What are the phases of perioperative care (3)
-preoperative
-intraoperative
-postoperative
What is the AORN periop pt focused model (4)
-safety
-physiologic response
-behavioural response
-health system
what is included in informed consent (8)
-ed about surgery
-take what will occur
-a procedure performed with risks
-type of anaesthesia used with risks
-other procedure that could be done during surgery
-Post-op plan of care and potential complications
-surgeon obtain consent
-nurse verifies and witnesses consent
What are different types of surgical procedures (11)
-diagnostic- test to diagnose disease
-ablative- body part or tissue removed
-palliative- provide relief or lessen pain
-constructive- restore function present during birth
-restorative/reconstruction- repair or restore missing or damage body
part or organ
-transplant- transfer organ
-cosmetic- surgical procedure that change physical appearance
-emergent- req to save pt life, performed within mins
-urgent- req to save pt life, performed within hours
-expedited- needed surgery, performed within days
-elective- no urgency, performed according to pt schedule
what is included in pre op surgical checklist (5)
, -safety is priority
-what time pt arrive
-time of surgery
-time pt moved to OR
-document
what increases risk for developing complications (9)
-over 65 yrs old
-smokers
-immunocompromised or obese
-existing infection
-chronic medical condition
-diabetes mellitus
-alcohol use
-poor nutritional status
-obstructive sleep apnea
what pre op diagnostic tests could be done (13)
-CBC
-hemoglobin and hematocrit levels
-prothrombin level
-internation normalized ratio
-activated partial thromboplastin time
-platelet count
-electrolyte level
-serum creatinine and blood urea nitrogen level
-preg test
-urinalysis
-chest xray
-electrocardiogram
-test for blood transfusion
what are nursing interventions to prepare pt for surgery (19)
-health hx
-allergies
-assess head to toe
-diagnostic screening
-baseline VS
-review provider orders
-skin preparation
-dont shave if possible
-preoperative
-intraoperative
-postoperative
What is the AORN periop pt focused model (4)
-safety
-physiologic response
-behavioural response
-health system
what is included in informed consent (8)
-ed about surgery
-take what will occur
-a procedure performed with risks
-type of anaesthesia used with risks
-other procedure that could be done during surgery
-Post-op plan of care and potential complications
-surgeon obtain consent
-nurse verifies and witnesses consent
What are different types of surgical procedures (11)
-diagnostic- test to diagnose disease
-ablative- body part or tissue removed
-palliative- provide relief or lessen pain
-constructive- restore function present during birth
-restorative/reconstruction- repair or restore missing or damage body
part or organ
-transplant- transfer organ
-cosmetic- surgical procedure that change physical appearance
-emergent- req to save pt life, performed within mins
-urgent- req to save pt life, performed within hours
-expedited- needed surgery, performed within days
-elective- no urgency, performed according to pt schedule
what is included in pre op surgical checklist (5)
, -safety is priority
-what time pt arrive
-time of surgery
-time pt moved to OR
-document
what increases risk for developing complications (9)
-over 65 yrs old
-smokers
-immunocompromised or obese
-existing infection
-chronic medical condition
-diabetes mellitus
-alcohol use
-poor nutritional status
-obstructive sleep apnea
what pre op diagnostic tests could be done (13)
-CBC
-hemoglobin and hematocrit levels
-prothrombin level
-internation normalized ratio
-activated partial thromboplastin time
-platelet count
-electrolyte level
-serum creatinine and blood urea nitrogen level
-preg test
-urinalysis
-chest xray
-electrocardiogram
-test for blood transfusion
what are nursing interventions to prepare pt for surgery (19)
-health hx
-allergies
-assess head to toe
-diagnostic screening
-baseline VS
-review provider orders
-skin preparation
-dont shave if possible
