korsakoff psychosis, tends to develop as Wernicke’s symptoms go away. It results from damage to areas of the brain involved with memory, thus, Korsakoff's syndrome involves:
Neuronal loss or damage to neurons
Gliosis, which is a result of injury to the supporting cells of the central nervous system.
Hemorrhage or bleeding of the mammilary bodies.
Signs and Symptoms
Anterograde amnesia or the inability to form new memories
Retrograde amnesia or the loss of memory (can be severe)
Confabulation or the reciting of imaginary experiences.
Lack of insight
Apathy or the absence of interest in or concern about emotional, social, or physical life
Hallucinations or seeing and hearing things are not really present
Delirium
Anxiety
Fear
Depression
Confusion
Delusions and insomnia
Painful extremities
Treatment
Thiamine by injection into a vein or a muscle or by mouth. Usually, thiamine does not improve loss of memory and intellect that occur with Korsakoff's psychosis. However it may improve symptoms such as delirium or confusion.
Stopping alcohol use to prevent additional loss of brain function and damage to the nerves.
Eating a well balanced and nourishing diet with increase intake of foods containing Vitamin B1.
image courtesy of abtomorrow.blogspot.com
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