Ch 17 Preoperative Nursing Management Outline
Perioperative Nursing – 3 phases
Preoperative phase: begins when the decision to proceed with surgical intervention is made
and ends with the transfer of the patient onto the operating room (OR) bed
Intraoperative phase: begins when the patient is transferred onto the OR bed and ends with
admission to the PACU (post anesthesia care unit)
Postoperative phase: begins with the admission of the patient to the PACU and ends with a
follow-up evaluation in the clinical setting or home
Surgical Classification
Facilitating a diagnosis, a cure, or repair
Reconstructive, cosmetic, or palliative
Rehabilitative
Based upon the degree of urgency involved: emergent, urgent, required, elective, and
optional
Preadmission Testing
Initiates the nursing process
Admission data: demographics, health history, other information pertinent to the surgical
procedure
Verifies completion of preoperative diagnostic testing
Begins discharge planning by assessing patient’s need for postoperative care
Preoperative Assessment
Health history and physical exam
Medications and allergies
Nutritional, fluid status
Dentition
Drug or alcohol use
Respiratory and cardiovascular status
Hepatic, renal function
Endocrine function
Immune function
Previous medication use
Psychosocial factors
Spiritual, cultural beliefs
Medications That Potentially Affect Surgical Experience
Corticosteroids
Diuretics
Phenothiazines
Tranquilizers
Insulin
Antibiotics
Anticoagulants
Anticonvulsant medications
Thyroid hormone
Opioids
Over-the-counter and herbals
1
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:22 GMT -05:00
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Perioperative Nursing – 3 phases
Preoperative phase: begins when the decision to proceed with surgical intervention is made
and ends with the transfer of the patient onto the operating room (OR) bed
Intraoperative phase: begins when the patient is transferred onto the OR bed and ends with
admission to the PACU (post anesthesia care unit)
Postoperative phase: begins with the admission of the patient to the PACU and ends with a
follow-up evaluation in the clinical setting or home
Surgical Classification
Facilitating a diagnosis, a cure, or repair
Reconstructive, cosmetic, or palliative
Rehabilitative
Based upon the degree of urgency involved: emergent, urgent, required, elective, and
optional
Preadmission Testing
Initiates the nursing process
Admission data: demographics, health history, other information pertinent to the surgical
procedure
Verifies completion of preoperative diagnostic testing
Begins discharge planning by assessing patient’s need for postoperative care
Preoperative Assessment
Health history and physical exam
Medications and allergies
Nutritional, fluid status
Dentition
Drug or alcohol use
Respiratory and cardiovascular status
Hepatic, renal function
Endocrine function
Immune function
Previous medication use
Psychosocial factors
Spiritual, cultural beliefs
Medications That Potentially Affect Surgical Experience
Corticosteroids
Diuretics
Phenothiazines
Tranquilizers
Insulin
Antibiotics
Anticoagulants
Anticonvulsant medications
Thyroid hormone
Opioids
Over-the-counter and herbals
1
This study source was downloaded by 100000901307859 from CourseHero.com on 10-16-2025 02:30:22 GMT -05:00
https://www.coursehero.com/file/251445530/Ch-17-Preoperative-Nursing-Management-Outlinedocx/
