OSCE Flashcards
What to include in the subjective- post op examination
pain - at rest, movement, effect of pain cough - productive, pain SOB - current vs normal Confirm information gathered from medical chart - past medical history - smoking hx -SHx -Functional Hx - Current Hx
Special post surgical questions
- nausea and vomiting
- Dizziness
- Drowsy
- P/N’s
- Numbness
Patient goals
Post op Objective assessment
Obs Observation - environment, patient Palpation - bibasal expansion Auscultation Cough - justify timing Lower limp DVT's, circulation Special Assessment - strength, numbness
IV Poles
wound drains
NGT- suction
Colostomy - ileostomy - check leakages, may need to be emptied prior to moving
check length of the tubing
What to include in documentation
distance mobilised assistance required Tolerance Effect - important to reassess Adverse events - dizziness, nausea and vomiting
What does the ECG monitor
HR and rhythm
What does the arterial line monitor
BP, take samples for ABG’s
What does the oximeter monitor
Sa02
What does the terumo and imed pumps do
deliver drugs
What does O2 therapy do?
improve oxygenation
IDC
drains urine - prevent infection
wound drain
drains fluid from the pleural cavity
NG tube
stomach washout
aspiration of excessive fluid accumulation. To prevent gastric dilation after surgery
IVT
deliver drugs and/or fluids
Nebuliser
delivers drugs directly to lungs etc
Percussion indication
to aid in the removal of secretions (mobilise them)
can be used in conjunction with postural drainage
