Session 4 - Pre-Op Orders *wink wink nudge nudge* Flashcards
1
Q
pre-operative orders
A
Written by the doctor before surgery to prepare the patient for his/her surgical procedure
2
Q
What can pre-op orders include?
A
- Laboratory orders
- Diagnostic orders
- Dietary prep orders
- Skin prep orders
- Bowel prep orders
- Pre-op medication orders
- Consult orders
3
Q
Example of a pre-op IV order
A
IV D5W @ 120 ml/hr start @ 0800
4
Q
Examples of skin prep pre-op orders
A
- Shave operative area
- Scrub with Phisohex x 10 min in am
5
Q
Examples of dietary pre-op order
A
- NPO > MN
- CF until 0800 prior to surgery
6
Q
Examples of bowel prep orders
A
- Fleet enema 1 hr pre=op
- enemas till clear in am
7
Q
Examples of pre-op medication orders
A
- Ranitidine 50 mg IV 1 hr pre-op
- Ancef 1 gm IV 2 hrs pre-op
8
Q
Examples of miscellaneous pre-op orders
A
- Request old chart
- Glucometer prior to OR
- Insert foley catheter prior to surgery
9
Q
Pre-op checklist
Prior to surgery aka part 1
A
- Ensure Surgical Chart Pack is addressographed and clipped to the inside of the chart
- Ensure consent form is completed and clipped to chart
- Ensure all pre-op orders have been processed
- Record surgery, date, and time on the Kardex (initially in pencil) and white board prn
- Write OR date and time on any requisitions prn (ex. chemistry)
- Ensure old chart has been received from Health Records, if applicable
10
Q
Pre-op checklist
Morning of surgery aka part 2
A
- Ensure all diagnostic reports are filed in the patient’s chart and the consent form is signed
- Attach addressograph/patient labels to the chart
- Collect any old or thinned charts and current chart. Send all charts to OR with the patient
- Ensure that all pre-op orders have been processed
- Attach the current MAR to the patient’s chart
- Draw a line after last PO and write “TO OR”
- Draw diagonal lines through rest of blank form
- Ensure there are several blank POs in chart
