Medication Awareness

CHIAMAKA EMELIFE
INDEPENDENT STUDY MENTORSHIP
MENTOR: CHRISTIE DELAUNE
CLEAR LAKE REGIONAL MEDICAL CENTER
MRS. CLICK
CRNA

*SOME INFORMATION IN THIS PRESENTATION COMES FROM OUTSIDE SOURCES.

Chiamaka Emelife
and Christie Delaune

My mentor is Ms. Christie Delaune. Ms. Christie earned

a BS in Biology from the University of New Orleans. She
worked for 5 years doing head & neck cancer and lung
immunology research at LSU and Childrens Hospital of
Pittsburgh. She then earned a BSN at the University of
Pittsburgh. Her MSN was awarded from California
State University, Fullerton in 2011. Ms. Christie has
worked at Clear Lake for 4.5 years.

Clear Lake
Regional Medical
Center
Clear Lake Regional Medical
Center opened in 1972, it is a
level 2 trauma facility

What is Independent Study Mentorship?

ISM is a class where students can pick what they want to study for a

semester
ISM can be for Health Science or Multidisciplinary courses
Students are required to meet with their mentor at their place of work,
for 15 hours per semester, and document what they learn, observe, and
see
By the end of the semester students will give a final presentation about
what theyve learned throughout the entire semester
ISM is a very good class to expose students to various jobs, so they have
a better understanding of many jobs, and are exposed to many more, to
help them in the near future.

Medication Awareness
During a preoperative assessment, the medical history, allergies, and

medications are reviewed prior to surgery. Informed consent is obtained

after the risks and benefits of anesthesia are disclosed.

I chose medication awareness because prepping for a surgery is one of

the most important things, it can prevent complications during and after
the operation.
Medication awareness is being familiar with the medications the patient
is currently taking and the potential interactions they may have with
other drugs administered during the operative period. Numerous
medications are administered and the patients response to them is
monitored.

Pre Op
Pre-Operative care is the preparation and management of a patient prior

to surgery
Pre-Operative care prepares the patient physically and mentally for the
operation
The physician doing the surgery must tell the patient about the risks and
possible complications and side effects from the surgery
A written consent must be filled and signed by the patient

Understanding Anesthesia
3 types of anesthesia general, local and regional

The type of anesthesia used in a surgery is determined by the estimated

length of the surgery, what operation they are having and patient
medical history
Heart rate, blood pressure, pulse oximetry, and respiratory status are
monitored throughout the surgery
Local anesthesia is given through a shot

Pre Anesthesia
Prior to entering the operating room, an intravenous (IV) catheter is

inserted. The patient is administered Versed to alleviate anxiety and

provide amnesia prior to entering the operating room.

After securing the patient on the operating bed, the non-invasive blood
pressure (NIBP) cuff, EKG lead, and pulse oximeter are placed on the
patient. After sedation, give patient (4) main medicines, then Bag Mask
Ventilator (BMV) then the paralytic.
After monitors are in place, medications are given to induce anesthesia.
The most common induction medications are Fentanyl, Lidocaine,
Propofol, and Rocuronium. After the first three drugs, the CRNA can bag
mask ventilate (BMV) the patient. Then the paralytic is given.

Paralytic (Paralyzes
Patient)
ROCURONIUM

Local
Anesthesia
LIDOCAINE

Induction Agent (To

Sleep)
PROPOFOL

Pain Medicine
(Short Lasting)
FENTANYL

Intubation
Endotracheal intubation is when a tube is inserted into the trachea after

passing through the mouth.

The tube is inserted with a laryngoscope which holds the tongue out of
the way and allows visualization of the vocal cords.
The endotracheal tube can be connected to ventilator machine to
provide artificial respiration and anesthetic gas.

Laryngoscope Intubation (Curved vs. Straight)

Cormack Lehane Classification System

Grade 1: Epiglottis, Vocal cords
and Arytenoids are clearly
visible.
Grade 2: The Vocal cords and
Arytenoids are visible, but the
Epiglottis isnt visible
Grade 3: The Arytenoids are
visible
Grade 4: Nothing is visible

Cuffed endotracheal tube

& Stylet

Laryngoscope

Oropharyngeal
Airway

Bispectral Index
(BIS)

How To Do A Proper
Endotracheal Intubation
Inserting the medication is the first
step to intubating a patient. The
medication that the anesthesiologist
is inserting is Propofol, an induction
agent that will help the patient go to
sleep.

How To Do A Proper
Endotracheal Intubation Cont.
The anesthesiologist is intubating
the patient with a glidescope after
making sure the patient is asleep
and has received all of their
medications.

How To Do A Proper
Endotracheal Intubation Cont.
Checking if the patient is breathing
after intubation is very important, it
confirms that tube didnt go into
their esophagus and there werent
any complications. After the tube is
in, the anesthesiologist checks to
make sure the patients chest is
rising, listens to the patients
breathing and also checking for
compliance in the bag.

Weebly!
chiamakaemelifeism.weebly.com

Photos!

My Mentorship Experience
My mentorship experience has changed my life so much, it has exposed
me to so many types of careers in the medical field and Ive seen so many
things that have encouraged me to keep striving to be as successful as my
mentor and her coworkers. Ive learned about anesthesia and how it is
used in all types of surgeries. I love what my mentor does because no day
is the same and CRNAs have to interact with their patients.

Questions???
Feel free to ask me questions about intubation, anesthesia or anything
that comes to mind!

A Huge Thanks!
I really want to thank my mentor, Ms. Christie Delaune, because she accepted me
to be her mentee, and she has made so many sacrifices just so I can get a feel of
what her job is like and so I can accomplish my goals in ISM.
I would love to that all my Health Science teachers, such as Mrs. Hart and Mrs.
Click for encouraging me to keep going in my studies and helping me with my
studies in the Health Profession. I am also grateful because I was selected to be in
ISM, even with the competition amongst my peers.
I especially would love to thank my mom, my mother exposed me to the medical
world and I fell in love with it through her. My mother pushes me like never
before because she sees the potential in me that others may not see. My mother
is the reason I met Ms. Christie, and I know I wouldnt have been as successful as I
am now without her.

Sources
"Anesthesia & Types of Anesthesia." - Before and After Surgery. N.p., n.d. Web. 01 Oct. 2016.
<http://www.healthcommunities.com/before-after-surgery/overview-types-anesthesia.shtml>
FCCP, George Schiffman MD. What Is an Endontracheal Intubation Procedure? Definition. MedicineNet. N.p., n.d. Web. 28
Sept. 2016.
<http://www.medicinenet.com/endotracheal_intubation/article.htm>
Gale Encyclopedia of Nursing and Allied Health, 3rd ed., Detroit: Gale, 2013, pp. 2747-2750.
< http://galenet.galegroup.com/>
"Home." About. N.p., n.d. Web. 04 Oct. 2016.
<http://clearlakermc.com/about/>
"Patients with Endotracheal Tube Nursing Roles, Management & Procedure." Nursing Journal. N.p., 27 Sept. 2015. Web. 01
Dec. 2016.
<http://rnspeak.com/nursing-skills/endotracheal-intubation-nursing-roles-management-procedure/>