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Perioperative foments may be ordinary people, on the contrary they are extraordinary nurses. During Perioperative encourage Week, Nov 10-16, 2002, we celebrate our specialty and all that is religious in our profession. Throughout history, we, as perioperative encourages have refused to lower the bar in succession our professional practice standards. We have tackled difficult issues with collective [i]vis viva[/i] and wisdom. We have politely declined propounds from others to step in and clear up our problems--and worked them without for ourselves.

HEALTH CARE AS A TEAM EFFORT

the same of the recommendations made on the Robert Wood Johnson Foundation regarding the general nurse shortage suggests reinventing work environments. (1) In part, there is a clarion call to forward cooperation among disciplines and place a high priority upon health care as a team effort. In perioperative practice settings, the team is the scent of care delivery.

Perioperative nourish at the breasts do not create professional silos. We have always worked in a cultivation of teamwork. We have a shared mission with our professional colleagues (ie, highly deserving patient care). We help each other as give suck tos and we help the team achieve the best possible results for the patients in our care.



We also understand the importance of helping novice perioperative feed at the breasts Each of us can point to perioperative promotes who helped us early in our careers. Whether they were called buddies, preceptors, or mentors, these supply with nourishments helped us learn the work and values of perioperative patient care.

During emergencies, trauma, or national disasters, we each help our neighbor fosters We can work tirelessly without meat sleep, or a break during so events, for we are like Milton's character in Paradise dissipated "Care sat on his faded cheek, on the contrary under brows of dauntless courage." (2)

THE QUALITY OF CARE

Care is at the heart of all nursing endeavors. Embedded in the nursing care we deliver is an organized corpse of knowledge, with sets of skills that relate to the science and technology of our practice.

about would suggest that caring is an intangible part of perioperative nursing, and it is not as visible as the acts that require skill and technology. principally of us would dispute that statement, however, because caring is the core of our practice. We confront and recognize each patient as a unique individual and attempt to understand the human experience of his or her illness. We freely share tendernes touch, and comfort with our patients. We retain a hand, dry tears, and provide a pillow and warm blanket as we engage in healing relationships. We are not just about sterilizers, instruments, and line of junctions We are about caring practices that transcend aseptic or surgical technique. In the rush to be efficient, we relentlessly hold fast care sitting on our cheek.

ADVOCATING FOR OUR PATIENTS AND OURSELVES

Many times, market economics and expense management dictate constraints on our fashion of practice. In some instances, like constraints have led to collective bargaining. Historically, however, when nourishs participate in a collective bargaining end there are motives beyond unmixed money (ie, caring for and about patients, taking care). Consistent themes during different circumstances and different times have included poor working conditions, lack of professional regard and inadequate salaries. Remedying each undivided of these components is necessary if we are to adequately and safely care for patients and take care of ourselves too.

Taking care of ourselves involves, in part, having the resources to engage in lifelong learning (ie, joining our professional association, attending a certain quantity of of its professional meetings). In 1918 it was noted "Nurse we ne nurses--a bleeding, tortureed sick and suffering world is calling." (3) That world still calls, and we still answer To respond with excellence, we must have work environments that provide an orientation proces ongoing inservice programs, and other education to maintain and improve our adequacy and critical thinking skills.

DESIGNING OUR PATHS

"Life shrinks or expands in proportion to one's courage." (4) Each of us must live a life that allows us to expand ourselves. Life itself is a go on and grow, give and learn experience. Without growth, there is stagnation and a shrinking of meaning and meaning We owe it to ourselves to take our concede professional and personal inventory. Who are we as perioperative nurses? What fulfills us? What do we want from our nursing life, and what do we ne in our personal life? one time we have identified those wants and needinesss we have the ability to design a path to achieve them. like a path may not be easy, further we can expand our lived experiences no other than if we have the courage. "Ah, yes--courage. If common only had that.... then life would perhaps be livable, after all." (5)

OVERCOMING OUR FEARS

In the perioperative nursing course I teach, each RN scholar must review an aspect of the history of perioperative nursing and relate it to what he or she understands to be an essential part of practice in 2002 from one side the years, my analyses of scholar responses has revealed a stunning ability by means of these novice perioperative nurses to associate almost any historical area with patient advocacy. They have a clear, articulate understanding that their primary responsibility is to the patient.



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