COMPLETE SOLUTIONS GRADED A++
peri-operative nursing care begins at
the decision to have surgery
8 purposes of surgery
diagnose
cure
palliative
cosmetic
preventative
exploration
restorative/constructive
procurement
2 classifications of seriousness
major
minor
3 classifications of urgency
elective
urgent
emergent
ambulatory surgery (outpatient)
,over 1/2 of procedures
active recovery
decreased cost
laparoscopic surgery benefits
smaller incision
shorter stay
quicker recovery
cheaper cost
role of nurse in surgical experience
prepare patient for surgery
maintain surveillance of patient during surgery
prevent complications
facilitate recovery
common patient fears r/t surgery
fear of:
pain
discomfort
unknown
mutilation
death
anesthesia
disruption of life pattern
pre-op teaching
, smokin/drinking restrictions
dietary/fluid restrictions
review of procedure
post-op deep breathing, positioning, ROM
post-op pain and relief measures
post-op activity and diet restrictions
post-op dressing procedures
review of drains, tubes, catheters
pre-op prep
food and fluid restrictions (NPO)
balance b/w telling too much and too little
be aware of the effect of anxiety on learning
legal preparations for surgery
voluntary & informed consent (NE)
valid consent
true emergencies >> consent
what does valid consent consist of?
adequate disclosure
sufficient comprehension
consent voluntarily
who does the surgical team consist of?
RN
LPN