Fichas
Perioperative nursing
Fichas del conjunto (35)
- 1Purposes of surgerydiagnostic
ablative
palliative
reconstructive
transplantation
constructive - 2Surgical settingshospital, freestanding surgical centres, clinics
- 3classification of surgeryelective, elective (add on), emergency
- 4degree of riskmajor - invasive, minimally invasive
minor - invasive, minimally invasive, non-invasive - 5incidence of surgical treatmentper client initiation
per physician recommendation
implications for nursing
inpt, opt, home care, teaching, followup - 6experience of the clienteffects - biophysical, intellectual, spiritual
influences- developmental age, environmental support systems - 7Legal implications of surgeryliability - physician, RN
responsibility - client, legal guardian - 8perioperative patient focused modelassessment, nursing diagnosis, outcome identification, planning, implementation, evaluation
- 9standards of nursing practice - ACORNNR1, NR2, NR4, NR6
- 10NR1 -anaesthetic nurse - competence, accountability, systematic and planned approach,nursing care via administration of anaethesia, analgesia, iv sedation
appropriate monitoring, support throughout procedure
assessment prior to, during, following anaethesia
act as patient advocate
reviewed and evaluated regularly according to quality improvement program of HCF
deliver comprehensive handover
ongoing personal and professional development - 11NR2 -circulating nurse
systematic and planned approach, ongoing professional development, accountability for own actions, act as patient advocate, review and evaluated - 12NR4 -Instrument nurse
can be registered or enrolled
systematic and planned approach, ongoing professional development, maintain accountability, patient advocate, reviewed and evaluated - 13NR6 -PARU nurse
demonstrate competence,nurse in charge insitu, responsible for development, coordination, provision of ongoing education, maintain accountability, systematic and planned approach, nursing practice and processes reviewed and evaluated regularly, patient advocate, vigilance in assessment and management of patient, utilise range of avaliable resources to provide effective analgesic comfort, patient temp should be maintained, ensure discharge criteria, incorporating ACORN standards, safe transfer of patient to receiving unit, continual observation of patient and provision of emergency equipment during transfer, ie oxygen, suction, hand ventilation, assembly
* written criteria of policies, care, management of paediatric patients - 14Standards of professional performancepatient and family education
patient and family discharge planning
performance improvement
professional growth - 15Roles and phasespreoperative phase - day surgery RN
Intra phase - anaesthetic nurse
Intra phase - theatre scrub/scout
Post op phase - recovery RN - 16PreAn clinic dutiesstaffed with RNs
gives instructions for NPO
arrange times for arrival to surgery center
preop teaching
- on phone or in person
-surgical events, process, sensations
-post op period
- pain management
-deep breathing and coughing
preop testing
-labs
-x-rays
-ECGS - 17Day of surgeryclient arrives
records with complete tests, verbal nursing assesssment has been sent to surgery centre, avaliable in holding room,
client has support person with them, or a contact person - 18Holding roomclient is taken back to changing room
dressed in gown they are led in stretcher to holding room
RN completes assessment
heart and lung sounds
-clarification of data on assessment sheet
- ID band place, consent form signed, orders, checked, allergies, IV inserted, support person can wait until OR - 19Pain assessmentorientate client to pain measurement scales
reassure them about medications
introduce complementary pain control techniques
discuss perceptions of post op pain management - 20Summary of pre op rolepreparation of client for surgery
duties for the pre-op RN
assessment, diagnosis, planning, intervention, evaluation - 21Intraoperative phase anaesthetic nurseprepares client for pending anaesthetic
assists anaethetist with induction, maintenance, emergency phases of anaethestic
acts to stabilise patient in emergency - 22Anaesthetic nurse- preparation of clientperforms final checklist
escorts client to theatre
gets client into position
porvide physical/emotional support
stays with client until they are asleep/stable airway - 23Anaethesthetic nurse dutiesprepares and check anaesthesia equipement
plans and gather stock for types of anaethesia
reviews client history for special considerations
assistance patient positioning
assists anaesthestist with administration of anaesthesia, induction, maintenance, emergency phases
accompany client to recovery, give handover to RN, decontaminate and clean used equipment, setup for next case - 24In theatre - anaesthetic nurse assessmentclient is taken to theatre
dressed in gown and operating table
anaesthetic nurse completes assessment
verbal checking
-data on assessment sheet, ID band, consent signed, orders checked, allergies, iV inserted, stay with patient - 25Summary of anaesthetic nurse rolepreparation of client
duties
assessment, diagnosis, planning, intervention, evaluation - 26Intraoperative phase -scrub/scoutinstrument/circulator
professional vs technical role
unique body of knowledge and skills
prepares pt for surgery
prepares operating theatre - 27duties of scout (circulator)prepare or,conduct pt interview, transport pt, transfer pt, positioning, assisting, prepping, connecting monitoring, counting, documenting, providing items on sterile field, maintain pt operative record, caring of specimens, dressings
- 28Duties of scrub nurse (instrument nurse) PREOPduties preop
-donning, prepare theatre, gathering equipment, maintaining sterile field, scrubbing and donning PPE, organising field, counting, assiting, exposing operative site - 29Duties of instrument nurse(scrub) INTRAOPmaintain sterile field
passing instruments, supplies
assessing and predicting the needs of the patient
preparing and handling medications
counting, caring the specimen, preparing and applying the dressing - 30The scrub (instrument nurse ) POST OPmaintaining sterile field, disassembling sterile field, removing instruments, equipment, caring for equipment, preparing the theatre for next use
- 31postoperative phasePARU nurse
-cares for the client, prepares the client to transfer to the next level - 32Recovery unitPARU nurse will assess client, monitor, check patient, drains, bleeding, skin integrity, other
manage PONV and pain - 33Pain assessmentreassurance, assess, intervene, pain control measures, introduce complementary pain control techniques, discuss perceptions of pain management
- 34PARU nurse duties- receive handover, assess client, manage PONV, manage pain, manage any other factors (wounds, drains), prepare client for transfer to next level of care
- 35the WHO checklistsafe surgery checklist, identifies three areas
before induction (sign in)
before incision (sign out)
before patient leaves the OR (time out)
Surgical team completes all checklists before commencement of surgery
Información
- Descripción
- El usuario ha eliminado su información de asignaturas Fichas sobre Perioperative nursing, creado por Usuario eliminado el 12/06/2018.
- Creado por
- Usuario eliminado · jun 2018
- Actualizado
- 12 jun 2018
- Visitas
- 15
- Historial
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- Creado por Elizabeth Then · 12 jun 2018
- Copiado por Elizabeth Then · 12 jun 2018
- Valoración