Nursing Care of the Surgical Patient. The PeriOperative Continuum of Care. Marymount University NU 331 : Fall 2011. Surgery. What is it? Where is it performed? Who does it?. Categories of Surgery. By anatomic location Procedure to be performed Purpose of surgery .
The PeriOperative Continuum of Care
NU 331: Fall 2011
What is it?
Where is it performed?
Who does it?
- Interview and Assessment
- Physical and Function Examination (baseline)
- Laboratory and Diagnostic Tests
- Education and Interventions
- Paperwork (patient’s chart is generated from the above)
* * Listen to the Patient * *
Musculoskeletal, Endocrine, Nutritional, Integumentary
- *Completed before or day of surgery
- Common labs for surgery: CBC, BMP/CMP,
Type & Screen or Crossmatch, Urinalysis, hCG
- Chest X-Ray, EKG
- Tests based on patient’s age, specific history,
type of surgery, anesthesia classification system
Nursing Responsibilities with Labs/Tests
- Ensure results are on chart
- Call anesthesia and/or surgeon for any abnormal findings
- Tailor tests to the patient
To prepare patient for surgery, postoperative recovery,
To optimize patient outcomes!
To promote patient safety!
To promote patient satisfaction!
* Patient is an active participant!
Include but not limited to:
Unless surgery is an emergency or pt is already
hospitalized… most patients come to the hospital
the day of surgery for their final preparation.
- Review of PreOp History and Assessment
- Physical and Functional Assessment of Patient
- Review of Chart
Patient Identification and Surgery Verification!
What time did you last eat or have a bite of food? Fluids?
Document Vital Signs
Height and Weight
Nursing Physical and Functional Assessment
Review of Systems
If abnormalities, have they been reconciled?
If required, history & physical, and
medical clearance from pt’s primary
Complete Pre-OP Checklist
* D O C U M E N T
For patients undergoing sedation for short-term therapeutic,
diagnostic or surgical procedures at the bedside or in OR:
Malignant Hyperthermia (http://www.mhaus.org/)
Begins when patient arouses and continues until discharge from PACU. Should include:
Answer all patient questions!