Peri-operative and Preoperative Management Flashcards
What does peri-operative management refer too?
The total surgical experience, from the minute they pass through the operating theatre doors to the moment they leave through the same doors.
Name three purposes of surgery.
- diagnostic
- curative
- restorative
- reconstructive
- palliative
- cosmetic
Name all the surgical procedures and they’re meaning. Eg. ectomy - removal of
- ectomy, removal of
- rrhapy, suturing of
- ostomy, opening
- otomy, cutting into
- plasty, plastic repair
- scope, looking into
Name the four surgical types.
- location, internal/external
- extent, minor/major
- purpose surgery, depending on reason for
- elective, emergency
Name everything that should be provided in the preoperative assessment.
- establish baseline data
- identify physical needs
- determine education needs
- determine need for psychosocial support for patient/family
- prioritise nursing care
- admission details
What should admission details in the preoperative assessment include?
- age issues
- nutritional assessment and weight
- elimination assessment and urinalysis
- respiratory assessment and vital signs
- cardiovascular assessment
- medication history
- recent infections
- operative site assessment
Name two things that should be included in the psychosocial assessment.
- patient’s understanding of sugary
- previous surgery
- self concept and body image
- coping and support post-op period/home
- social habits - smoking and alcohol consumption
When educating the patient on their surgery, what needs to be explained?
- tests
- physical preparation
- recovery room
- what to expect post operatively - pain
- postoperative pain and management
- deep breathing and coughing exercises
- active and passive limb movements
What is taken in to consideration during the physical preparation of the patient?
- nutrition
- elimination
- medications
- check continuation in pre-op phase
- premedication
- hygiene
What is important to considered with consent?
- must be obtained prior to any surgical procedure
- must be “informed”
- responsibility of medical practitioner
- includes description, purpose, possible benefits and risks, alternatives, surgeon’s advice, right to refuse treatment
- special considerations (language, age, unconscious patient, intellectually impaired)
- safety (name bands, allergy bands, hair, jewellery, makeup, prosthesis
When there is a child in the theatre, what is important to consider?
- pre-operative visit
- communication
- parents accompanying child
- toys
- holding bay
- calm, friendly manner
- elma cream
What does the preoperative checklist include?
- bradma
- consent
- procedure site marked
- last ate/drank
- allergies
- x-rays
- teeth
- jewellery
- wearing of prothesis
- medical/nursing records
