Chap 17 - Preop Nursing Management Flashcards
ambulatory surgery
includes outpatient, same-day or short-stay surgery that does not require an overnight hospital stay
bariatrics
having to do with patients who are obese
informed consent
the patient’s autonomous decision about whether to undergo a surgical procedure, based on the nature of the condition, the treatment options and the risks and benefits
laparoscopy
visual examination of a body cavity or joint by means of an endoscope
minimally invasive surgery
surgical procedures that use specialized instruments inserted into the body either through natural orifices or through small incisions
perioperative phase
period of time that constitutes the surgical experience; includes the preoperative phases of nursing care
postoperative phase
period of time that begins with the admission of the patient to the postanesthesia care unit and ends after follow-up evaluation in the clinical setting or home
preadmission testing
diagnostic testing performed before admission to the hospital
preoperative phase
period of time from when the decision for surgical intervention is made to when the patient is transferred to the operating room table
PACU stands for
post anesthesia care unit
perioperative nursing spans the entire surgical experience consisting of what three phases?
- preoperative phase
- intraoperative phase
- postoperative phase
The preoperative phase begins and ends with what?
- begins with decision for surgical intervention
- ends with transfer to OR
The intraoperative phase begins and ends with what?
- begins with transfer to OR
- ends with admission to the PACU
The postoperative phase begins and ends with what?
- begins with the admission to the PACU
- ends with the follow-up evaluation in the clinical setting or home
An emergent surgery is…
- pt needs immediate attention
- without delay
- ex. severe bleeding, fractured skull, gunshot or stab wounds, extensive burns, bladder or intestinal obstructions
An urgent surgery is…
- pt requires prompt attention
- within 24-36 hrs
- ex. acute gallbladder infection, kidney or ureteral stones
An elective surgery is…
- pt should have surgery
- not having surgery is not catastrophic
- ex. repair of scars, simple hernia, vaginal repair
An optional surgery is…
- pts decision
- personal preference
- cosmetic surgery
Purposes for surgery include…
- Preventive
- Diagnostic
- Exploratory
- Curative
- Palliative
- Reconstructive
- Aesthetic
Nurses are responsible for what in the preoperative stage
- Assessment and Data Collection
- Education/Explanations/Instructions
- Provide Emotional/Psychological Support
- Initiate and implement plan of care
General factors that influence surgical outcomes include
- Emotional Responses/Previous Experience
- Age
- Hydration/Nutrition
- Smoking and Alcohol
- Concurrent diseases
