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    Peri Op

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    sofia
    This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

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    Peri Op

    Uploaded by

    sofia
    5 views2 pages
    This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

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    Peri op

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    This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
    5 views2 pages

    Peri Op

    Uploaded by

    sofia
    This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
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    PERIOP🫀🫁🤢🤢🤢

    Peri operative nursing practice- refers to the performance of nursing activities


    during the pre-operative and post-operative phase of the patient’s surgical
    experience

    Phase Start
    Pre-operative phase starts when the patient decides to undergo the procedure or
    when the procedure is scheduled
    Intra-operative phase starts when the palient is admilled to the OR bed until the
    palient is transferred to the PACU
    Post-operative phase starts when the palient is admitted to PACU until the
    patient is transferred to the regular ward

    Phase Nursing Activities/Consideration


    Pre-operative phase Visit the potient
    Interview / Informed Consent
    Preparation - Physical and Psychological
    Intra-operative phase Safety
    Aseptic-controlled environment
    Positioning
    Input and output S:Traffic control in the OR ; A:Movement of personnel ( kept to a
    minimum) Humidity and temp inside the OR
    Post-operative phase Temperature and other vital signs
    Oxygenation status
    Level of Consciousness
    Drainage / Dressing
    Airway

    Informed Consent - on agreement mode by the client to undergo a procedure provided


    that the pelient is given the necessary and complete information about the
    procedure before giving consent

    • Information provided to the potient.


    1. Nature and Magnitude of the Procedure
    2. Risks and Benefits of the Procedure
    3. Alternative Treatment
    4. Prognosis

    Who cannot give consent?


    • Minors
    • Unconscious
    • Mentally-ill

    Conditions requiring Informed Consent


    • Minor and Major Procedures
    • Anesthesia administration
    • Radiographic exam with the use of contrast medium
    • Entry to a body cavity- procedure is invasive or intrusive

    Classifications of Surgery
    • According to Magnitude
    • According to Purpose
    • According to Urgency

    Surgery: According to Magnitude


    • Major procedure
    • Minor procedure
    Characteristics of Major procedure
    • High risk for morbidity and mortality
    • Extensive or prolonged
    • Large amount of blood loss
    • Presence of complications

    Surgery: According to Purpose

    • Diagnostic - biopsy
    • Exploratory - to assess the extent of the condition; EX: exploratory
    laparotomy
    • Curative - cure the condition

    ⁃ Ablative - removal of a body part - Ectomy


    ⁃ Constructive - repair of a congenital defect - Cleft palate -
    Palatoplasty
    ⁃ Reconstructive - repair of a damaged or diseased organ - Skin graft

    • Palliative - to reduce distressful signs and symptoms


    ⁃ Rhizotomy - common procedure under palliative; reduce the distressful
    s/sx

    Surgery: According to Urgency

    • Optional - according to patient’s discretion - Cosmetic surgery such as


    rhinoplasty, face lift, blepharoplasty
    • Elective - according to availability / convenience of the patient -
    Surgery for non toxic goiter
    • Required - should be done within a few weeks - Surgical procedure for
    cataract surgery
    • Urgent - should be performed within 24-48 hours - Appendectomy
    • Emergency - should be performed immediately - Ruptured Appendectomy

    Physical preparation of the Client


    Common anxiety associated with surgery: Fear of the unknown
    1. Health Teaching - Deep Breathing and coughing exercises, splinting the
    wound
    Ambulate to prevent deep vein thrombosis
    2. Pre-operative Checklist
    3. What is to be removed and retained - nail polish, dentures, jewelry,
    contact lens and retain hearing aid
    4. Methods of Hair Removal
    ⁃ Shaving - highest risk of infection
    ⁃ Clipping - surgical clipper is used
    ⁃ Depillation - depilatory cream (Veet)

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