N336 Perioperative student ppt2011

N336 Perioperative student ppt2011 - N336 Jacqueline...

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Unformatted text preview: N336 Jacqueline Tulley, RN, MSN, ACNP • History of surgical nursing • What is perioperative nursing? Involves care a. Before surgery b. During surgery c. After surgery • Association of Operating Room Nurses (AORN) – A highly organized specialty organization in nursing develops standards, recommended practices and guidelines for perioperative nursing Surgical procedures can be classified : • By body system – Useful for determining risk of infection postoperatively – High risk for infection are incisions that enter the GI, respiratory, or GU tracts • By purpose : – Describes surgery – Ablative: removal of diseased body part – Diagnostic: confirm or negate a diagnosis – Palliative: alleviate discomfort or disease – Reconstructive: restore function – Cosmetic: improve appearance – Transplant: replaces malfunctioning body part • By degree of urgency : – Emergency surgery: go to OR ASAP to safe a life or function – Urgent surgery: go to OR in 24 – 48 hours to alleviate symptoms, repair body part or restore function – Elective surgery: recommended, but condition is not time sensitive • By degree of risk : – Major surgery: associated with high risk and more complications – Minor surgery: associated with low risk and few complications • Age/personal habits/allergies – Very young and very old Why? – Bad habits, such as? – Allergies, such as? And why risk? ↑ • Type of wound – Clean wound – Clean-contaminated – Contaminated – Infected • Preexisting conditions – Acute conditions • infections – Chronic conditions • CV disease • Coagulation disorders • Respiratory dz • Renal dz • Diabetes • Nutritional disorders Mental status ◦ Altered cognition, physical or mental illness ◦ Aggravate dementia, confusion or disorientation Medications ◦ Herbs ◦ Vitamin E Complete: Nursing history ◦ Health history ◦ Client knowledge/understanding of the surgery ◦ Most facilities developed preop assessment form and checklist to prevent omission of important info (pg 928) Physical assessment ◦ Focus on symptoms that indicate risk for surgery ◦ Example: patient c/o cough Preoperative screening tests ◦ Urinalysis ◦ CBC ◦ ECG ◦ Chest X-ray ◦ Blood type and crossmatch ◦ Serum electrolytes ◦ Fasting blood sugar ◦ CMP Surgical consent Physician presented information about the surgery and patient understands An agreement by a client to accept a course of treatment or a procedure after being provided complete information by a health care provider ◦ Required for all surgical procedures ◦ Must be voluntary ◦ Must be informed ◦ Legal responsibility of doctor ◦ Nurse witnesses signature...
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This note was uploaded on 05/30/2011 for the course NUR 212 taught by Professor Susanhampson during the Spring '11 term at St. Xavier.

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N336 Perioperative student ppt2011 - N336 Jacqueline...

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