Pre operative checklist
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Things to ensure and check off the list before a patient is shifted to the OR for surgery. The responsibility rests mainly with the resident doctor and the registered nurse to ensure complete preoperative preparation of the patient.
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The document discusses surgical draping, including its definition, aims, importance, types of drapes, draping procedures, positions, rules, and precautions. Specifically, surgical draping involves using sterile fabric to isolate the surgical site and maintain a sterile field. It aims to prevent contamination and maintain sterility. Various draping materials, techniques, and standards are covered to outline best practices for ensuring a sterile environment.
Surgical draping
Surgical draping procedures create a sterile field by carefully positioning sterile sheets and towels to isolate the surgical site and exposed instruments. Drapes must form an effective barrier against microorganisms while being resistant to fluids and abrasion. Both reusable and disposable drapes are used, with disposables reducing hazards of contamination but creating waste disposal issues. Specific drapes are used for different body areas like the perineum or extremities, with the goal being to properly isolate the surgical site while allowing access and movement as needed.
Pre operative care
This PPT is mainly oriented towards the topic given in Bailey & Love's - 26th edition and oriented towards Final MBBS students.
Post operative care
The post operative period begins after surgery and focuses on enabling successful recovery. It aims to reduce mortality, length of stay, and costs through quality care. Patients are monitored in the PACU or SICU by nurses. They assess vitals, consciousness, bleeding, pain/anxiety and more to detect complications and ensure stability for discharge. The goal is safe transfer from intensive recovery phases to continued recovery in step-down units or at home with instructions.
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Preoperative preparation
Preoperative preparation involves optimizing a patient's condition before surgery through assessment, investigation, and management of medical conditions. It is a multidisciplinary process involving surgeons, anesthesiologists, nurses, and other staff. Through history, examination, investigations, and treatment, the goals are to evaluate fitness for surgery, minimize risks, plan logistics, and obtain consent. Special considerations include managing medications, timing of fasting, and arranging the operating schedule. With thorough preparation, surgical risks and recovery times can be reduced.
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The document discusses preoperative preparation and optimization of patients for surgery. It covers preoperative care, investigations, assessing surgical risk, and preparing specific patient groups. The goals of preoperative preparation are to anticipate difficulties, enhance patient safety, minimize complications, and optimize high-risk patients. Key aspects include obtaining medical history, conducting physical exams and tests, discussing risks and obtaining consent, and providing prophylaxis for issues like thrombosis. Careful preoperative preparation helps improve surgical outcomes.
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Surgical draping
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Surgical draping
Surgical draping procedures create a sterile field by carefully positioning sterile sheets and towels to isolate the surgical site and exposed instruments. Drapes must form an effective barrier against microorganisms while being resistant to fluids and abrasion. Both reusable and disposable drapes are used, with disposables reducing hazards of contamination but creating waste disposal issues. Specific drapes are used for different body areas like the perineum or extremities, with the goal being to properly isolate the surgical site while allowing access and movement as needed.
Pre operative care
This PPT is mainly oriented towards the topic given in Bailey & Love's - 26th edition and oriented towards Final MBBS students.
Post operative care
The post operative period begins after surgery and focuses on enabling successful recovery. It aims to reduce mortality, length of stay, and costs through quality care. Patients are monitored in the PACU or SICU by nurses. They assess vitals, consciousness, bleeding, pain/anxiety and more to detect complications and ensure stability for discharge. The goal is safe transfer from intensive recovery phases to continued recovery in step-down units or at home with instructions.
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Peri-operative period- Definition of surgery and peri-operative care, Its phases and role of nurse , complications of postoperative care.
Preoperative preparation
Preoperative preparation involves optimizing a patient's condition before surgery through assessment, investigation, and management of medical conditions. It is a multidisciplinary process involving surgeons, anesthesiologists, nurses, and other staff. Through history, examination, investigations, and treatment, the goals are to evaluate fitness for surgery, minimize risks, plan logistics, and obtain consent. Special considerations include managing medications, timing of fasting, and arranging the operating schedule. With thorough preparation, surgical risks and recovery times can be reduced.
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The document discusses preoperative preparation and optimization of patients for surgery. It covers preoperative care, investigations, assessing surgical risk, and preparing specific patient groups. The goals of preoperative preparation are to anticipate difficulties, enhance patient safety, minimize complications, and optimize high-risk patients. Key aspects include obtaining medical history, conducting physical exams and tests, discussing risks and obtaining consent, and providing prophylaxis for issues like thrombosis. Careful preoperative preparation helps improve surgical outcomes.
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1. The operating room table is fully adjustable to position patients in various surgical positions and orientations. It has movable sections, articulating joints, and tilt capabilities to manipulate the patient as needed.
2. Accessories like armboards, leg holders, and overhead tables provide support and access around the patient. The table also has features like smooth contours, radiolucency, and electrical or hydraulic controls for adjustments.
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This document discusses proper patient positioning during surgery. It outlines common surgical positions like supine, prone, Trendelenburg, and lithotomy. For each position, it describes how to position the patient, nursing precautions to take, and potential complications to avoid. The goal of positioning is to provide optimal surgical access while maintaining patient safety, comfort, and dignity. Careful positioning can prevent injuries, but risks increase for patients with certain medical factors.
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Urinary Catheterization
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Preoperative & Intraoperative nursing care
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The document discusses pre-operative nursing care which includes: assessing the patient's health history and needs, obtaining informed consent, providing pre-operative teaching to the patient, and preparing the patient physically and psychologically for surgery. The pre-operative phase preparation involves ensuring adequate nutrition, elimination, hygiene, medications, sleep, storage of valuables, removal of prosthetics, following special orders, preparing the surgical site, safety protocols, monitoring vital signs, and applying anti-embolism stockings.
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Perioperative Care
Caring for perioperative clients
Contents Outline
Objectives.
Introduction.
Phases of perioperative care.
Types of surgery.
Categories of surgery based on urgency.
Preoperative assessment.
Surgical risk factors.
Preoperative preparation.
Nursing diagnosis and intervention in preoperative phase.
Postoperative care.
Nursing diagnosis and intervention in postoperative period.
Postoperative complications.
Care of surgical patient
The document discusses perioperative nursing. It defines the perioperative period as including the preoperative, intraoperative, and postoperative phases of surgery. The preoperative phase involves assessing the patient, obtaining consent, and providing education. The intraoperative phase is when the surgery occurs. The postoperative phase focuses on monitoring and managing the recovery process. Perioperative nurses play an important role in optimizing patient outcomes across all three phases of surgery.
Surgical scrubbing
Surgical scrubbing is a process used to reduce bacteria on the hands and forearms prior to surgery. It involves using a scrub brush and antiseptic soap to remove dirt and decrease the number of microbes. The objectives are to remove soil, reduce resident microbial counts, and prevent rapid regrowth of bacteria. Proper scrubbing includes removing jewelry and trimming nails short. Two common scrub methods are the timed anatomical scrub and counted strokes method, lasting 5 minutes. The pre-scrub involves washing with soap and water followed by cleaning under nails prior to in-depth scrubbing and rinsing from fingertips to elbows. An ideal antiseptic agent is broad spectrum, persistent, non-irritating, and safe
Chest tube drainage
A chest tube is a catheter inserted through the chest wall to drain air, fluid, or pus from the pleural space and maintain negative pressure. It is indicated for conditions like pneumothorax, hemothorax, and pleural effusions. The chest tube is connected to a drainage system, usually a three bottle system, to continuously drain the pleural space and prevent a build up of air or fluid that could impair lung function. Nurses monitor the chest tube drainage closely and ensure the system remains intact and functioning properly to allow for full lung re-expansion and recovery following chest tube insertion.
1001224_perioperative nursing care 1 (1).ppt
The document discusses perioperative nursing care from the preoperative through postoperative phases. Key aspects of preoperative nursing include completing assessments, teaching patients, obtaining consent, and preparing patients physically and emotionally for surgery. Important intraoperative roles involve monitoring patients, maintaining safety and asepsis, and documenting care. Postoperative care focuses on monitoring for complications, managing pain, and facilitating recovery.
Perioperative
The document provides an overview of perioperative nursing care. It discusses the three phases of surgery: preoperative, intraoperative, and postoperative. In the preoperative phase, the nurse conducts assessments, provides education to the client, and ensures informed consent is obtained. During surgery, nurses manage risks and ensure proper technique is maintained. In post-op, nurses monitor for complications and promote recovery. Perioperative nursing aims to provide excellent care before, during, and after surgery by addressing clients' physical and psychosocial needs.
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This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to properly support surgeons during operations.
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The document discusses preoperative and postoperative nursing care for surgical patients. It covers assessing patients preoperatively, preparing them for surgery through education and physical preparation, monitoring them intraoperatively, and caring for them postoperatively by assessing vital signs, dressings, pain, and other factors. The types and purposes of different surgeries are also classified. The nursing process of assessment, planning, implementation and evaluation is applied throughout the preoperative, intraoperative and postoperative phases of surgical care.
OT table
1. The operating room table is fully adjustable to position patients in various surgical positions and orientations. It has movable sections, articulating joints, and tilt capabilities to manipulate the patient as needed.
2. Accessories like armboards, leg holders, and overhead tables provide support and access around the patient. The table also has features like smooth contours, radiolucency, and electrical or hydraulic controls for adjustments.
3. Proper positioning is important for patient safety, surgical access, and physiological needs. It prevents pressure points, maintains circulation and breathing, and positions anatomical structures for procedures. Common positions include supine, prone, lateral, lithotomy and their variations.
2.surgical asepsis
Surgical asepsis refers to procedures used to keep objects and areas free from microorganisms. The principles of surgical asepsis include always facing the sterile field, keeping sterile equipment above waist level, not speaking over sterile fields, and avoiding contact between sterile and non-sterile items. Procedures like surgical hand scrubbing, donning sterile gowns and gloves aim to eliminate pathogens. The surgical hand scrub involves washing arms and hands with antimicrobial soap for 5 minutes using specific techniques. Donning a sterile gown involves unfolding the gown without touching the floor and inserting arms while keeping hands above elbow level. Applying and removing sterile gloves is done using closed techniques to maintain sterility and prevent contamination.
Preoperative Preparations
This document provides guidance on preoperative care and assessment. It outlines the objectives of preoperative care, which include organizing care and the operating list, understanding surgical, medical and anesthetic assessments, optimizing the patient's condition, obtaining consent, and organizing the operating list. It describes evaluating the patient's history, examination, investigations, preoperative conditions and treatment, and documenting the assessments. Key areas of focus for the patient assessment include cardiovascular, respiratory, gastrointestinal, genitourinary, neurological, endocrine and metabolic conditions. The document provides guidance on identifying and managing preoperative problems, obtaining informed consent, conducting a pre-anesthetic airway assessment, and arranging the operating theater list.
Patient positioning in operating theatre -gihs
This document discusses proper patient positioning during surgery. It outlines common surgical positions like supine, prone, Trendelenburg, and lithotomy. For each position, it describes how to position the patient, nursing precautions to take, and potential complications to avoid. The goal of positioning is to provide optimal surgical access while maintaining patient safety, comfort, and dignity. Careful positioning can prevent injuries, but risks increase for patients with certain medical factors.
Preoperative and postoperative care
The document discusses preoperative and postoperative care. It covers preoperative assessment including history taking, physical examination, and risk assessment. Preoperative preparation includes fasting, blood tests, medication administration, and informed consent. Premedication goals are to reduce anxiety, secretions, and nausea/vomiting. Common premeditations include anticholinergics like atropine and scopolamine, benzodiazepines like diazepam and midazolam, and narcotics like pethidine and morphine. Care is taken to minimize risk and ensure patient safety before, during, and after surgery.
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The document discusses various surgical patient positioning techniques and their physiological effects. It describes positions such as supine, lithotomy, lateral, prone, Trendelenburg's, and sitting. Positioning must balance exposure for surgery with risks like nerve injury and hypotension. Careful positioning and monitoring are important to prevent complications.
Urinary Catheterization
If you like to get the presentation as softcopy , please dont hesitate to contact me through email ((ahmad.thanin@outlook.com) , price 2.0 USA Dollar
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This document provides guidelines for maintaining a sterile environment in an operating theatre (OT) to prevent surgical site infections. It outlines policies for OT staff dress code and conduct, including proper hand hygiene and restricting access. The OT layout separates zones by sterility. Cleaning procedures are described for daily cleaning between surgeries, deep weekly cleaning, and handling soiled equipment and laundry. Standard infection control precautions like proper disinfectant use and spills management are also covered.
Peri operative nursing
This document discusses perioperative nursing. It describes the three phases of perioperative care - preoperative, intraoperative, and postoperative. In the preoperative phase, the responsibilities of the operating room nurse include assessing the patient physically and emotionally, ensuring understanding of the surgery and consent, completing legal documentation, and providing teaching. Key considerations in preoperative nursing include assessment, determining readiness for surgery, and ensuring availability of the healthcare team. The roles and responsibilities of team members like the circulating nurse and scrub nurse are also outlined.
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Preoperative & Intraoperative nursing careShri Vinoba Bhave College of Nursing, Silvassa, Dadra & Nagar Haveli
The document discusses preoperative, intraoperative, and postoperative nursing care. It outlines the three phases of operative nursing care which include preoperative, intraoperative, and postoperative phases. In the preoperative phase, nurses provide education to patients, assess patients' knowledge, and prepare patients physically and psychologically for surgery. Key aspects of preoperative nursing care are also discussed such as preoperative assessment, tests, and medications. The roles and responsibilities of nurses in the intraoperative phase are summarized as monitoring patients, ensuring sterility, documenting care, and safely positioning patients for surgery.Â
Preoperative care
The document discusses pre-operative nursing care which includes: assessing the patient's health history and needs, obtaining informed consent, providing pre-operative teaching to the patient, and preparing the patient physically and psychologically for surgery. The pre-operative phase preparation involves ensuring adequate nutrition, elimination, hygiene, medications, sleep, storage of valuables, removal of prosthetics, following special orders, preparing the surgical site, safety protocols, monitoring vital signs, and applying anti-embolism stockings.
Dr.s.valliammal. barrier nursing & infection control
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
Iv cannula technique
Dr. Vishal Kr. Kandhway presented on IV cannulation. IV cannulation is the second most invasive hospital procedure, with 85-95% of patients receiving IVs. It is used to administer fluids, medications, blood products, and for imaging with contrast. Proper vein selection is important, avoiding areas near joints, scars, or previous cannulation. The forearm and back of the hand are common sites. Proper equipment, cleaning, and insertion technique are emphasized to safely place the IV and avoid complications like hematoma, infection, or puncturing an artery. New methods like AccuVein use infrared light to illuminate veins, aiding cannulation for difficult patients.
Intravenous cannulation
This document provides guidance on intravenous cannulation. It discusses the indications for IV cannulation including fluid replacement, medication administration, blood transfusions, and monitoring. The key steps for cannulation are outlined, including preparing the patient, identifying a suitable vein, inserting the cannula at a 10-30 degree angle, securing the cannula with a dressing, and documenting the procedure. Potential complications from cannulation like infection, infiltration of fluids, thrombosis, and extravasation are also summarized.
Perioperative Care
Caring for perioperative clients
Contents Outline
Objectives.
Introduction.
Phases of perioperative care.
Types of surgery.
Categories of surgery based on urgency.
Preoperative assessment.
Surgical risk factors.
Preoperative preparation.
Nursing diagnosis and intervention in preoperative phase.
Postoperative care.
Nursing diagnosis and intervention in postoperative period.
Postoperative complications.
Care of surgical patient
The document discusses perioperative nursing. It defines the perioperative period as including the preoperative, intraoperative, and postoperative phases of surgery. The preoperative phase involves assessing the patient, obtaining consent, and providing education. The intraoperative phase is when the surgery occurs. The postoperative phase focuses on monitoring and managing the recovery process. Perioperative nurses play an important role in optimizing patient outcomes across all three phases of surgery.
Surgical scrubbing
Surgical scrubbing is a process used to reduce bacteria on the hands and forearms prior to surgery. It involves using a scrub brush and antiseptic soap to remove dirt and decrease the number of microbes. The objectives are to remove soil, reduce resident microbial counts, and prevent rapid regrowth of bacteria. Proper scrubbing includes removing jewelry and trimming nails short. Two common scrub methods are the timed anatomical scrub and counted strokes method, lasting 5 minutes. The pre-scrub involves washing with soap and water followed by cleaning under nails prior to in-depth scrubbing and rinsing from fingertips to elbows. An ideal antiseptic agent is broad spectrum, persistent, non-irritating, and safe
Chest tube drainage
A chest tube is a catheter inserted through the chest wall to drain air, fluid, or pus from the pleural space and maintain negative pressure. It is indicated for conditions like pneumothorax, hemothorax, and pleural effusions. The chest tube is connected to a drainage system, usually a three bottle system, to continuously drain the pleural space and prevent a build up of air or fluid that could impair lung function. Nurses monitor the chest tube drainage closely and ensure the system remains intact and functioning properly to allow for full lung re-expansion and recovery following chest tube insertion.
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Dr.s.valliammal. barrier nursing & infection control
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This document outlines the pre-operative assessment process for a surgical patient. It involves assessing the patient's psychological needs, understanding of the procedure, and support system. It also involves reviewing the patient's medical history, current health conditions, medications, allergies, and substance use. Safety protocols are reviewed such as confirming patient ID and surgical site before the procedure.
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Pre operative checklist
- 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.