Exam 1 Week 1 (Intro to Periop) Flashcards
A periop nurse provides pt ____, ____, ____, and ____ the care of pts undergoing operative or other invasive procedures.
Perioperative nurse is also a term used to describe nursing function in the _____ surgical experience (3)
Care, teaches, manages, studies
Total (Preop, Intraop, Postop)
What Does a Perioperative Nurse do?
1) Provide specialized care to pts ___, ___, and ____ surgery.
2) Helps ____, ____, ____ tx of pt (nursing process)
3) Acts as pt _____*
4) Works closely with ___ members of surgical team.
1) before, during, after
2) plan, implement, evaluate
3) ADVOCATE*
4) all
One Continuous Goal of Periop Nursing =
Periop nursing is ____* oriented, must be geared to meet the clients needs (2)
= to provide a standard of excellence in the care of the client before, during, and after surgery
CLIENT*
immediate physical and psychosocial
3 phases of periop nursing
1) Preoperative (Pre-Surgical Testing)
2) Intraoperative (Circulator, Scrub)
3) Postoperative (PACU)
Preoperative Nursing takes place from when to when?
From when client is scheduled for surgery -> transfer to the surgical suite
Nursing Process in Preop phase (4)
- DATA
- ASSESSMENT
- DIAGNOSIS
- PLAN of care
What stage is the PRIMARY FOCUS of periop nursing?
Intraoperative
Intraoperative Nursing takes place from when to when?
From time pt is received into operating room -> admitted to recovery room
Nursing Process in Intraop phase (4)
- IMPLEMENT plan of care
- DOCUMENT care delivered
- INTERVENTION
- EVALUATE nursing interventions
Postoperative Nursing takes place from when to when?
From when pt enters PACU -> lasts through some degree of convalescence
Nursing Process in Postop phase (4)
- EVALUATE interventions and any modifications of nursing plan that occured during procedure
- IDENTIFY possible complications from procedure
- COMMUNICATE care given
Preop Teaching
1) What to expect? (4)
2) Early exercises (5)
3) Early ____, _ _ _
4) _____ physicians explanations/instructions
5) ____ management
6) Discuss ____ coping strategies* (2)
1) post-op procedures, drains, tubes, vascular access
2) breathing exercises, incentive spirometry, coughing, splinting, leg exercises
3) Ambulation, ROM
4) Reinforce
5) Pain
6) Cognitive (IMAGERY, DISTRACTION*)
Nursing Interventions to relieve anxiety* (4)
- ATTENTIVE LISTENING*
- EMOTIONAL SUPPORT and REASSURANCE*
- SOLICITATION of pt’s EXPRESSION OF ANXIETY OR FEAR*
- provision of INFO AS NEEDED (providing info pt does not wish can increase anxiety)
Preop Check List
1) Consent (3)*
2) ____ verification
3) ____ results, ____ abnormal labs
4) __/__ present and signed
5) Current ___ ___
6) ____ needs
1) Surgery, Anesthesia, Blood*
2) Site
3) Lab, report
4) History and Physical
5) Vital Signs
6) Special
First part of the nursing process =
Assessment
Preop Nursing Assessment
1) ____ hx, m___, a____
2) relates:
3) establishes:
4) post op ____ management
5) _____ healing
6) post op r____/r____
7) m____ management
1) med/surge hx, current meds, allergies
2) relates info to planned surgical intervention
3) establishes rapport w pt and family
4) pain
5) wound
6) rehab/rehabilitation
7) medication
During preop nursing assessment, provide family with what info? (3)
- info about procedure
- preop course of events
- answer questions -> to help pt/family understand decision making
Main assessments in the Preop phase (4)*
- BLOOD*
- URINE* (to see if pregnant)
- CHEST X-RAY* (to see respiratory compromise)
- EKG*
Planning in the Preop Phase
- ____ of ____ lab values - Blood d____, Blood__ surgery
- N____
- _____ management
- Surgery ____
- _____ planning
- correction, abnormal
- donation, bloodless
- Nutrition
- Pain
- classes
- Discharge
Implementation in the Preop Phase
- Explain ____ of planned procedure
- Asking ____
- Adhering to ____ status*
- Stating ____ of preop ___
- Demonstrates correct use of exercises/techniques to prevent ____
- purpose
- questions
- NPO*
- understanding procedures
- complications
Main Interventions in the Intraop Phase (4)**
- SAFETY**
- ADVOCACY**
- SITE VERIFICATION **
- COUNTING INSTRUMENTS, SPONGES, NEEDLES**
Evaluation in the Intraop Phase
- Ex___/Un___
- Do___
- ____ client and family in ___ room
- ongoing ____ by OR ___
- Expected/Unexpected
- Documented
- Inform, waiting
- updates, team
Main Diagnosis during the Intraop Phase?
RISK FOR INJURY R/T POSITIONING*
Other areas of risk during intraop nursing
- Risk for ___ rt invasive procedure and exposure to ____
- Risk for ___ rt foreign objects inadvertently ___ in wound
- Risk ____ rt hazards (3)
- Risk for impaired ___ ___
- Risk for __/__ imbalance rt to abnormal ___ loss/___ status
- infection
- injury, left
- injury, chemical, physical, electrical
- tissue integrity
- F/E blood less/NPO
