Perioperative nursing refers to nursing care provided during the three phases of surgery: preoperative, intraoperative, and postoperative. The preoperative phase involves preparing the patient both physically and psychologically before surgery. The intraoperative phase involves providing care during the procedure in the restricted operating room. The postoperative phase involves caring for the patient after surgery as they recover in the post-anesthesia care unit or surgical ward.
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These are challenging times and we need to continue working while keeping patient safety and our own wellbeing into consideration as we proceed with our surgery planning.
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http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
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http://sandymillin.wordpress.com/iateflwebinar2024
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Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
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2. PERIOPERATIVE NURSING
Used to describe the nursing care provided in
the total surgical experience of the patient:
• Preoperative
• Intraoperative
• Postoperative
3. PERIOPERATIVE NURSING
PREOPERATIVE PHASE
• Extends from the time the client is admitted in the surgical unit, to the time
he/she is prepared for the surgical procedure, until he is transported into the
operating room
INTRAOPERATIVE PHASE
• Extends from the time the client is admitted to the OR to the time of
administration of anesthesia, surgical procedure is done, until he/she is
transported to the RR/PACU
POSTOPERATIVE PHASE
• Extends from the time the client is admitted to the recovery room, to the time
he is transported back into the surgical unit, discharged from the hospital, until
the follow-up care.
4. • PREPARING THE SKIN
- Have a full bath to reduce microorganisms in the skin
- Hair should be removed to avoid skin breakdown, use of electric
skipper is preferable
• Preparing the GI tract
• - NPO, cleansing enema as required
• Preparing for anesthesia
• - Avoid alcohol and cigarette smoking for atleast 24 hours before
surgery
• Promoting rest and sleep
• - Administer sedatives as ordered
PREPARING THE PATIENT THE EVENING BEFORE
THE SURGERY
5. PREPARING THE PERSON ON THE
DAY OF SURGERY
EARLY A.M Care
• * Awaken 1 hour before preop medications
• * Morning bath, mouth wash
• * Provide clean glove
• * Remove hairpins, braid long hair, cover hair with cal if available
• * Remove dentures, colored nail polish, hearing aid, contact lenses,
jewelries
• * Take baseline vital signs before pre op medications
• * Check ID band
• * Check for special orders-Enema
• * Check NPO
• * Have client void before preop medication
• * Accomplished “preop checklist”
6. NUTRITION AND HYDRATION
- Diet orders: NPO 6-12 Hours
Monitor I&O
ELIMINATION
Catheter Insertion
Bowel Preparation (Enema, use of
laxatives)
PHYSICAL PREPARATION
7. • MEDICATIONS
• Discontinue medications that are advised to be
continued
• Administer preop meds
• SPECIAL ORDERS
• Insertion of NGT
• Special skin preparation
• Take care of px’s belongings and remove all
body prosthesis
8. REDUCING ANXIETY AND FEAR
• Promote positive coping strategies
• Provide preoperative teaching
• Provide opportunity for visits from family and
friends
PSYCHOSOCIAL PREPARATION
FOR SURGERY
9. THE OPERATING ROOM
Should be free from contaminating particles, dust, pollutants, radiation,
and noise.
• THREE ZONES:
• Unrestricted
• - Street clothes are allowed
• Semi-restricted
• - Scrubs, shoe covers, caps and masks
• Restricted
• - Scrubs, shoe covers, caps, masks or gowns and gloves
INTRAOPERATIVE PHASE
10. • Unrestricted Area
• Street clothes are permitted in this area, and the area provides
access to communication with personnel within the suit and with
personnel and patients families outside the suite
• Semi-restricted Area
• Personnel entering this area must be in proper operating room attire
and traffic control must be designed to prevent violation of this are by
unauthorized persons
• Restricted Area
• Personnel working in this area must be in proper operating room
attire.
SURGICAL SETTING
12. INFORMED CONSENT SHOULD ANSWER THIS:
• -What do you plan to do to me?
• -Why do you want to do this procedure?
• -What are alternatives to this plan?
• -What things should I worry about?
• -What are the greatest risk or worst that could
happen?
13. PURPOSES:
• -To ensure that the client understand the
nature of the treatment including the potential
complications and disfigurement
• -To indicate that the client’s decision was made
without pressure
• -To protect the client against unauthorized
procedure.
• -To protect the surgeon and hospital against
legal action by a client who claims that an
authorized procedure was performed
