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Preoperative Nursing Care

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Candice Kiskadden

on 2 November 2015

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Transcript of Preoperative Nursing Care

Preoperative Nursing Care
Preoperative Assessment
Allergies (especially Latex)
Previous surgical procedures
Co-morbidities (especially diabetes or COPD)
Home medications
NPO status
Height and Weight
Physical assessment by system
Smoking history
Presence of current infections
Advanced Directives
Surgical Consent
Preoperative Teaching
Cough, Deep Breathe, Incentive Spirometry
Pain Management
Possible postoperative complications
Expected outcomes
Postoperative tubes, drains, dressings, and equipment

Preoperative Patient Preparation
Bowel Preps
Body Scrubs
Specialized testing
Removal of everything
Reduction of anxiety
Preoperative medications

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

Preadmission Testing
Common Laboratory Studies
Chest X-ray
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.
Surgical Permit
Informed Consent
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?
Full transcript