Surgical Procedures

Complete Parts 1 and 2 – A, B, and C (D for Part 2) for this assignment. Answer in complete sentences, and be sure to use correct English, spelling and grammar. Sources must be cited in APA format. Each part (A & B) the response should be at least two and one-half (2 ½) double-spaced pages.

Part 1.

A: Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice, is taking the medical history of Edna Helm, an obese elderly woman with congestive heart disease. Edna states, “I’m always short of breath, and I perspire all the time. I guess I’m gaining weight, but the funny thing is that only my legs seem heavier. My heart is pounding when I lie down at night; it even seems to stop sometimes. I’ve even started to wear red nail polish to hide the funny blue color of my nails.

Edna gives you a copy of her medical history from an out-of-state physician. The medical history indicates that she has had the following conditions, tests, and procedures:

Conditions	Tests	Surgical Procedures
Positive Babinski sign Allergic rhinitis Aortic insufficiency Ascites Gastritis Osteoarthritis	Holter monitor testing Radioimmunoassay test Protein bound iodine test Glucose tolerance test	Basal cell carcinoma removed in 1992 Sebaceous cyst removed in 1982 Meniscectomy in 1978 Rhytidectomy in 1970

Using correct medical terms, chart Edna’s presenting symptoms. Define each of the procedures and conditions listed on her medical record. Your response should be one (1) page in length.

B: Victor Krenz is assisting Dr. Connors with the fifth cataract surgery for the day. The patient is Kathy Wall, a diabetic patient, whose condition has been stable enough for her to undergo a surgical procedure. Victor has performed a six-minute surgical scrub on his hands before each of the five procedures. Dr. Connors indicates that he is in a hurry to get back to his office for a heavy afternoon schedule of patients. After both Dr. Connors and Victor are scrubbed, gowned, and ready to begin the operation, Victor feels a slight prick on the tip of his gloved finger as he moves the sterile syringe and needle on the tray. Dr. Connors, who does not notice the accidental needlestick to Victor’s glove, states again that he is in a hurry to finish this procedure. Victor knows that it will delay the surgery if he has to change gloves. He also knows that his hands have had a surgical scrub five times that morning and that they are clean.

Provide detailed answers for each of the following questions. Your response should be one-half (1/2) page in length.

· Can Victor justify not changing into new gloves?

· What could happen to Ms. Wall as a result of Victor’s needlestick?

· How should Victor handle this situation?

C: José Menendez is an elderly patient of Dr. Juárez, a board-certified urologist. José has a history of recurrent UTIs dating back more than 10 years. When he becomes symptomatic, he has been instructed to call Dr. Juárez’s office and schedule a urinalysis. Dr. Juárez’s receptionist has just received a call from Mr. Menendez. He says he knows he is supposed to come in for a urine test but that he just wants a prescription phoned in to his pharmacy instead. The receptionist asks Emilia, Dr. Juárez’s medical assistant, to take the call from Mr. Menendez.