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medical nursing vs surgical nursing

Nursing2002: June 2002 - Volume 32 - Issue 6 - p 52-54. Medical-surgical nursing is a specialty with a distinct body of knowledge, skills, and abilities that are validated by CMSRN certification. Did you do clinicals on either type of floor, what kind of pt did you like then? Main focus of my pts is pain control, pain control, pain control. Give me surgical pts anyday. You manage a lot of chest tubes, NG tubes, and drains of various types. Our specialty floors like general surgery will still take medical patients (pneumonia, electrolytes, dehydration, etc. Understanding Medical Surgical Nursing - Ebook written by Linda S Williams, Paula D Hopper. If they are not present, extenders usually are, such as CRNPs and PAs. It’s this time nurses spend with patients – monitoring … Medical-surgical nurses, according to the Academy of Medical-Surgical Nurses (AMSN), are registered nurses (RNs) that provide care for adult patients who are acutely ill dealing with medical issues and diseases or who are recovering from surgeries. Thank you! Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Has 17 years experience. I lasted exactly three months. However, due to severe cuts in nursing staff and hospitals focusing on profit rather than patient care and safety, you often see the two combined. Has 7 years experience. Gain the knowledge and skills you need to effectively care for adult patients. And why? Caring for Medical-Surgical Patients 2. Of course our surgical pts have medical issues but they are chronic, not acute. Thanks for your feedback! Ha ha. I have no real experience in oncology. I can provide some input into surgical nursing. Just weighing up whether to do medical or surgical! in Medical-Surgical Nursing is a postgraduate nursing programme that deals with training healthcare professional in taking care of families, individuals or a community to maintain or attain optimal health.The duration of this programme is of two years. to assistance getting up to the chair/to the bathroom/etc. Read this book using Google Play Books app on your PC, android, iOS devices. :). They are not superior in any way, but experience an entirely different world than med-surg nurses. In her work, she took care of patients post operatively from open heart surgery, immediately post-operatively from gastric bypass, gastric banding surgery and post abdominal surgery. After scrubbing in, surgical techs assist the surgeon by handing them tools and instruments. GHGoonette, BSN, RN. For example, a medical diagnosis of Cerebrovascular Attack (CVA or Stroke) provides information about the patient’s pathology. A lot of patients will be very anxious and need more education/reassurance. I work a specialty surg floor but we do get medical overflow pt (if a pt needs a bed and we have one, we get it regardless of their dx.). Two patients can be just as stressful as eight on a med-surg floor. It is complex, temperamental and absolutely necessary to know how to work correctly. allnurses is a Nursing Career, Support, and News Site. This essential text focuses on nursing roles, settings, trends, body systems and their disorders, and emergency and disaster management. Ours has general surgery (cholecystectomy, appendectomy, bowel resections, urology, nephrology), ortho (knee/hip replacements), neuro (spinal), cardiac (CABG, stents, vascular), and oncology. For instance, doctors are almost always available on the unit. bsc and Msc nursing courses. This is because of the constantly shifting nature of the ICU patient. But for the most part, you help get your patients recovered and ready to go home, while monitoring for any potential post-op complications (Is there an infection? 1. Sort by. They learn to “scrub in,” which is a skill set that is meant to maintain sterility and a safe operating room environment. . Inevitably, at some point, a nurse has to wonder what else they could be doing. - Lunch insulin coverage. On a med-surg floor, you may have IV pumps, sequential compression devices, telemetry boxes, continuous motion machines and other more or less standard equipment of the nursing profession. This is just not so in the ICU. She also dealt with patient populations that experienced active chest pain, congestive heart failure, end stage renal disease, uncontrolled diabetes and a variety of other chronic, mental and surgical conditions. As the backbone of the nursing profession,Medical-Surgical nurses make up the largest group of nurses. It doesn’t do to only perform a focused assessment, either. I just enjoy it more. In the end, intense things happen in the ICU, and the nurse has to be ready for them. I don't work on a ward, I'm a PACU RN, so my observations are just that-observations! The downside? Although this is certainly not true of all hospitals, med-surg nurses get help on occasion due to high ratios. Hang new bags of fluids for night shift so they don't hate you. It usually isn’t a case of calling a doctor so much as walking up to one and asking for an order. Medical-surgical nursing is the single largest nursing specialty in the United States and beyond. Specializes in PACU, OR. I enjoy surgical patients for the reasons the other posters listed (I can't tell you a lot about ortho, though). Care of Preoperative and Intraoperative Surgical Patients 5. Oncology takes a lot of general medical conditions, mostly it seems because if a patient has a current chemo regime at home but are there for a medical condition to be treated like pneumonia or PEG tube replacement, they will go to oncology even if it isn't for the cancer treatment specifically, because the nurses there are infusion-certified and the floor is usually better equipped to handle specific precautions geared towards cancer patients. PreK–12 Education; Higher Education; Industry & Professional; Covid-19 Resources; About Us; United States. In a large hospital you will find more specialized medical and surgical floors, but in smaller hospitals there is more of a mix depending on what units have beds available! M.Sc. Good luck! - Discharge rounds with the MDs/NPs, home care, PT, pharmacy, and social work, where you update them on patient progress, figure out who needs consults where, and approximate discharge date. And which do you prefer? Care of Postoperative Surgical Patients 6. Dealing with gods--I mean, surgeons. There are two certification exams offered in the specialty of medical-surgical nursing. You'll have admissions and discharges throughout the day because surgical patients usually don't stay long unless it's a major surgery or there are complications. Nov 27, 2010. We see everything from end stage liver disease (lactulose enemas abound!) If they had their gall bladder taken out, is there a bile leak?). See more ideas about medical surgical nursing, nurse, surgical nursing. I would choose a surgical floor over medical any day. Currently, med-surg nurses work in a variety of positions both on the hospital floor and beyond. It was very different from telemetry. Make sure lines are patent by flushing, check your dressings, wounds, and drains. What orientation periods have you personally had? For many nurses, medical-surgical nursing is a career choice and a source of personal and professional fulfillment. I worked a med-surg acute care floor directly out of nursing school. - ALWAYS check your patients pain levels, but be sure to do it around 6:00 pm so they're okay during change of shift. Instead of taking the patient to the OR, the surgeon will insert the line at the bedside, using the assigned nurse to assist with the intricacies of the procedure. Medical-Surgical Nursing Made Incredibly Easy is the practical, best informative book. Medical-surgical nurses provide care to adults with a variety of medical issues or who are preparing for/recovering from surgery. Do you have a whole range of different surgeries rather than a common one? - Quickly go into each room and introduce yourself, check pain levels, and make sure your patient is breathing Let them know you'll be in soon to see them. Good luck with your choice :). Education. Welcome diversity – can function in diverse health care settings, from hospitals, clinics, MD offices to home care facilities; willingly accept changes and … Time to refresh? There was just something about the patients, the equipment and the prestige that always interested me. She graduated with an Associates degree in Nursing from Mercyhurst College Northeast in 2007 and lives in Erie, Pennsylvania in the United States. Medical-surgical nursing may be a broader field than other subsets of nursing, but it’s just as important. Sometimes one patient will have all of these problems at the same time. Our hospital has two surgical floors so our floor sees neurosurg, ENT, urology, and gyn while their floor sees vascular, bariatrics, and general surg. Surgical nursing, sometimes called perioperative nursing, is a nursing specialty that involves assisting surgeons in the operating room (OR). Content pulls from across all AMSN properties including our online library, publications, member community (the Hub) and podcasts. Specializes in Geriatrics, Transplant, Education. I had a nice mixture of both telemetry and other general patients, and I learned a lot in my three and a half years working on this floor. With surgical pts you are mainly concerned with pain management and wound/surgical site assessment. According to the Academy of Medical Surgical Nurses (AMSN), Medical-Surgical nursing is “the foundation of all nursing practice”. in Medical-Surgical Nursing degree become skilled … Medical pts tend to have a lot of comorbidities with a lot of meds and treatments. We hardly ever see medical patients and when we do they get transferred pretty quickly since the docs are lazy and hate coming to another floor to check on the pt! I enjoy surgical patients for the reasons the other posters listed (I can't tell you a lot about ortho, though). Nursing vs. Medicine: Salary and growth. (I am graduating in August, so I don't have much experience of my own on which to base my choice). United States; United Kingdom; Global; Sign In; Contact Us; Bookbag; Advanced Medical Surgical Nursing. Nurses Are at the Forefront of Patient Care. Again, the nurse has to know how to work all of these machines without the help of others. As a surgical nurse, you might act as a scrub nurse , which involves selecting medical instruments and supplies, as well as passing them to the surgeon. I have been invited for an interview on a surgical oncology floor, and I intend on asking my interviewers about orientation for new RN graduates (I'm a new grad). We specialize in urology and GI for the most part. I work evening shift which is busybusy because lots of postops are coming up. Throughout the years, it has become a specialized science and an exceptional field in that it hones nurses that have high critical thinking skills, ability to work well under pressure, and excellent management skills. - Get there a little early and check 6am vital signs and patient summary. I spent a day in the OR with a surgeon when I first started and he told me "you work on a sophisticated units. Buy; Abstract In Brief. Our members represent more than 60 professional nursing specialties. To be exact, it was telemetry, which was considered a non-critical discipline in my hospital. Lynda is a registered nurse with three years experience on a busy surgical floor in a city hospital. Medical-surgical nurses have advanced organizational, prioritization, assessment and communication … I am a medical-surgical nurse who is more comfortable with medical patients. :) We do a lot of surgical wound assessments making sure everything is where it should be, no profuse bleeding, neuros intact etc. ), but if for instance we have someone with cholelithiasis come from the ER, they'll go to the general surgery floor first. For starters, learning how to operate the ventilator could take up an entire nursing school class. A nursing diagnosis deals with human response to actual or potential health problems and life processes. The specialty is proudly highlighted right in the credential — Certified Medical-Surgical Registered Nurse. For medical-surgical nurses who are used to having five to eight patients per shift, the idea of “only” having two patients can make them swoon in jealousy. Has 12 years experience. 1-612-816-8773. Act as a patient advocate – consider patient safety as the top priority by supporting patients in knowing what is in their best interests. What's the main differences between medical and surgical nursing in terms of a typical day and duties? It's a great floor to work on and always exciting. Get a leg up in your medical-surgical nursing class and on the NCLEX examination with this essential study guide. I decided to transfer to our medical ICU to fulfil my dream and see what it was all about. Medical-surgical nursing isn’t just a stepping stone for new nurses anymore. About M.Sc. 0 Likes. I don't see a lot of trachs. - Assess your patients and do your morning med pass. As integral parts of healthcare, both nursing and medicine are projected to grow faster than the national average, which the BLS reports as 7 percent. And patients that are post-op from knee replacements will go to the ortho floor. but thank you all for your insights about med and surg nursing! And maaaan do I believe him now haha. If someone can shed some light on this, what is the typical orientation period on surgical units? Time for a refresher: Brush up on your med/surg nursing skills by taking this quiz. Other procedures are also done at the bedside, including opening up a CABG patient’s sternal incision on the spot to save a life. Although it seems rather obvious that the patients in the intensive care unit require more intense care, it isn’t until you’ve actually experienced that intensity that you realise how stressful it can be. Here's a good course. LOTS of urology and GI. Brunner and Suddarth’s Textbook of Medical Surgical Nursing book is designed to assist nurses in preparing for their roles and responsibilities in the medical-surgical setting and for success on the NCLEX.. Starting out on a medical-surgical nursing unit is an excellent opportunity to get real experience working with patients dealing with a broad cross section of ailments. I occasionally get people with DVTs who need a heparin drip. Specializes in Pediatric Cardiology. Other equipment includes bedside dialysis, aortic balloon pumps and banks of IV pumps. Have you been offered both jobs, if so can you shadow, see the kinds of patients they take care of? It isn’t quite like that. It may also surprise floor nurses to know that many surgical procedures are done at the bedside and require the nurse’s participation. I don't even know if it's possible but I want it! Medical-Surgical nursing is a board certified speciality. Always changing and ALWAYS interesting. A surgical nurse is a nursing professional that is trained to be able to assist during both routine and difficult surgical procedures. In the past six years, 10,000 nurses have qualified for the designation CMSRN, granted by AMSN. Nursing Medical-surgical nursing has a very long history. In the ICU, both patients need q2h assessments and charting immediately after they are done. Hopefully someone else can come on here and give you a medical nursing perspective -- I'll get the occasional stage IV bedsore overflow onto my floor, but it's rare. Students who complete their M.Sc. Medical nursing focuses on caring for those with illness and disease. . Just a quick question! Surgical nursing focuses on preparation and recovery from surgery. You become a master of multitasking as a surgical nurse. : Director, Medical Surgical Nursing 553011082 Department: Nursing Administration Reports To: Vice President…: Full Time JOB SUMMARY The Director, Medical Surgical Nursing Services is a Registered Professional Nurse who is accountable for assuring the validity of the care administered to patients on assigned clinical areas… Written in the award-winning Incredibly Easy! I have gotten a few patients who went to the ED for whatever reason and ended up finding out they have a mass and/or cancer and they are admitted to our floor until an onc bed opens up (again..over the weekend). © 2020 Ausmed Education Pty Ltd (ABN: 33 107 354 441). Has 2 years experience. For instance, some facilities have IV nurses who can assist with pumps and rounding respiratory therapists who can give breathing treatments. lots of us surgeons would rather send our sickest patients to your unit than to the ICU." Aug 17, 2019 - Explore Julie Fogarty's board "Medical Surgical Nursing", followed by 304 people on Pinterest. 3. Becoming a Medical-Surgical Nurse. Evenings are VERY busy because like Jw1724 stated that's when everyone is coming out of the PACU. If anyone has experience on both a post-surg floor and an oncology floor, I sure would appreciate to hear your thought on it as well. Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy 4. Tech, or Surgical Technician) assists the surgical team before, during, and after an operation. 2. Running to an emergency is just as vital as it is anywhere in the hospital, probably more so for ICU nurses. See Educator Profile. The department specializes in supervision of care of patients who get admitted with specialized medical and surgical conditions in their 5 wards including bronchoscopy room and burns unit. I have a special place in my heart for geriatric and pulmonary patients, so medical nursing is a great place for me. You have to know which medication increases blood pressure, which lowers it and what settings are going to manifest that in your patient. Many floor nurses understand the intensity and stress of a code, but that doesn’t match the constant stress of the ICU. Unfortunately, even many overextended med-surg nurses don’t always have this perk where they work. I'm so curious!! By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. All of the metrics that are supplied have particular meaning and the settings are vitally important to how your patient fares. Has 5 years experience. I think I will choose post-surg, based on your descriptions. Why do you like medical vs surgical nursing or vice versa? Unit I: Medical-Surgical Nursing Settings 1. (actually tbh, they're pretty good at my hospital--especially the residents). The Medical-Surgical Nursing Certification Board (MSNCB) provides this table of comparisons between the two certification programs to help you make an informed choice of which one is right for you. Surgical nurses are registered nurses. But we do also take traumas with chest tubes. In some hospitals, med-surg nurses can call on technicians to handle many problems. These types of nurses can be found around operating tables all across the word, assisting surgeons with both elective and life-saving procedures. Download for offline reading, highlight, bookmark or take notes while you read Understanding Medical Surgical Nursing. Medical Surgical Nursing – II Notes/book for BSC Nursing Third Year, INC and RGUHS.. Medical surgical nursing notes/book is written in simple language and available in PDF. We covered 10 to 15 years old questions and answers. In some ways, medical-surgical nurses are the backbone of our entire profession. Specializes in ICU, ER, International Disaster Response, PACU. In addition to this, you'll be juggling patients on the call bell needing everything from pain medications (after surgery, patients HURT!) Has 3 years experience. Navigate by topic area or search to refine. When nursing was a younger profession, the majority of nurses worked in wards performing bedside care, and most were classified as medical-surgical nurses. The book provides nurse and nursing student to informative knowledge to provide optimal patient care. Ideally, these two areas would be separate in a hospital setting. Some floors have a mix so you can end up with pts with medical probs and pts who are post op. I also see a lot of potential problems that could escalate into surgeries (ie: partial bowel obstruction). Any RN who passes the exam becomes a CMSRN. ICU nurses often have to do everything, too, and at a much more stressful level. Medical-Surgical Nursing, 7th Edition covers both medical-surgical and psychiatric mental health conditions and disorders while building on the fundamentals of nursing. Specializes in Surgical/Stepdown, Home Care. Surgical tends to be divided into a few different specialty areas, depending on the hospital. The earning potential for both is also higher than the national average, which was $36,200 in 2015. These q2h assessments are usually head to toe. & end stage renal disease listed for transplant to post liver and kidney transplants (both live and deceased donors), donor hepatecomy and nephrectomy, Whipple procedure for pancreatic cancer, colorectal medical patients (crohns and colitis flares) and colorectal surgical patients (new ostomies, etc), gen surg patients (appys, choles, thyroidectomies) to a smattering of standard medical patients (pneumonia, uti etc). related to cancer diagnosis), vascular surgery, bariatrics, and every other surgery is lumped into General Surgery. Oh, and Heparin, you give a lot of it. I work on a surgical specialty floor. My wound care skills are pretty awesome at this point. Which certification is right for me? I have a special place in my heart for geriatric and pulmonary patients, so medical nursing is a great place for me. A surgical technologist (commonly called O.R. Do blood sugar coverage as needed for breakfast. Critical Thinking and the Nursing Process Unit II: Medical-Surgical Patient Care Problems 3. The Medical-Surgical Nursing Certification Board (MSNCB), a partner organization with the Academy of Medical-Surgical Nurses (AMSN), is the credentialing board for Certified Medical-Surgical Registered Nurses (CMSRN) certification. Before an operation, surgical techs prepare the operating room supplies and equipment. You will see patients with diabetes, CHF, COPD, cellulitis, renal failure, UTI's, pneumonia, GI bleeds, dementia, etc. * Happy Holidays Everyone! You will give a lot of narcotics, pain is usually the biggest issue post-op. Med passes aren't terrible unless a patient also has high blood pressure/blood sugar issues (usually just lovenox/heparin, protonix, colace, and pain meds). Medical/surgical nursing. Unfortunately, it was more than I could handle. 2. Yes, the ICU nurse has two patients – sometimes three – but those patients take up so much time that you are running from the start of the shift to the end. A lot of our surgeons prefer the ability to just be on one or two floor for their given focus, rather than running around the entire hospital all day. In some hospitals, respiratory therapists take care of the bulk of vent maintenance, but the RN still needs to know what everything means. My experiences are indicative of the hospital I worked in, but if you’ve ever wondered what the difference is between Medical-Surgical Nursing and ICU, here are a few points I personally experienced that you may not have considered. Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. - Check labs and orders while pharmacy restocks the omnicell between 7:30 & 8:00. A medical diagnosis deals with disease or medical condition. However, I always wanted to work intensive care. While it is true that much of the information is now electronically charted automatically, it still can’t measure the reflexes, the pupil dilation, and other data that only a registered nurse can assess. I too work on a surgical floor but we also get neuro and trauma so not strictly post-op. I'm kind of late to this thread. From heart to lung, from correctional to preventative, there are almost as many types of patients as there are types of surgeries. Download this table as a PDF They have a broad knowledge base and are experts in their practice. I actually started on a general surgical floor, though it took medical patients by nature of the need for overflow. Review labs, orders. Sometimes, a surgeon will ask the surgical tech to assist with simple tasks durin…

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