NRSG 102 Chapter 14 (Iggy) care of a preoperative patient
A Coggle Diagram about collaborative management: assessment...
history and data collection, nursing care includes (NCLEX: During a preoperative assessment, the nurse asks the patient about allergies. Which allergy cited by the patient would be of greatest concern during the surgical procedure? , knowing the nature of the disorder requiring surgery and coexisting medical problems, identifying the individual patient's response to the stress of surgery, knowing the results of preoperative diagnostic tests, Identifying potential risks and complications associated with the surgical procedure and coexisting medical problems and Communicating and documenting important assessments), Informed consent (Nurse not responsible for providing detailed information about procedure! (this is the surgeons job!!!), Surgeon obtains signed consent BEFORE sedation and/or surgery, Nurse clarifies facts and dispels myths about surgery, Patients may sign with “X” (but there needs to be a witness) , In emergency, telephone authorization is acceptable and Special permits required for some procedures), why is surgery necessary?, Preoperative Patient Preparation, Allergies (Latex allergies , Ask about drug allergies, Ask about nondrug allergies, Ask about drug intolerances and Place an allergy identification band on the patient on the day of surgery), Assessments (Lab Assessment, Psychosocial Assessment, System Assessment, Physical assessment/ Clinical Manifestations and 20 Q), Anxiety interventions (preoperative teaching, encourage communication, promote rest, use distraction and teach family members), Preoperative Chart Review, skin preperation (break in the skin increases risk for infection, patient may be asked to shower using antiseptic solution, hair removal by electric clippers, depilatories and shaving for hair creates risk for infection), what are special considerations?, Components of surgery (extent, urgency and degree of risk), re portable conditions, What are preoperative medications, what occurs during the preoperative period?, Administering Regularly Scheduled Medications, Embolisms (External Pneumatic Compression Devices and Who are patients at risk for VTE (venous thrombolism)?), Older adults (Considerations for Preoperative Care and changes of ageing as surgical risk factors), Culturally Competent Care, Implementing Dietary Restrictions, Preopt Checklist (client teaching completed/ consent form signed/ NPO/in gown/ Allergy and ID band/ No Jewlery bands taped/ voiding prio to transport/Pre opt meds/ side rails are up after preopt/contact lenses out/ dentures/bridge out/ nail polished removed/ vitals within every 4 hours of surgery or 30 days/Pre Op labwork on charts/ abnormal lab values/skin prep/ Hx of asperin- antidepressants, steroid, NSAIDs) and PRIORITY= PATIENT SAFETY!!!