PERIOP
Perioperative Nursing
- The delivery of nursing care in di erent phases of client surgical experience
- Underscored by the nursing process
Settings:
- 2 services
1. In patient Services - the patient is admitted and a 24h minimum observation
2. Out patient Services - It can be happen in the following:
Physician’s clinic
Hospital based ambulatory clinic
OPD
NURSING PROCESS
I. Assessment
A. Subjective - patient’s complain
B. Objective - Nurse’s observation, lab values, imaging, Dx test
II. Diagnosis
A. Pre-op
B. Intra- op
C. Post - op
III. Planning
A. S - Speci c
B. M - measurable
C. A - attainable
D. R - realistic
E. T - Time - bound
IV. Intervention
A. Nursing Responsibilities -
B. Priority Action -
V. Evaluation
Re- assess if not e ective
PHASES OF PERI OPERATIVE
I. Pre - Op
A. From admission to OR
BOARD QUESTION
A. What is the focus of care during Pre-op.
- Prepare the patient
, 1. Physiologic
a) CBC
hemoglobin
- > 12g/dL
- < 12 g/dL = request for blood products
Hematocrit
- Status of hydration
WBC
- First 24h the WBC increases
- 72h post surgery - the WBC should be normal
BOARD QUESTION
When will the WBC decrease after surgery?
- 48 h post surgery decreasing
What is the con rmatory test for infection in post op?
- Culture and sensitivity
Platelet
- WOF: bleeding tendency
b) Cardio pulmonary clearance
Diagnosis
- CXR
- 12 LECG
Required
- > 40 y/o
- Comorbidity
c) NPO
6 - 8h before surgery
d) Bowel preparation
• Diet modi cation + enema / laxatives
2-3 days prior to OR
- Soft food ( mamon, lugaw)
2 days prior to surgery
- Liquid diet
1 day prior to surgery
- NPO
e) IV Fluids
Large bore needle
BOARD QUESTION
Which of the following needle is use for IV uid for surgery?
- 18 gauze
A 85 y/o man is schedule for surgery what type of needle is to be use?
a. 20 g
b. 22 g
c. 24 g - Due to the elasticity of the vein
Perioperative Nursing
- The delivery of nursing care in di erent phases of client surgical experience
- Underscored by the nursing process
Settings:
- 2 services
1. In patient Services - the patient is admitted and a 24h minimum observation
2. Out patient Services - It can be happen in the following:
Physician’s clinic
Hospital based ambulatory clinic
OPD
NURSING PROCESS
I. Assessment
A. Subjective - patient’s complain
B. Objective - Nurse’s observation, lab values, imaging, Dx test
II. Diagnosis
A. Pre-op
B. Intra- op
C. Post - op
III. Planning
A. S - Speci c
B. M - measurable
C. A - attainable
D. R - realistic
E. T - Time - bound
IV. Intervention
A. Nursing Responsibilities -
B. Priority Action -
V. Evaluation
Re- assess if not e ective
PHASES OF PERI OPERATIVE
I. Pre - Op
A. From admission to OR
BOARD QUESTION
A. What is the focus of care during Pre-op.
- Prepare the patient
, 1. Physiologic
a) CBC
hemoglobin
- > 12g/dL
- < 12 g/dL = request for blood products
Hematocrit
- Status of hydration
WBC
- First 24h the WBC increases
- 72h post surgery - the WBC should be normal
BOARD QUESTION
When will the WBC decrease after surgery?
- 48 h post surgery decreasing
What is the con rmatory test for infection in post op?
- Culture and sensitivity
Platelet
- WOF: bleeding tendency
b) Cardio pulmonary clearance
Diagnosis
- CXR
- 12 LECG
Required
- > 40 y/o
- Comorbidity
c) NPO
6 - 8h before surgery
d) Bowel preparation
• Diet modi cation + enema / laxatives
2-3 days prior to OR
- Soft food ( mamon, lugaw)
2 days prior to surgery
- Liquid diet
1 day prior to surgery
- NPO
e) IV Fluids
Large bore needle
BOARD QUESTION
Which of the following needle is use for IV uid for surgery?
- 18 gauze
A 85 y/o man is schedule for surgery what type of needle is to be use?
a. 20 g
b. 22 g
c. 24 g - Due to the elasticity of the vein
