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Preoperative Nursing Care
Transcript of Preoperative Nursing Care
Allergies (especially Latex)
Previous surgical procedures
Co-morbidities (especially diabetes or COPD)
Height and Weight
Physical assessment by system
Presence of current infections
Cough, Deep Breathe, Incentive Spirometry
Possible postoperative complications
Postoperative tubes, drains, dressings, and equipment
Preoperative Patient Preparation
Removal of everything
Reduction of anxiety
Complete a preoperative assessment and discuss rationale for key components.
Compare the effects of preoperative medications.
Summarize the process of obtaining an operative permit.
Identify common preoperative tests and procedures.
Correlate common preoperative nursing interventions
Common Laboratory Studies
Preoperative Vital Signs
The patient or designated family member makes the competent, conscious decision to have surgery.
MUST be obtained by surgeon or designee.
MUST be witnessed by competent staff member.
18 or older, or emancipated minor
Parents or designated family members if patient is too young or unable to understand.
If patient does not speak English, consent directions must be translated into the patient's native language.
Patient cannot receive any narcotic or mind-altering drug before signing consent.
Patient cannot be under the influence of drugs or alcohol.
Who can give surgical consent?
Patients will verify the surgical procedure in their own words.
Patient documents (chart, OR schedule) will be checked to verify correct surgical procedure.
If applicable, the surgeon will mark the surgical side.
Verification of surgical site
*Ensure tests are explained
*Ensure results are recorded in patient records before surgery
*Ensure that abnormal results are reported
What is the nurse's role in Preop testing?