The document outlines the perioperative nursing phases: preoperative, intraoperative, and postoperative, detailing nursing care, assessments, and consent requirements prior to surgery. It emphasizes the importance of physical and psychosocial assessments, as well as preoperative education on diet restrictions, post-operative care, and anxiety management. Final preparations before surgery include securing personal belongings and confirming the details of the procedure.

1. PUNE ADVENTIST HOSPITAL
PRE - OPERATIVE
CHECKLIST

2. Perioperative nursing phases
• Preoperative phase – begins when the
decision to have the surgery is made and ends
when the patient is transferred to the OR
table
• Intraoperative phase – from initiation of
surgical procedure to when the patient is
shifted to PACU
• Postoperative – from when patient is received
in the PACU to when healing is complete

3. Preoperative nursing care
• It is the preparation and management of a
patient prior to surgery. It includes both
physical and psychological preparation

4. Assessment
• Differs from assessment performed on a
medical patient

5. • Assess current health status
• Allergies
• medications
• Previous surgeries
• Understanding of the surgical procedure and
anaesthesia
• Alcohol and other altering substances
• Social resources
• Cultural consideration

6. Physical assessment
• Cardiovascular system
• Respiratory system
• Renal system
• Neurological system
• Musculoskeletal system
• Nutritional status

7. Psychosocial assessment
• Level of anxiety
• Coping ability
• Support systems

8. Consent
• Nature and intention of surgery
• Name and qualifications of the person
performing the surgery
• Risks including tissue damage, disfigurement
or even death
• Chances of success
• Right of the patient to refuse or later
withdraw consent

9. Investigations
• CBC, blood grouping and cross match
• Fasting blood sugar
• Serum creatinine
• Urinalysis
• Chest X ray
• ECG

10. Nursing interventions
• Explain about diet/medication restrictions
• Educate about reason for NPO status
• Information about dress code for surgery
• For elective cases, patient to be at the hospital
at least 1 to 2 hours prior to scheduled surgery
time

11. Pre operative learning/teaching needs
• Deep breathing exercises, coughing, leg exercises,
ambulation
• Pain control and medications
• Cognitive control to decrease anxiety and enhance
relaxation
• Recovery room orientation
• Probable post operative therapies

12. Final preparation for surgery
• All personal belongings identified and secured
• Jewellery removed
• Dentures removed, labeled and placed in a denture
cup
• Patient is to verbally confirm the surgical procedure
and surgical site. The verification is documented.