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Evidence-Based Practice/Research Integration - Essay Example

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CHANGES NEEDED FOR ALLERGEN TESTING AMONG SURGERY CANDIDATES Abstract Perioperative procedures are routinely done to prepare surgical patients physically and psychologically, as well as to assure their chances of survival during the postoperative phase. While the established procedures in the whole perioperative phase are already accepted to be efficient in keeping the patients safe and comfortable prior to and after the surgery, some changes such as allergen testing may be adjusted to be done at the earliest stages of the perioperative phase…
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Download file to see previous pages Facilities become much more reliable when the survival rates of surgical patients are high, thus there is a potential increase in patients in the future. Changes Needed for Allergen Testing among Surgery Candidates Clinical Implications of Delayed Allergen Testing Perioperative procedures for patients are normally done in phases prior to and after surgery in order to ensure the safety and comfort of the patient both physically and psychologically (O'Connell-Smeltzer, Bare, Hinkle, & Cheever, 2010). While most procedures such as initial health assessments, family interviews, and teaching about the surgery and its effects to the patient are done routinely and may not directly affect a patient during the intra-operative and post-operative phase, other procedures such as allergen testing which are done less than 72 hours before or after the operation could cause problems for patients, especially among those patients which were not aware of some potential allergens like anesthetic, antibiotics, or latex. ...
Since patients are much more vulnerable to possible health complications after the surgery, allergic reactions to items used in the surgery could cause additional problems such as preventing rapid healing of incisions, or multiple organs becoming affected negatively (O'Connell-Smeltzer, et al., 2010). Thus, it is much more efficient to rule out potential allergens in the earliest stages of the perioperative phase of care as compared to doing the procedure after the operation since adjustments to procedures, drugs, equipment, and other necessary items for the surgery can be planned in advance, according to what the patient might need, and possible complications that may arise from unforeseen allergens can be avoided (Khan, et al., 2010). Changes Proposed for Allergen Testing Normally, medical assessment such as identification of potential allergens are done upon admission to the surgical center, and patient records are collected and kept for referencing during the whole surgical procedure (Hepner, 2009). However, allergens are usually tested after the preadmission phase, which decrease the time that possible causes for anaphylaxis can be screened before the operation (O'Connell-Smeltzer, et al., 2010). It is proposed that allergy tests such as skin patch tests and intradermal skin tests be done during the preadmission stage, so as for medical personnel to gauge necessary alterations in the procedures should the patient present some allergies to drugs or some disposable equipment. In order to keep the test as cost-effectively as possible, patients that may be much susceptible to allergens should get the early allergen testing prior to being admitted to the surgical center, such as pediatric patients, patients without any complete ...Download file to see next pagesRead More
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