WEEK 1 - intro to pre-procedural care Flashcards
Surgery procedure types:
- Elective
- Urgent
- Emergency
3 main types of anaesthesia:
- Local - numbs only small area undergoing surgery, conscious
- Regional - numbs only body part region undergoing surgery, conscious
- General - totally unconscious and unaware, more serious/severe
How many identifiers need to be completed pre-operatively?
3
- procedure
- part of body
- name band
- dob
What sort of things take place in a general pre-operative ward/theatre checklist? (8)
- pain management education (i.e. deep breathing and coughing, leg exercises)
- confirm patient identity - allergies, dob, vitals, fasting status
- preoperative shower + removal of: jewellery, polish, contacts, hearing aids
- assess patient understanding of procedure
- preoperative meds
- bowel prep (colon lavage solution)
- TED stockings
- clothing
What surgical preparation occurs prior to admission?
- informed consent - risks
- medical history
- physical exam
- diagnostic tests
- psychosocial factors
What are your responsibilities in regard to collecting a patient from PACU? (10)
- comfort
- hip precautions
- air mattress
- exercises
- mobilisation equipment - 4WF
- understanding handover
- stable vitals, consciousness
- ensuring meds are documented, legible
- appropriate transfer equipment, oxygen, IV etc
- pain relief analgesia
Identify three safety reasons for commencing early discharge planning.
- ensure appropriate post-discharge care/support
- improve coordination of services following discharge
- improve patient care experience
- reduce hospital stay length / unplanned readmission
List 4 nursing responsibilities related to effective discharge planning.
- multidisciplinary approach
- openly communicating with patient/carer/family
- ensure discharge summary contains correct/relevant info for continuity of care after discharge
- providing patient education tailored to their care plan
Nurse identified problems
1. Preoperative phase
- deficient patient knowledge - nature, purpose
- anxiety - deficit
- fear - deficit, effects of surgery on work/life
Nurse identified problems
2. Intraoperative phase
risk for…
- perioperative positioning injury - oedema, skin integrity
- infection - invasive, skin integrity, latex allergy
- hypothermia - ineffective thermoregulation, deficient/excess fluid volume, cool enviro
Nurse identified problems
3. Postoperative phase
- ineffective airway clearance - anaesthesia, pulmonary congestion
- ineffective breathing pattern - pain, fatigue
- ineffective tissue perfusion - anaesthesia, immobility/position
- deficient fluid volume - fluid loss, inadequate intake
- imbalanced nutrition - anaesthesia, surgical intestine manipulation
- urinary retention - anaesthesia, surgical bladder manipulation
- acute pain from surgical incision
- infection - skin integrity, wound care deficit
For TED stockings measure:
- thigh length
- knee length
- calf circumference
- thigh circumference
What does TED stand for:
Thrombo-Embolus Deterrent
Document/inform patient regarding TED stockings
- reason for wearing
- how to fit/wear
- what to report
- skin care
- reasons for early mobilisation/hydration
- do not cross legs/ankles - blood supply constriction
- length of wear daily
What are pharmacokinetics and pharmacodynamics?
PHARMACOKINETICS: what the BODY does to the drug
PHARMACODYNAMICS: what the DRUG does to the body
