To enhance the interdisciplinary and team based primary care, the study showed the need for the community services to be boosted and aligned alongside primary service care providers for effective service delivery. O’Neill and Seamus also focused on the role leaders play in removing the barriers to effective teamwork and work at enabling the personal growth and development and also the decision-making process.
In order for a preceptorship program to be successful, it requires the support of the managers, the support of the administrators, the support of the educators and the health team members. Management needs to provide support by way of giving the preceptor an opportunity to balance the role with patient responsibilities. The clinical team members also need to be involved. This will ensure the continued support of the patients needs.
Precepting usually takes place in the patient care situations. This gives the preceptor an opportunity to guide the student or new nurse (Katz et al., 2009). He takes the newbie through the procedures which are important in the provision of the best care for the patients. This role is very crucial. It ensures that the future nurses can be able to give quality care.
Pseudomonas aeruginosa is an aerobic, gram negative bacterium. It is saprophytic and usually grows in moist environment like water, plants and soil. In hospitals and wards, it usually grows on tubings, water sinks, antiseptic and sterilizing solutions, etc.
Before clamping, anesthesia team is informed and IV heparin is administered (60-70 U/kg), and mannitol (12.5 mg) is given to force diuresis. First, the iliac clamps are placed and this is followed by the placement of aortic clamp. This technique reduces the risk of distal embolization.
The inferior mesenteric artery is again reassessed for backbleeding. If there is strong backbleeding, the inferior mesenteric artery is ligated close to the aorta. If the backbleeding is minimal, inferior mesenteric artery is reimplanted by using Carrel patch technique.