LINCOLN MENSAH

CASES HANDLED: ACDF, Total /Partial Knee Replacement, Total Arthroplasty, ACL Reconstruction., Spinal Surgeries.

Post Operative management

• Receives patient from PACU
• Pain assessment and management.
• Assesses pressure areas, uses the Waterloo tool to identify high risk patients and intervenes timely.
• Effectively implements Consultant protocols
• Neurovascular assessment ( CMST ) and escalation of anomallies.
• INEWS assessment and documentation.
• Wound assessment and dressing , removes drains, collaborates with tissue viability nurse for optimal patient outcome.
• Identifies high risk and deteriorating patients and escalates for timely intervention.
• Patient monitoring and observation
• Blood transfusion
• Assists patients to move in and out of bed after they've been seen and scored by physio, help them with the use of assisted devices.
• Sepsis Screening
• Manages patient who are on 24 hour bed rest after spinal surgeries.
• Medication administration and observation

Pre Operative Management

• ECG monitoring
• Prepare patient checklist
• Collaborative discharge planning
• Patient and family education
• Physical preparation prior to surgery
• Patient admission

Devices Used

• ECG, Telemetry, Bladder Scan, BP Monitors, Blood sugar monitor.

• Consistently maintained unit preparedness for each shift by restocking emergency and CPR trolleys, and ensuring the availability of necessary supplies and logistics within the ward or unit.
• Adhered to strict infection control protocols to prevent the spread of contagious diseases within the ward and maintained a sterile environment during procedures.
• Demonstrated empathy and compassion in providing care to patients during moments of crisis, offering emotional support and reassurance to alleviate anxiety and distress.
• Developed and implemented individualized care plans for orthopedic patients, including post-operative rehabilitation, pain management, and mobility enhancement strategies
• Implemented fall prevention strategies and precautions for orthopedic patients to minimize the risk of further injury during recovery.
• Assisted in the management of fractures, including casting, splinting, and providing appropriate instructions for weight-bearing or immobilization to facilitate the healing process.
• Implemented prescribed protocols, procedures, and therapies, which included oxygen administration, management of potassium and glucose levels, bladder irrigation (both manual and continuous), as well as catheter, NG tubes and cannula insertions, always prioritizing patient safety and well-being
• Assessed patient wounds, provided wound care, dressings, and monitored healing progress and signs of infection for patient with injuries or surgical incisions
• Managed patients with colostomy bags; assessed stoma and incision site, changed bags and documented findings and escalated concerns for prompt management
• Monitored patients for signs of sepsis, intervened and stabilized patient before the physicians arrival, took samples and requested for investigations, administered fluids and prescribed antibiotics, ensuring strict intake and output documentation etc.
• Assessed pain levels of post-surgical patients, managed pain effectively, implementing positional changes and cold therapy, activity, timely administration of analgesics.
• Administered blood and blood products, performed pre and post transfusion assessment, monitored clients post transfusion reaction and intervene where necessary.
• Proficiently applied and educated patients on the use of orthopedic devices such as braces, crutches, and mobility aids to support recovery and enhance mobility.

Client was a 79 year Old Man who was diagnosed DM Type 1, Hypertension, Senile Dementia, left hip dislocation and fracture with hip replacement done.

• Created a safe environment with the support of the family to prevent falls and accidents, removed hazards and used used bed with side rails to prevent fall.
• Regularly assessed the patient's cognitive function, physical health, and emotional well-being reported back to the team on daily basis.
• Adopted the use of clear simple and simple language while communicating, and was always patient and allowed client to process information and respond.
• Informed the family on the risk of pressure sores, ripple mattress was secured. Assessed client for bed sores, applied barrier creams and family were taught how to change the soiled line in, diapers in my absence. carefully turned client to the non affected part and suppported with soft pillows.
• Engaged the patient in his hobbies to stimulate cognitive function and provide a sense of purpose. Always discussed patient childhood football club where he played, watched their matches occasionally and got him a jersey of the club.
• Arranged for a dietician and physiotherapist with support of the family to ensure client received proper nutrition, hydration, exercise. Patient diet plan was carefully explained to the house aide.
• Prepared client to the hospital on review dates, updated the family on the review and progress and always reassured my client and family.
• Client incisional site was always assessed, dressed aseptically and pictures and progress report given to the surgical team weekly before the review day.
• Client FBS/RBS and vital signs were always monitored twice daily and values document on the vital chart. All patient medidcations were administered and monitored for responses and progress. House help and son were taught how to administer patient oral medication and long acting insulin and document on the insulin chart over time.

• Experienced in triaging patients efficiently, prioritizing care based on the severity of their condition, and ensuring that the most critical cases receive immediate attention.
• Skilled in performing emergency medical procedures, including wound care, IV placement, intubation, and cardiac resuscitation, while adhering to established protocols and guidelines
• Proficient in stabilizing patients with traumatic injuries, acute illnesses, or medical emergencies, ensuring their condition is optimized before transfer to the appropriate unit.
• Collected basic samples, labeled specimens properly, and transferred to laboratory for testing.
• Administered first aid treatment and life support to care for sick or injured individuals.
• Skilled in performing emergency medical procedures, including wound care, IV placement, and cardiac resuscitation, while adhering to established protocols and guidelines
• Applied orthopedic devices like traction and OCL splints.
• Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
• Answered codes quickly and orchestrated efficient, skilled medical care.

• Provided basic care, including vital signs, hygienic and nutritional care to children experiencing a variety of medical-surgical health alterations.
• Interacted with children and their families providing physical and emotional support.
• Assisted and accompanied patients to parole
  Bathed, groomed and dressed bed ridden patient admitted on the ward.
• Worked to maintain a neat and functional admitting department conducive to high quality care.
• Served patients with bed pans and urinary bottles and ensured their comfort
• Observed behavior and symptoms and report changes to on-call physicians
• Led presentations as part of a community nursing rotation to local residents detailing sex education to reduce STD rates
• Prepared equipment and assisted physicians during examinations and treatment procedures.
• Decontaminated, cleaned and prepared instruments for sterilization.
• Established and maintained cooperative relationships with patients my mentors and the entire multidisciplinary team.
• Monitored patient vital signs, blood sugars, weight and level of consciousness and documented accordingly.
• Explained useful coping methods to relieve depression and anxiety.
• Monitored vital signs, nutritional intake and signs and symptoms of complications to report deviations to supervisor.
• Educated patients and families about mental health, diagnoses and treatment options