Pre-Operative and Post-Operative Nursing Interventions for sty And
PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Transcript of PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
1/15
POST OPERATIVE
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
2/15
Postoperative care is the
management of a patient aftersurgery.
This includes care given during
the immediate postoperative
period, both in the operating room
and postanesthesia care unit(PACU), as well as during the
days following surgery.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
3/15
PURPOSE
The goal of postoperative
care is to preventcomplications such asinfection, to promote healing of the
surgical incision, to return thepatient to a state of health.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
4/15
TRANSPORTING THE PATIENTFROM
OPERATING ROOM
In moving the patient from the operating
table to the stretcher , the operating room
personnel strive to avoid the following
three problems:
1. Exposure which predisposes the
patient to respiratory infections and shock.
2. Rough handling, which may place astrain upon the patients sutures.
3. Hurried movements and rapid
changes in positions, which
predisposes the patient to hypotension.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
5/15
TRANSFER OFPATIENT TO
POST ANESTHESIA CAREUNIT
Communicates intraoperative information:
Identifies patient by name.
States type of surgery performed.
Identifies type of anesthetic used.
Reports patients response to surgical procedure
and anesthesia.
Describes intraoperative factors (e.g., insertion of
drains or catheters, administration of blood,
analgesic agents, or other medications duringsurgery, occurrence of unexpected events.
Describes physical limitation.
Reports patients preoperative level of
consciousness
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
6/15
PACU UNIT
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
7/15
RECOVERY ROOM
The Recovery Room is a very safe place tobe directly postoperatively. Nurse will
provide attention to the needs and assist
patient in awakening from surgery safelyand comfortably.
Because the immediate post anesthesia
period is a critical time for the patient,
close observation is important. The
patients physical and physiological
functioning must be supported until the
effects of anesthesia have worn of.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
8/15
POSTOPERATIVEASSESSMENTRECOVERYAREA
Determines patients immediate response tosurgical intervention.
Monitor patients physiologic status.
Assess patients pain level and administers
appropriate pain relief measures.
Maintains patients safety(airway, circulation,
prevention of injury)
Administer medication, fluid and bloodcomponent therapy, if prescribed.
Assess patients readiness for transfer to
inhospital unit or for discharge home based on
institutional policy.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
9/15
DISCHARGE FROM THE RECOVERY ROOM
The Physician either the surgeon or anesthesiologistgenerally discharges the patient from he recovery room.
Common criteria used in the evaluation of patient
discharge readiness are:
1. The have recovered from the effects of the general
anesthesia. This usually requires 2hours stay in therecovery room.
2. The vital signs must be stabilized.
3. There must be no excessive drainage from any site or
body cavity.
4. The physiologic effects of any narcotic medication must
have stabilized.
5. The patient must have gained consciousness, and the
level of consciousness must be satisfactory.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
10/15
6. All essential orders must have been carried out
completed by the recovery room personnel.7. Should the situation arise, provisions must be
made for attendance by a private duty nurse on
the clinical unit where the patient is to be moved.
8. The urine output must be adequate (30cc/hr).
The amount should be noted and recorded.
9. The staff of the clinical unit to which the patient
is to be transferred must be alerted and must beprepared for receiving the patient.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
11/15
SURGICALUNIT/WARD
Continues monitoring of patientsphysical and psychological responseto surgical intervention.
Provides teaching to patient duringimmediate recovery period.
Assist patient in recovery and
preparation for discharge home.Determines patients psychological
status.
Assist with discharge planning.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
12/15
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
13/15
GOALS OF CARETHROUGHOUTTHE POST
OPERATIVE PERIOD
Maintenance of adequate respiratory
function.
Maintenance of adequate nutrition and
elimination.
Maintenance of adequate fluids and
electrolyte balance.
Maintenance of adequate renal function.
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
14/15
Promotion of adequate rest, comfort andsafety.
Promotion of and maintenance ofadequate wound healing.
Promotion of and maintenance of earlymovement and ambulation.
Provision of adequate psychologicalsupport for the patient and significantothers.
Provision of adequate discharge teaching
and planning for the patient andsignificant others.
Recognition of and prevention of post-operative complication
-
8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
15/15
HOME ORCLINIC CARE
Provides follow-up care during office
or clinic visit or by telephone contact.
Reinforce previous teaching andanswer patients and family
questions about surgery and follow-
up care.
Assess patients response to surgery
and anesthesia and their effects on
body image and function.