Pre- operative nursing

Question 1

3 requirements for PT before surgery

Answer 1

1. full disclosure of diagnosis- purpose, risks, consequences, chance of success
2. understanding and comprehension- PT must be drug free prior to giving consent
3. constant given voluntary PT must not be pressured or coerced

Question 2

Pre- Operation teaching

Answer 2

Surgical events and sensations
Pain management
Physical activities
Deep Breathing
Coughing
Incentive Spirometry
Leg exercises
Turning and positioning in bed
What to expect post-operatively

Question 3

Nursing Responsibilities During Immediate Pre-Operative Period

Answer 3

2 patient identifiers
Known last meal for patient
Safe transport to OR via stretcher with side rails up
Psychosocial support
Check patent’s intravenous line
voids before pre-operative medications
Pre-operative dose of Ativan 0.5 mg IV given once on stretcher
Signed consent form is in the chart
OR Checklist completed and on the front of the chart
Accurate identification of patient, surgical procedure & site
Done in holding room with physician present

Question 4

Intra-operative Safety

Answer 4

Time Out
Maintenance of sterile technique
Continuous patient monitoring
Accurate surgical instrument and sponge counts

Question 5

Postoperative Assessments and Interventions

Answer 5

Vital signs
Continuous Pulse Ox
Telemetry monitoring
Color and temperature of skin
Level of consciousness (LOC)
Intravenous fluids (IVF)
Surgical site management
Other drainage tubes
NGT?
Foley Cath?
Wound drainage tubes?
Position and safety
Report on Fluid Intake and Output
Monitor laboratory values
NPO until bowel sounds return
Progression of diet

Question 6

preoperation check list

Answer 6

-NPO
-CONTACT LENS OUT
-dentures out
- no nail polish
-skin prep
-vital
-lap
-meds
-side rails up
-no jewlary
- voids
-allergey bands on
consent forms signed