Explains expected sequence of events. (I56)YesNotes sensory impairments. (I90)YesThe patient's right to privacy is maintained. (O25)Outcomes - Post-opYesThe patient has wound/tissue perfusion consistent with or improved from baseline levels established preoperatively. (O11)YesFunctions as first assistant during surgical incision, excision, and repair of pathology (RNFA). (I129)YesEvaluates progress of wound healing. (I130)YesAssesses factors related to risks for ineffective tissue perfusion. (I15)YesEvaluates postoperative tissue perfusion. (I46)YesIdentifies baseline tissue perfusion. (I60)YesThe patient is at or returning to normothermia at the conclusion of the immediate postoperative period. (O12)YesAssesses risk for inadvertent hypothermia. (I131)YesEvaluates response to thermoregulation measures. (I55)YesImplements thermoregulation measures. (I78)YesMonitors body temperature. (I86)YesThe patient's respiratory function is consistent with or improved from baseline levels established preoperatively. (O14)YesRecognizes and reports deviation in arterial blood gas studies. (I110)YesUses monitoring equipment to assess respiratory status. (I121)YesEvaluates postoperative respiratory status. (I45)YesMonitors changes in respiratory status. (I87)YesThe patient's cardiovascular status is consistent with or improved from baseline levels established preoperatively. (O15)YesUses monitoring equipment to assess cardiac status. (I120)YesEvaluates postoperative cardiac status. (I44)YesIdentifies and reports the presence of implantable cardiac devices. (I58)YesIdentifies baseline cardiac status. (I59)YesThe patient is the recipient of competent and ethical care within legal standards of practice. (O26)YesActs as a patient advocate by protecting the patient from incompetent, unethical, or illegal practices. (I1)YesProvides care respecting worth and dignity regardless of diagnosis, disease process, procedure, or projected outcome. (I100)YesProvides care without prejudicial behavior. (I102)YesShares patient information only with those directly involved in care. (I116)YesThe patient demonstrates and/or reports adequate pain control throughout the perioperative period. (O29)YesAssesses pain control. (I16)YesCollaborates in initiating patient-controlled analgesia. (I24)YesEvaluates response to pain management interventions. (I54)YesImplements alternative methods of pain control. (I69)YesImplements pain guidelines. (I71)YesThe patient's neurological status is consistent with or improved from baseline levels established preoperatively. (O30)YesAssesses baseline neurological status. (I144)YesImplements protective measures during neurosurgical procedures. (I145)YesEvaluates postoperative neurological status. (I146)YesIdentifies physiological status. (I66)YesMaintains patient's dignity and privacy. (I150)DiagnosesAcute confusion (X11)Risk for infection (X28)Risk for injury (X29)Deficient knowledge (X30)Acute pain (X38)Anxiety (X4)Risk for impaired skin integrity (X51)Risk for imbalanced body temperature (X57)YesMaintains patient confidentiality. (I151)YesThe patient is the recipient of competent and ethical care within legal standards of practice. (O26)Description (Code)Used?Description (Code)Present?