part 3 Flashcards
What are some aspects of informed consent?
- procedure/alternatives
- disease and natural course
- who is performing procedure
- risks
- right to refute
- expected outcome and recovery plan
Who is responsible for obtaining consent?
surgeon
Who needs to witness the signature for consent?
nurse
Who can provide consent for a minor, unconscious pt, or someone mentally incompetent?
legally appointed representative of family
What can override consent for surgery?
medical emergencies needed to preserve life and prevent serious impairment to life or limb
What does the nurse need to do before surgery?
check that all required forms are signed in the chart
What are some outcomes for the surgical pt?
- appropriate care
- free of injury, infection, DVT
- pain rangement
- maintain skin, electrolytes, skin integrity
- participation of rehab
Patient Risk Factors and Strengths:
what ages are at most risk?
infants and older adults
Patient Risk Factors and Strengths:
What medical problems put a pt at risk?
- cardiovascular disease
- resp. disorders
- kidney/liver disease
- endocrine disease: esp diabetes
What are 5 medications that put pt’s at risk during surgery?
- anticoagulants: cause hemorrhage
- diuretics: electrolyte imbalances, and resp. depression
- tranquilizers: hypotension
- adrenal steroids: cardiovascular collapse
- antibiotics in mycin group: respiratory paralysis
What are some important topics we need to teach pt’s about surgery/recovery?
- surgical events, sensations, procedural info
- pain management
- physical activities: deep breathing, coughing, IS (10x per hour), leg exercises, turning in bed, early ambulation
What does ICOUGH stand for?
incentive spirometer coughing/deep breathing oral care understanding getting out of bed HOB elevation
