OB Assignment

First phase

Ans-1 1. Care before and after during surgery

Good surgical care neither begins nor ends with the procedure. In most instances, it is the
preparation for surgery, the anaesthetic and the postoperative care that ensure a good outcome.

2. Preoperative Care
Both the child and the parents should be prepared for the procedure and must consent.
 Explain why the procedure is needed, the anticipated outcome and the potential risks and
benefits.
 Ensure that the child is medically fit for an operation:
–
Correct any fluid deficit and resuscitate as appropriate before an emergency procedure
(IV bolus of normal saline, 10–20 ml/kg, repeated as needed). Restoration of urine output
implies adequate volume resuscitation.
–
Correct anaemia. Severe anaemia interferes with oxygen transport. As a consequence, the
heart must pump more blood. Surgery may cause blood loss, and the anaesthetic may
affect oxygen transport in the blood. Ideally, the child's Hb should be checked to ensure
that it is normal for the age and population.

3. Intraoperative care
Successful procedures require teamwork and careful planning. The operating room staff
should function as a team, including surgeons, anaesthesia staff, nurses, scrub technicians
and others. Ensure that essential supplies are readily available before the start of the
operation.

Ans-2 In the organizational context, the four-drive theory implies that every person, from the
CEO to the most junior employee will bring a predictable set of mental equipment to work each
and every day. This mental apparatus will be engaged in every item of behavior that takes place
at work. Likewise, all the other people engaged with the focal organization—its customers, its
shareholders and creditors, its suppliers, its neighbors and its regulators—will have this same
mental equipment.
PHASE 2

Ans-1  Barbara Norris has made quite a few efforts in order to align herself with the GSU unit.
She basically decided to run an offsite for the GSU staff. The idea behind this concept was to
actually provide a forum for discussion among members and to develop the unit to become
reactive. She created an open forum for the nurses where they can discuss all their issues and
interact with each other.
            Barbara Norris can be considered as a good choice for the management position because,
because not only is she a graduate from the same school, but she also has friendly terms with the
previous manager Betty Nolan at GSU. Therefore, she could easily contact her to know the
details about her experience at GSU. Nolan can guide her and make her aware about all the
possible situations she might handle at GSU, therefore it can be said that Barbara is a reasonable
choice for the position

Ans-2 First. the civilization in GSU does non handle coaction and teamwork as precedences.
That is. members in GSU can non trust on others when necessitating aid. However. Barbara’s old
organisation. the trauma unit. was like a closely-knit group. Nurses were friends. ate tiffin or
dinner together and some besides socialized outside of work. Babara experienced the culture-
shock after accepting the occupation in GSU. For illustration. instead than assisting and
mentoring the newer nursing staff. the senior nurses were extremely critical and complained
about the fledglings behind their dorsums. In the off-site. the comparatively new nurse Megan
expressed the letdown that she felt she did non belong to the squad and frequently got indirectly
negative messages and feedback from seniors. In this manner. non merely the morale of
fledglings would be disastered. but chances would be missing for new nurses to larn and turn.

Ans-3 Obstacle 1: Establishing the finding to alter inside the unit On the first few yearss Barbara
become the nurse director. 29 of the unit’s staff members went to speak to her. This shows a
sense of urgency inside the unit. However. during the 0ff-site meeting. when barbara inquiring
suggestions from them. the awkward silence occurred. This stating us that the staff members are
acquiring used to kicking alternatively of offering solutions. This would be the first obstruction
for Barbara.

The biggest job in the whole instance is in the human resources portion. is the freezed hiring at
EMU. Therefore. Barbara has to inquire her manager to set off from the hiring freezing and
acquire more staff for the unit by set uping the sense of urgency. If. on the other manus. this did
non working good. she can schedule the displacements of the bing nurses and in this manner.
they do non experience over worked or guarantee that the 1s who put good sum of attempt are
non left unacknowledged. This shows that she is a truly seropus people when she is seeking to
acquire things right and relieve some of the grudges on an pressing footing. Obstacle 2: The
ailments towards public presentation reappraisal system In order to make so. Barbara can
establish a crystalline reappraisal procedure which can associate the payment with public
presentation. The inquiries is. she does non possess the authorization to make so.
And what she could make now is to integrate a system that rewards the good performing artists
with non-monetary wagess. for illustration. some verbal recognition or certifications of virtue or
regular meetings where performing artists are identified and thanked for their valuable part by
their equals and foremans. Obstacle 3: the less cooperation and coaction environment Just like
any alterations before. Barbara need to do her best attempt to interrupt the ill will and do a more
powerful cooperation and coaction environment. She could keep little meetings to work out the
jobs together. She could besides establish a system wherein the nurses have to work as a squad
instead than working by themselves. This would make a friendly environment and do it easier for
her to make a squad of people who are ready to encompass alteration for the improvement of
their unit.

Ans-4 Motivation
1. Develop a transparent communication
2. Clear communication
3. Role-playing
4. Conflict Management
5. Open communication and acknowledgement