Session 1 Flashcards
A nursing specialty that works with patients who are having operative or invasive procedures.
Perioperative Nursing
Wide variety of nursing functions associated with the patient’s surgical
management.
Specialized nursing area wherein a registered nurse works as a team member of other surgical health care professionals.
Perioperative Nursing
Nursing care of a client in all phases of the operation
Perioperative Nursing
Perioperative nurses work closely with
Surgeons Anesthesiologists Nurse Anesthetists Surgeon’s Assistants Surgical Technologists Nurse Practitioners
Preparation and care of client and families
Physically
Paychologically
Emotionally
Spiritually
Primary Goal of Perioperative Nursing
Safety and welfare of a client in all phases of the perioperative experience
Branch of medicine that encompasses preoperative, intraoperative judgments and management, and postoperative care of patients.
Surgery
Invasive incision into body tissue for either therapeutic or diagnostic purposes which potentially compromises protective reflexes or self-care abilities.
Surgical Procedure
Absence of microbes
Asepsis (Clean Technique)
Prevention of sepsis by destruction or inhibition of microbial growth from body tissue or fluids
Antisepsis
Inorganic chemical compound that combat sepsis by inhibiting microbial growth
Antiseptic
Bacterial growth inhibition
Bacteriostasis
Healthy person that harbors and transmits a pathogenic microbe.
Carrier
Agents that kill growing or vegetative form of microbes from inanimate objects
Disinfectant
Types of Disinfectants
Bactericide
Fungicide
Sporicide
Virucide
Bacteria or fungi inhabiting the body.
Flora
Free of microbes including spores and eradicates them through sterilization.
Sterile
Method by which contamination with microbes is prevented to maintain sterility all throughout the operative procedure.
Sterile/Aseptic Technique
Area around incision site that has been prepared for use of sterile supply.
Sterile field
Process by which all pathogenic and non-pathogenic microbes are killed including spores.
Sterilization
Chamber used to attain physical or chemical sterilization.
Sterilizer/Autoclave
COMMON PREFIXES: above/beyond
Supra
COMMON PREFIXES: joint
Arthro
COMMON PREFIXES: bile or gallbladder
Chole
COMMON PREFIXES: urinary bladder
Cysto
COMMON PREFIXES: intestine
Entero
COMMON PREFIXES: uterus
Hystero
COMMON PREFIXES: breast
Mast
COMMON PREFIXES: kidney
Nephro
COMMON PREFIXES: bone
Ortho
COMMON PREFIXES: muscle
Musculo and Myo
COMMON PREFIXES: nerve
Neuro
COMMON PREFIXES: lungs
Pneumo
COMMON PREFIXES: kidney pelvis
Pyelo
COMMON PREFIXES: chest
Thoraco
COMMON PREFIXES: ovaries
Oophor
COMMON PREFIXES: fallopian tubes
Salpingo
COMMON PREFIXES: abdominal wall
Laparo
COMMON PREFIXES: filament
Lamin
COMMON SUFFIXES: tumor
Oma
COMMON SUFFIXES: removal of organ or gland
Ectomy
COMMON SUFFIXES: stitching of a part or an organ
Rrhaphy
COMMON SUFFIXES: making an opening or stoma
Ostomy
COMMON SUFFIXES: viewing with an endoscope
Oscopy
COMMON SUFFIXES: to repair or restore
Plasty
COMMON SUFFIXES: hernia or swelling (cavity or space)
Cele/Coele
COMMON SUFFIXES: inflammation
Itis
COMMON SUFFIXES: cutting/incision
Otomy
Aim of Surgery
Diagnostic Preventive Ablative Reconstructive Palliative Transplantation
Surgery can establish whether a person has a particular illness, disease, or condition.
Diagnostic Surgery
Removal of tissue to stop a disease from progressing.
Preventive Surgery
Removal of a severely damaged body part.
Ablative Surgery
Restores use or improves the appearance of a body part.
Reconstructive Surgery
Aims to reduce pain when there is no chance of cure.
Palliative Surgery
Surgery to replace a body part that no longer works properly.
Transplantation Surgery
In transplantation surgery, a part may be artificial which are made up of
Silicon, stainless steel, or titanium)
In transplantation surgery, a part may be natural which comes from
A donation from a deceased person
Urgency of Surgery
Emergency Surgery
Elective Surgery
must be done as soon as possible to save the person’s life or preserve function of a body part.
Emergency Surgery
Not urgent but must be done at some point for the sake of the person’s ongoing health or because the person chooses to have the operation which may be helpful but not necessary.
Elective Surgery
Seriousness of Surgery
Major Surgery
Minor Surgery
The factors that determine the degree of risk
Affected body part Seriousness of the condition Extent of surgery Complexity of surgery Expected recovery time
Surgery to the organs of the head, chest and abdomen. The person will need to stay in the hospital for some time. The risk of complications may be high and the person will take a longer time to recover.
Major Surgery
Presents a low risk of complications and fast recovery time. The person can usually go home the same day.
Minor Surgery
Field of Surgery: musculoskeletal system
Orthopaedic surgery
Field of Surgery: eyes
Ocular surgery
Field of Surgery: brain and spinal cord
Neurosurgery
Field of Surgery: heart and surrounding blood vessels
Cardiac surgery
Field of Surgery: treats cancer
Surgical oncology
Field of Surgery: treats obesity
Bariatric surgery
Surgical approach
Open surgery
Keyhole surgery
Microsurgery
The traditional approach where a surgeon makes a large incision to access the internal organs.
Open Surgery
The surgeon makes several small cuts and slender surgical instruments are passed through these incisions.
Keyhole Surgery
Used for delicate work on very small body structures. The surgeon relies on special equipment and microscopes to magnify the area to be operated.
Microsurgery
ORNAP-PCS
Operating Room Nurses Association of the Philippines - Philippine College of Surgeons
OR Nurse Qualifications
- At least 6 months experience as a staff nurse in the surgical ward.
- KSA relevant to perioperative nursing practice
- Active member of ORNAP
Different Roles of Nurses in the Care of Surgical Clients
Clinical Unit Nurse
Operating Room Nurse
Nurse Anesthetist
PACU Nurse
Responsible for the care of clients in the pre and postoperative period.
Works at the floor.
Clinical Unit Nurse
Responsible for the safe care of clients during surgery.
Operating Room Nurse
Assists the anesthesiologist and are both responsible for the safe delivery of anesthesia.
Nurse Anesthetist
Responsible for the care of clients in the immediate post anesthesia and postoperative period.
PACU (Post Anesthetic/Anesthesia Care Unit) Nurse
Conditions of Surgical Interventions
To preserve life and maintain dynamic bodily equilibrium
To undergo diagnostic procedure
To prevent infection and promote healing
To restore a body part that is malformed or damaged
For cosmetic appearance (least)
Phases of Perioperative Nursing
Preoperative
Intraoperative
Post operative
From decision making to patient transfer on the operating room table
Pre-operative Phase