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Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
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Surgery 6th year, Tutorial (Dr. AbdulWahid)

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Published on

Nov. 2nd, 2011

Nov. 2nd, 2011

Published in: Health & Medicine
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Transcript

  • 1. Preoperative phase
  • 2. Intraoperative phase
  • 3. Postoperative phase
  • 4. EMERGENT –Severe bleeding
  • 5. URGENT 24-30
  • 6. ELECTIVE
  • 7. OPTIONAL
  • 8. MAJOR
  • 9. MINOR
  • 10. CLASSIFICATIONS OF SURGERY
    • Accdg. To Purpose :
    • DIAGNOSTIC
    • EXPLORATORY
    • CURATIVE
    • ABLATIVE
    • PALLIATIVE
    • RECONSTRUCTIVE
  • 11.
    • Accdg. To Location :
    • INTERNAL –
    • EXTERNAL –
  • 12. FOUR BASIC PATHOLOGIC CONDITIONS THAT REQUIRE SURGERY:
    • OBSTRUCTION
    • PERFORATION
    • EROSION
    • TUMORS
  • 13. SURGICAL RISK PATIENTS
    • Extremes of age ( very young & very old )
    • Extremes of weight (emaciation, obesity)
    • Dehydrated pts.
    • Nutritional deficits
    • Pts. with severe trauma or injury, infection/sepsis
    • Pts. with cardiovascular disease
    • Endocrine dysfunction (diabetes mellitus)
    • Hypertensive & hypotensive pts.
    • Hepatic disease
    • Preexisting mental or physical disability
  • 14. PHASES OF O.R. NURSING :
    • PREOPERATIVE PHASE
    • PREPARATION FOR SURGERY
  • 15. Day of surgery :
    • History.
    • Head-to-toe assessment
    • Informed consent
    • Pt.’S identity & surgical site verified
    • Ivf started.
    • Necessary tests.
  • 16. Psychological Support :
    • Fears, anxieties,
    • Trusting relationship with client.
    • Explain pre- ,operative & post-op procedures
    • Allow client to ask questions.
    • Demonstrate confidence in surgeon & staff.
    • Provide for spiritual care.
  • 17. PREOPERATIVE TEACHING
    • Preoperative medication
    • Breathing exercises, coughing, incentive spirometer
    • Leg exercises
    • Position changes and movement
    • Pain management
  • 18. Diaphragmatic Breathing and Splinting When Coughing
  • 19. Leg Exercises and Foot Exercises
  • 20. Ensure the diagnostic
    • CBC
    • Electrolytes
    • PT/PTT (Prothrombin Time;Partial thromboplastin time)
    • Urinalysis
    • ECG
    • Blood typing & crossmatch
  • 21.
    • NPO-
    • Bowel prep
    • skin prep
  • 22. Immediate preoperative preparation
      • Complete checklist and chart
      • Hospital gown, voiding, removal of dentures, jewelry,
      • Preoperative medication
    • Transporting
  • 23.  
  • 24.
    • Adult client (over 18 y/o) signs own permit unless unconcious or mentally incompetent.
    • If unable to sign, relative (spouse or next of kin) or guardian will sign.
    • In an emergency, permission via telephone or telegram is acceptable; have a 2 nd listener on phone when telephone permission is given
  • 25.  
  • 26.
    • Consents are not needed for emergency care if all 4 of the ff. criteria are met:
    • There is an immediate threat to life.
    • Experts agree that it is an emergency.
    • Client is unable to consent.
    • A legally authorized person cannot be reached.
  • 27. PREOPERATIVE MEDICATIONS
    • PURPOSES:
    • sedative.
    • narcotics.
    • anticholinergics.
    • antiemetics and H2-blockers.
  • 28.  
  • 29.
    • REVIEW MEDICAL RECORD AND PHYSICIAN’S ORDER: INITIALS
    • 1. History and Physical completed and in chart
    • 2. Laboratory studies/Reports in chart 3. EKG report in chart
    • 4. Chest X-ray report in chart
    • 5. Operative Permit completed, signed, & witnessed in chart
    • 6. Anesthesia Permit completed, signed, & witnessed in chart
    • 7. Consent for blood transfusion completed, signed, & witnessed in chart
    • 8. Medication Reconciliation Form Completed & Signed
  • 30.
    • PREOPERATIVE PREPARATION : INITIALS
    • 1 . Identification bracelet accurate and affixed to wrist or ankle prior to transport
    • 2 . Allergies checked, allergies bracelet on and allergy sticker on chart
    • 3 . Isolation label on chart
    • 4 . Jewelry, hairpieces, hairpins, contact lenses, glasses, prosthesis, underwear, money removed ..
    • 5 . Vital signs taken and recorded ................................................................................................ 5 . ____
    • Time taken_________ BP_________ Temp_______ HR_______ Resp_______
    • 6 . Dentures : Full : Upper Lower Partial : Upper Lower
    • Removed : Sent Home Left at bedside
    • Left in place as requested by : Anesthesiologist Patient
    • 7. Patient NPO yes since ________
    • If no: O.R. notified (Time) _______
    • 8. Medication sheets on chart..
    • 9. Most recent nursing assessment attached
    • 10. Report called to____________ at________________(time)

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