pre operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

8/8/2019 PRE operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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POST OPERATIVE


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Postoperative care is the

management of a patient aftersurgery.

This includes care given during

the immediate postoperative

period, both in the operating room

and postanesthesia care unit(PACU), as well as during the

days following surgery.


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PURPOSE

The goal of postoperative

care is to preventcomplications such asinfection, to promote healing of the

surgical incision, to return thepatient to a state of health.


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TRANSPORTING THE PATIENTFROM

OPERATING ROOM

In moving the patient from the operating

table to the stretcher , the operating room

personnel strive to avoid the following

three problems:

1. Exposure which predisposes the

patient to respiratory infections and shock.

2. Rough handling, which may place astrain upon the patients sutures.

3. Hurried movements and rapid

changes in positions, which

predisposes the patient to hypotension.


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TRANSFER OFPATIENT TO

POST ANESTHESIA CAREUNIT

Communicates intraoperative information:

Identifies patient by name.

States type of surgery performed.

Identifies type of anesthetic used.

Reports patients response to surgical procedure

and anesthesia.

Describes intraoperative factors (e.g., insertion of

drains or catheters, administration of blood,

analgesic agents, or other medications duringsurgery, occurrence of unexpected events.

Describes physical limitation.

Reports patients preoperative level of

consciousness


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PACU UNIT


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RECOVERY ROOM

The Recovery Room is a very safe place tobe directly postoperatively. Nurse will

provide attention to the needs and assist

patient in awakening from surgery safelyand comfortably.

Because the immediate post anesthesia

period is a critical time for the patient,

close observation is important. The

patients physical and physiological

functioning must be supported until the

effects of anesthesia have worn of.


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POSTOPERATIVEASSESSMENTRECOVERYAREA

Determines patients immediate response tosurgical intervention.

Monitor patients physiologic status.

Assess patients pain level and administers

appropriate pain relief measures.

Maintains patients safety(airway, circulation,

prevention of injury)

Administer medication, fluid and bloodcomponent therapy, if prescribed.

Assess patients readiness for transfer to

inhospital unit or for discharge home based on

institutional policy.


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DISCHARGE FROM THE RECOVERY ROOM

The Physician either the surgeon or anesthesiologistgenerally discharges the patient from he recovery room.

Common criteria used in the evaluation of patient

discharge readiness are:

1. The have recovered from the effects of the general

anesthesia. This usually requires 2hours stay in therecovery room.

2. The vital signs must be stabilized.

3. There must be no excessive drainage from any site or

body cavity.

4. The physiologic effects of any narcotic medication must

have stabilized.

5. The patient must have gained consciousness, and the

level of consciousness must be satisfactory.


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6. All essential orders must have been carried out

completed by the recovery room personnel.7. Should the situation arise, provisions must be

made for attendance by a private duty nurse on

the clinical unit where the patient is to be moved.

8. The urine output must be adequate (30cc/hr).

The amount should be noted and recorded.

9. The staff of the clinical unit to which the patient

is to be transferred must be alerted and must beprepared for receiving the patient.


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SURGICALUNIT/WARD

Continues monitoring of patientsphysical and psychological responseto surgical intervention.

Provides teaching to patient duringimmediate recovery period.

Assist patient in recovery and

preparation for discharge home.Determines patients psychological

status.

Assist with discharge planning.


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GOALS OF CARETHROUGHOUTTHE POST

OPERATIVE PERIOD

Maintenance of adequate respiratory

function.

Maintenance of adequate nutrition and

elimination.

Maintenance of adequate fluids and

electrolyte balance.

Maintenance of adequate renal function.


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Promotion of adequate rest, comfort andsafety.

Promotion of and maintenance ofadequate wound healing.

Promotion of and maintenance of earlymovement and ambulation.

Provision of adequate psychologicalsupport for the patient and significantothers.

Provision of adequate discharge teaching

and planning for the patient andsignificant others.

Recognition of and prevention of post-operative complication


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HOME ORCLINIC CARE

Provides follow-up care during office

or clinic visit or by telephone contact.

Reinforce previous teaching andanswer patients and family

questions about surgery and follow-

up care.

Assess patients response to surgery

and anesthesia and their effects on

body image and function.

pre operative nursing!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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