Perioperative Nursing Care 1
Perioperative Nursing Care 1
Perioperative Nursing Care 1
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Perianesthesia and
Perioperative Nursing
is the field of nursing that addresses the nursing
roles associated with the three phases of
surgical experiences : pre operative
postoperative and intraoperative
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Preoperative Nursing Care:
• begins when the decision to proceed with
surgical intervention is made and end with the
transfer of patient to the operation table
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Examples of nursing activities in the preoperative
phase include :
Pre admission testing
• Initial preoperative assessment
• Initiate teaching appropriate to patients needs
• Involve family in interview
• Verify completion of preoperative testing
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Admission to surgical unite or center
• Complete the preoperative assessment
• Assess for risk of complications
• Report upnormal findings
• Verify that informed consent obtained
• Answers family questions
• Develop a plan of care
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Others also in the holding area prior to the surgery
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Intraoperative Nursing Care
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Physiologic monitoring
• Calculate fluid loss or gain
• Distinguish normal and abnormal data
• Report changes in vital sign
Physiologic support
• Provide emotional support
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Postoperative Nursing Care
Activities include
• Maintain airway
• Monitor vital sign
• Assess the effect of anesthetic agents
• Assess complications assess pain
• Promote recovery and initiate teaching
• Initiate discharge plan
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Surgical classification ( according to
urgency)
Informed Consent
• process for getting permission before conducting a healthcare
intervention on a person. A health care provider may ask a patient
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Criteria for valid informed consent
• Voluntary
• Must be written
• Patient must be competent and able to comprehend
• In case of incompetent patient family member or law
representatives may give consent
• Should contain explanation of procedure
• Instruction that patient can withdraw consent
• Explanation that all patients questions would be
answered and if there is any significant notes such as
change in customary procedure
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Assessment of health factor that affect patient
preoperatively
• Nutritional and fluid status
• Drug and alcohol abuse
• Respiratory status
• Cardiovascular status
• Hepatic and renal function
• Endocrine function
• Immune function
• Previous medication use
• Psychosocial factors
• Spiritual and cultural beliefs
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Special situations
• Ambulatory surgery : patient discharge the
same day of surgery
• Obese patient
• Emergency surgery
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Preoperative nursing intervention
• Preoperative teaching
• Deep breathing coughing exercise
• Teach patient how to promote mobility and active body
movement by frequent position
• Leg exercise
• Getting out of bed
• Pain management
• Coping strategies
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• Maintain patient safety
• Manage fluid status
• Prepare the bowel
• Prepare the skin
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Immediate preoperative nursing interventions
• Administer pre anesthetic medications
• Maintain preoperative records
• Transport patient to the operation room
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