Perioperative Care Answers – Flashcards
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What are the responsibilities of the perioperative nurse? The perioperative nurse provides care to the patient durin, pre-operative, intraoperative and post op.
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What are the responsibilities of the perioperative nurse?
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Provides care to the patient during the surgical procedure.
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What does the circulating nurse do?
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Pre-op nurse, circulating nurse, anesthesia.
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Preoperative team
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correct client, correct surgical procedure, correct surgical site, review of client history, meds allergies Health history and abnormal labs.
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Responsibilities of the pre op team
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Name of client, consent, allergies, antibiotic administered, surgical count correct.
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Intraoperative team responsibilities
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drains, implants placed, inform of any complications, inform of abuse or suicide threats to be further investigated.
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Post op team responsibilities.
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nursing care of the client starts with good communication. Pre-op care begins as soon as the client is informed of the need for surgery.
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What is critical during the preoperative phase?
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1. Length of surgery, whether or not to stop taking meds, communication with surgical team prior to procedure, deep breathing and coughing exercises, surgical site care, constipation, pain control, prevention of clot formation.
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Important items to discuss during pre-op?
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Maintain normothermia, identify proper electrocautery pad size for the client prior to surgery. If client was anxious in intubation more than likely they will be anxious on extubation. Teens usually wake up very combative and vocal.
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Peds, perioperative care.
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The older adult is at risk for developing a surgical infection, skin assessment is essential, dementia, confusion, risk for falls and depression need to be considered. Older patient is at higher risk for developing clots. Deep breathing and coughing education starts in the preoperative phase.
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Older adults perioperative care.
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weight, BMI, food preferences and total protein serum levels.
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Perioperative nutritional assessment includes what?
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during the pre-op phase and continues through all perioperative phases.
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When does the pain assessment begin?
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allergies, previous surgeries, medications taken, history with the use of anesthesia, hearing aids, glasses, NPO status CLIENT HAS TO REMAIN NPO status 8 hours before surgery, retained hardware or metal, VTE assessment and cultural assessment, communication, drug and alcohol assessment.
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Essential information to gather during the pre op phase?
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it increases risk for aspiration.
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Why can't the patient eat or drink anything 8h prior to surgery?
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Longer surgeries. Heparin or lovenox is normally administered.
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What increases risk for clot formation?
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The day of surgery, hair is clipped NOT SHAVED.
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When is hair clipped for surgical procedures?
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clients undergoing surgical procedures below the chin should complete 2 pre-op showers with CHG before surery..
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Showers the day prior to surgery?
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Constant monitoring of the client and surgical environment,
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What is intraoperative care?
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The longer the procedure the higher the risk of complications for that client. The longer exposure to anesthesia, the longer the recovery time and increase of problems, higher chances of hypothermia, higher risk for clots and greater risk for blood loss.
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How does the length of a surgical procedure impact the client?
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supine
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How would you position a patient who is undergoing an appendectomy?
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Local, MAC, general, and block.
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Anesthesia option for a patient with acute appendicitis?
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Local anesthesia, the client is wake during the entire procedure, circulating nurse monitors clients vitals, the surgical area receives local anesthetics.
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Best anesthesia option for an appendectomy
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Used when the patient needs to communicate with the surgen during a surgical procedure,
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MAC anesthesia.
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Medically induced coma, client is intubated, client is monitored.
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General anesthesia.
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birth, foot amputation, hip replacement. The client may be awake, can be used along with general anesthesia.
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Block, specific region of the client is anesthetized.
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The purpose of a surgical prep is to help minimize surgical site infections.
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What is the purpose of a surgical prep?
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At the beginning and ending of a procedure.
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When does the wound class needs to be identified?
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The wound class increases one level. The more breaks in sterile technique the higher the wound class.
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What happens to the wound class if there is a break in sterility?
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PACU, surgical or procedural area to which the client is transferred in order to recover.
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What does post op care consist of?
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Ensure airway management, reduce the potential for post op complications and address client pain and anxiety.
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Major responsibilities of the post op nurse?
