SUMIT KR. PANDEY Bcs (n) 2nd years Bharath college of nursing Chennai

1. PRESENTED BY;
SEMINAR ON
MONITORING THE PATIENT DURING SURGICAL PROCEDURE
AND LEGAL ASPECTS IN OT
SUMIT KUMAR
BSC (N) 2nd YEAR
BHARATH COLLEGE OF NURSING
CHENNAI- 73

2. INTRODUCTION
 Monitoring the patient during Surgical
procedure to Helps assess the integrity of
neural structures and consciousness
during Surgical procedure. It includes both
continuous monitoring of neural tissue as
well as the Localization of vital neural
structures.

3. DEFINITION
 Monitoring the patient during surgical is
a technique used during surgery to
monitor the condition of patient nervous
system and vital Helps prevent damage
to the spinal cord, Brain

4. PURPOSE
 To assess the general Health status of
the patient
 To assess for any alteration In the health
status
 Establish Baseline data.
 To check the peripheral circulation
 To Determine patient's Hemodynamic
status

5. MOST COMMONLY MONITORING
 BLOOD PRESSURE
 HEART RATE
 RESPIRATORY RATE
 BODY TEMPERATURE
 ELECTROCARDIOGRAM
 NEUROPHYSIOLOGICAL

6. BLOD PRESSURE
 BP is the pressure of Blood against the walls of
Blood vessels.
 Normal Blood pressure = 120/80 mmHg.

7. HEART RATE
 HR also known as pulse is the Number of Time
your heart Beats per minute
NORMAL HEART RATE = 60 70 100 Beats per
minutes.

8. RESPIRATORY RATE
 Respiration is the process of Breathing and
consists of Inspiration and Expiration.
 NORMAL RESPIRATORY RATE : 18 TO 24

9. BODY TEMPERATURE
 It involves measuring of the body -Temperature
by using – Thermometer
 NORMAL BODY TEMPERATURE:- 98.6 F, 37 €

10. ELECTROCARDIOGRAM
 ECG is a test that can Be used to check your
Heart Rhythm and electrical activity

11. NEUROPHYSIOLOGICAL
 It is use to electrophysiological methods do
Detect electroencephalogrophy,
electromyography, and potential to monitor The
functional integrity of certain neural structures
during surgery

12. PERIOPERATIVE PHASE
 When The decision to have surgery is made and ends
when the client is transferred to OT table.
 CHECK LIST OF PREOPERATIVE PHASE
 PATIENT IDENTIFICATION
 SURGICAL CONSENT
 HISTORY & PHYSICAL EXAMINATION
 SURGICAL SITE SIGNETURE
 TEACH TO ANESTHESIA
 ALLERGIC REACTION
 CONCENT FORM

13. NURSING RESPONSIBILITY
 make sure the patient has had no solid food for at
least 6 Hours and No water at & Hours before
surgery.
 make sure the chart contains all necessary
Information, Such as.
 - singed surgical consent
 - diagnostic test results
 tell to the patient to remove jewelry, makeup,
hairpins, nail polis, dentures.
 Perform mouth care
 Ask the patient void
 Identified the name of band and case sheet

14. CONTI…..
 Informed about the surgery, name of surgery and
which doctor will do, and Duration of surgery.
Informed To concern form in local language to The
patient, and Take signed by the patient or
responsible family member.
 Take and Record Vital sign
the site of surgery should be Taken with a
permanent marker by the surgeon
 Check for and carry out special orders (enema NGI
insertion, Iv line)
CROSS Check the Identification band.
Administer preoperative medication as ordered.
Transfer to operation theater to patient.

15. INTRAOPERATIVE PHASE
 It period during a surgical procedure. From the
time the patient enters the operating room until
they are transferred to the post-anesthesia care
unit (PACU)

16. CHECKLIST OF INTRAOPERATIVE
 patient advocacy
 preparing the operating room.
 y and safety.
 Assisting the surgical team
 Monitoring vital signs .
Documentation and Record-
 Post-operative Handoff.

17. OPERATION THEATER
 OT is also known as am operating (of), operating
suite, is a facility within a Hospital where surgical
operation are carried out in an aseptic
environment.

18. LEGAL ASPECTS IN OT
 INFORMED CONSENT
 PROFESSIONAL LIABILITYC
 DOCUMENTATION
 PATIEN PRIVACY & CONFIDENTIALITY.
 STERILIZATION & INFECTION CONTROL.
 HANDLINGY OF MEDICAL WASTE
 EQUIPMENT & FACILITY MAINTENANCE

19. INFORMED CONSENT
 Surgeons must obtain Informed consent from
patients or their legal representatives Before
performing any surgical procedure. Informed
consent Involves providing the patient with
detailed Information about the procedure,
potential risk and complication, alternatives, and
expected outcomes, it is crucial to ensure that the
patient fully understands the Information and
gives consent voluntarily.

20. PROFESSIONAL LIABILITY
Surgeons and other Healthcare professionals
working in the operation Theatre can be Held
legally liable for medical malpractice if they fail to
meet the standard of came expected of them,
This means they must perform their duties with
reasonable skill and came, following accepted
medical practices, Negligence or errors during
surgery that result Harm To The patient may lead
to legal claims.

21. Documentation
 Thorough and accurate documentation is vital in
the operation theatre. Surgeons and other health
care professionals must document all relevant
details of the procedure, Including patient
Information, Surgical techniques used, equipment
utilized, medication administered, and any
complication or adverse effects, complete and
timely documentation is essential for legal
purpose, continuity of cam, and future reference.

22. PATIENT PRIVACY & CONFIDENTIALY
 protecting patient privacy and maintaining
confidentiality. a legal obligations In Health care
settings, Including the 01, Healthcare providers
must comply with relevant laws, such as the
Health Insurance portability and Accountability
Act (HIPAA) In the united state, to ensure that
patient Information remains. and confidential.
Secure and confidential

23. STERILIZATION& INFECTION CONTROL
 Strict adherence to Infection control protocols is
crucial in the operation theatre to prevent surgical
site Infections and other complication 'compliance
with sterilization and disinfection guidelines,
proper Handling of surgical Instrument, and
maintaining a clean and safe environment au not
only essential for the patient safety But also have
regal Implication.

24. HANDILING OF MEDICAL WASTE
 The proper Disposal of medical waste generated
In the Of is essential to protect the environment
and prevent the spread of Infectious diseases,
Healthcare -facilities must follow Local regulation
and guidelines for the safe collection, Storage,
transportation, Disposal of medical waste

25. EQUIPMENT ANDFACILITY MAINTENANCE
 Regular maintenance and calibration of
equipment used in the operation theater
necessary to ensure accurate and reliable
performance. Nurse must establish appropriate
maintenance Schedules and keep record of
maintain a activities. Failed to maintain
equipment adequately can lead to complication
during surgery and may have legal
consequences.

26. CONCLUSION
 Preoperative & Intraoperative Nursing The
assessment, Planning of care that reflects
patients of care, as well as the evaluation of
patient out come, The format such as "check lists
will evaluation, is necessary T0 stratify risk to the
patient. To avoid or minimize both pre and intra
operative complication.

27. BIBLIOGRAPHY
 Hinkle Janice L, Chever Kerry H, Brunner and
Suddath's textbook of medical surgical Nursing,
13th edition, 2014 New Delhi, Page No - 401-497.
 Wolters Kluwer Brunner & suddharth textbook of
medical-surgical Nursing Second south asia
Edition, volume 1, 2017, page No- 1737-1738.

28. THANK YOU