A Mass. Eye and Ear Pediatric Surgical Day

Hi, this is Sam. Sam is having surgery
at Mass. Eye and Ear today. She’ll be sharing her experience
to help others understand what a surgical day
is like here. Upon arriving to the pediatric
floor, Sam checks in. Her parents are asked
to provide ID for confirmation and then are given
ID bracelets to wear. They will also be asked
to sign paperwork to confirm information. The nursing staff weighs Sam. Her ID bracelet will match
Mom and Dad’s to ensure safety that those
with Sam are her guardians. Sam’s vitals,
including her oxygen level, heart rate by pulse oximeter,
and temperature are taken and recorded. Sam’s surgery requires
an in-patient room to recover for observation. Some patients
may not require a room if it’s a quick recovery
of two hours or less. In her room,
Mom goes through a bag that the hospital provides,
which includes socks and PJs. Scrubs are also provided
for one parent to change into so Mom or Dad
can accompany their child down to the surgical floor. As Sam gets dressed,
Mom talks with the nurse to go over Sam’s history
and answer any questions. There is usually time for play
while waiting for surgery. Sam finds the playroom
filled with many toys and crafts to do with a volunteer. Once Sam is called to come down
to the surgical floor for her operation,
the nurse gives her Tylenol to help with any discomfort
following surgery. After Sam takes her Tylenol,
she and Mom are brought down to the S floor
to meet her surgical team. When Sam arrives, she is brought
to the pre-op holding area, where there will be
a bed with wheels and a spot for her and Mom
to wait. They will meet many people. One will be
the anesthesiologist, who will listen
to Sam’s heart and lungs to make sure she is well
for surgery, as well as go over paperwork
and consent with Mom and answer any questions
and concerns. Play and preparation
will also be provided by the child life specialist to help keep Sam calm
and distracted while waiting. An operating room nurse
will come by for safety checks for Sam and Mom and to confirm what they are
expecting for surgery today. The child life specialist
or nurse will explain to Sam how she will receive anesthesia
for her surgery. For Sam, as she is still
young and small enough, she will breathe the anesthesia
from a soft mask that goes over her nose
and mouth. The anesthesia air
has a strong smell, so Sam can choose a flavor
to scent her mask and medicine. In the pre-op area, Sam’s surgeon comes by
to say hello and make sure Mom
has no additional questions. Once the whole surgical team
has come by to say hello and goes over all safety checks, it is time to go
into the operating room. It is important to note that
every operation is different and certain surgical attire
requirements may vary. Mom carries Sam, who brings her favorite blanket
from home in with her. When Sam gets into the OR,
she is greeted by more staff. There are a lot of machines,
bright lights and tables. Mom is guided to sit with Sam
next to the OR bed. She can continue to have fun
with the iPad. The anesthesiologist will decide the most appropriate position
for induction. For Sam, she is able to sit
on her mom’s lap. But other children may sit
on the bed or lay down. This is for the safety
of the child, parent and team. When it’s time
for the anesthesia mask, Sam is a little unsure
about the mask but realizes it doesn’t hurt. As Sam breathes the air
and starts to get sleepy, she becomes a little restless. This is a normal response
to the anesthesia. Sam is now under the effects
of the anesthesia, is unaware
and will not remember. The team safely transfers Sam
to the OR bed, where they take over
to make sure she is safe and to continue
with the procedure. Mom is escorted out
to where she can wait. Once Sam is brought to recovery
and it’s safe, Mom or Dad–
or sometimes both– are brought back to join her
as she wakes up. Depending on the child’s surgery and how busy
the recovery area is, the nurse will decide if one
or both parents can come in. During recovery, kids can
wake up feeling groggy. Sometimes kids can wake up
crying and agitated because they feel funny. This is normal as the anesthesia works its way
out of their system. Other times– like Sam–
they sleep it off and wake up when they are ready. Parents are prepared
for both scenarios, as it can be challenging
to see your child wake up in a confused state. Sam has a popsicle to help her throat from feeling
dry and sore. In the recovery area,
Sam has a pulse oximeter on to monitor her breathing. She also has an intravenous that was placed
after she was asleep. This hydrates Sam and gives
her the nutrients she needs. It’s also there in case
more medicine needs to be given. It does not hurt her
and she can still use that hand. Her surgeon also comes by
to talk to Mom and Dad and let them know
how well her procedure went. It is time for her to go back up
to the pediatric floor. There she is greeted by Dad
and her nurse. If Sam meets the criteria
for discharge and continues to drink
and feel better, her IV can come out
and she is allowed to go home.

65 Replies to “A Mass. Eye and Ear Pediatric Surgical Day”

  1. where is her eye and ear surgery.  I had surgery and I had my head in a cast and eye patched on both sides.

  2. Im getting surgery here in a few weeks, im pediatric but im a teenager haha. Not sure what it will be like, but im happy this video was here

  3. There is virtually no information about what they do when they prepare her, how they do the surgery and what arrangements she will have on or in her after surgery. The only information in this video is how the team expects the parents and the child to behave, which gives reason for a lot of thoughts. An of cource must the video also be regarded as a sort of cheap commersial for the institution.

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