Surgical Patient

Question 0

What happens during pre-op?

Answer 0

1) MD teaches patient
2) Patient preparations
3) Labs
CBC
Chest X-ray
If older than 40: EKG is needed
4) Physical by family MD

Question 1

What is the surgical patient feeling before operation?

Answer 1

Scared that they could have CA
Anxious
Angry- Why me?
Cost
What will happen to me
Healing time 
PAIN

Question 2

What does the CNA need to do pre-op?

Answer 2

1) Vital signs
2) Psych support
Don’t tell surgical info
3) Gown
4) Tape down rings
5) Take out pierces

Question 3

What complications can there be after surgery?

Answer 3

Pneumonia
Can’t void
Thrombus (blood clot)
Bleeding at site (not good!!)

Question 4

What does the CNA do after surgery?

Answer 4

1) I & O
2) V.S.
3) Check dressings
4) Check voiding
5) ADLs

Question 5

How do you know if a patient was given too much medication?

Answer 5

Confusion
Drowsiness/sleeping
Nausea/vomiting 
Decrease in R, P, and BP
Not voiding

Question 6

What is the most common sign of pain?

Answer 6

Restlessness-Fidgety

Question 7

How can you tell someone is in pain?

Answer 7

Facial expressions
Don't want to be touched 
Favor one side 
Guarding of a limb
Irritable
Tense 
Systolic BP increases 
Increase in P and R

Question 8

How can the CNA make someone feel more comfortable if they have pain?

Answer 8

Reposition them
Distract them
Ask nurse to reassess patient 
Massage 
Gosceas