Perioperative Nursing Care
Med Surg
Perioperative Nursing Care
Perioperative - includes pre, intraoperative, post operative care
Pre operative- from
... [Show More] the decision of surgery until patient goes into the OR
Intraoperative- In the OR until their in the post ECHO
Phases of Perioperative Nursing
Preoperative phase: period of time from decision for surgery until patient is
transferred into operating room
Intraoperative phase: period of time from when patient is transferred into
operating room to admission to postanesthesia care unit (PACU)
Postoperative phase: period of time from when patient is admitted to PACU to
follow-up evaluation in clinical setting or at home
Sidebar: golytely- laxative and electrolytes for bowel cleansing
Preadmission
Initiates initial preoperative assessment
Initiates teaching appropriate to patient’s needs
Operative processes-when, where, how, who, what
Post-operative teaching-PACU processes, monitoring, catheters
Involves family in interview if possible
Verifies completion of preoperative diagnostic testing- time frame of labs
needed, radiological studies, medical clearance
Verifies understanding of surgeon-specific preoperative orders: medications
and diet restrictions.
Other preparations: Bowel prep, shaving, labeling of site
Discusses, reviews advanced-directive document
Begins discharge planning by assessing patient’s need for postoperative
transportation, care
Cholecystectomy- surgical removal of the gallbladder
Initiates teaching appropriate to patient’s needs- 1st thing you should ask if
tell me what the doctor you about your surgery- gives you a sense of what the
pt. understands, explain that the will be using an incentive spirometer
Preoperative Assessment
Labs that may be need to be completed before surgery- CBC because post
operative ECHO, CMP (complete metabolic panel ), renal fcn, liver fcn,
coagulation panel (if they’re on Heparin, etc.)
Smokers or people over 50 or 60- need Chest X ray before surgery to see if
there's respiratory compromise [Show Less]