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Medsurge C17

3 phases of Perioperative Period? Preoperative phase, Intraoperative phase, Postoperative phase
Preoperative Phase From decision for surgery until entry to the OR
Intraoperative Phase From entry into the OR to entry into post anesthesia care unit (PACU)
Postoperative Phase From entry into PACU to follow-up evaluation (clinical setting or at home)
Surgeries are___? Shorter, safer, and better
5 classifications of Surgery Emergent, Urgent, Required, Elective, Optional
Emergent Surgery Has to be done without delay (GSW)
Urgent Surgery Needs to be done within 24 hours (Kidney stones)
Required Surgery Needs to be done, but can be planned (joint replacement)
Elective Surgery If you choose not to have it, it won't be life threatening (Hernia repair)
Optional Surgery Patient Preference (Cosmetic)
Bariatric Concerns Increased risk of infection, dehiscence, cardiac demand, shallow respers when supine, short thick necks, large tongues excess pharyngeal tissue, OSA
Ambulatory Surgery Concerns Assessments, Teaching, Psychological support
Emergency Surgery Concerns Unpredictable injuries, Simultaneous assessment, Informed consent, Extra support
Informed Consent Conversation between pt and surgeon about surgery risks/benefits/outcomes
What is the nurses responsibility with Informed Consent? Make sure conversation happens, pts questions answered, pt was capable of making autonomous decision, watch them sign the form, signed before meds
Voluntary Consent Valid consent must be given freely, without coercion
Preoperative Assessment Nutritional & fluid status, dentition, drug or alcohol use, respiratory status, CV status, Hepatic & renal function, endocrine function, immune function, previous medication use, psychosocial factors, spiritual & cultural beliefs
Pt Education deep breathing, coughing, incentive spirometry, mobility, active body movement, pain management, cognitive coping strategies, instructions for outpt surgery
Created by: aleahgoodson