Surgical Flashcards
Why should you do a psychosocial assessment in prep?
Determine anxiety level
Who is responsible for having consent forms signed?
Surgeon
T or F. Pts should void prior to receiving preop meds.
True
Circulatory nurse responsibilities.
review procedure prepares room prepares pt for procedure monitors fluid loss records meds used during local anesthesia counts sponges, needles, and instruments
Scrub nurse responsibilities.
review procedure
prepares room
don, doff scrub material for self and others
prepare instrument table
drapes pt
pass instruments to surgeon
count sponges, needles, and instruments
monitors irrigation solution to calculate blood loss
reports amount of local anesthesia and epilepsy used by anesthesia personnel
Possible postop complications
infection N/V/D/C pain PNA anxiety impaired wound healing paralytic ileus change in LOC urinary retention shock or hemorrhage DVT or PE
How often to monitor VS postop?
every 15 minutes for 2-4 hours
How often should you assess surgical site for hemorrhaging?
every hour x4 hours
Calorie and fluid intake postop
C: 2000
F: 2500 mL
Notify the MD if not urine output ___ hours after foley has been removed.
6 hours
How often should the pt cough, turn, and deep breath postop?
every 1-2 hours
How often should TED hose be removed?
for 1 hour every 8-10 hours
s/s of DVT
redness
pain
increased warmth along the vein
positive Homans sign
