preoperative care #2 Flashcards
what does the nurse teach in preop
pt has right to know what to expect and how to effectively participate
teachings for every surgery
cough and deep breathe
early ambulation, within 24 hours
pt controlled analgesia pumps
tubes, drains, devices and equipment used
skin prep
iv start/access
logistic teaching
arrival time, parking, regristration, what to wear and bring
transport home, caregiver transporting must check in with nurses
eating/bowels teaching for surgery
NPO starting at midnight the night before
decreased aspiration risk
if not NPO, can delay or cancel surgery
GI prep or colonoscopy
legal prep
all require forms are correctly signed and present in chart
assuring pt and caregiver clearly understand what is going to happen
how to obtain conscent
before all non emergent surgeries
pt voluntarily signs infront of witness
informed consent defintion
active shard decision makeing b/t HCP and pt
what is needed for informed conscent
diagnosis
nature and purpose of treatment
risks and consequences
probability of successful outcome
availability, benefits and risks of alternative treatment
prognosis if treatment not institueted
pt consent rights
can refuse or withdraw treatment at any time
can initial consent be obtained by nurse
no
how to obtain consent
pt have clear understanding and give voluntarily
must be done before given sedative
surgeon responsible for obtaining, but nurse may witness
next of kin, power of attourney or parent must consent with child/minor/incompetent
implied consent for what
medical emergency, reach next of kin if possible
nurse responsibilties for consent
witness
correct misunderstandings of initial treatment
pt advocate, tell surgeon if pt not understand
