Perioperative Care Part 1 скачать в хорошем качестве

Perioperative Care Part 1

Pre - Operative Care Care may vary depending on type of surgery, eg. major or minor and if the surgery is elective or emergency Reduction of anxiety Give a warm personal welcome Introduce yourself, other team members and other patients by name Explain ward layout and nurse call system Explain procedures before starting them Encourage patient to express fears and anxieties Encourage patient to ask questions Give appropriate answers Take time to communicate with significant others Gain information Complete admission documents Record patients weight Record baseline TPR BP Note any significant medical history Possible ECG Carry out ward based urinalysis Check for any allergies, clearly record on notes and drug charts Patient education Education may help prevent some post - op complications Giving information may help reduce post operative pain Teach how pain will be controlled Teach deep breathing exercises Teach how to hold the wound to cough Teach importance of foot and leg movements Involve MDT as appropriate Fasting Nil by mouth for 4 - 6 hours before operation Patient Identification Check out of ward - name, address, DOB Check identity bracelet Check site of operation is marked if appropriate Send notes, X rays, blood results etc with patient Consent Patient must sign a consent form, consent must be informed General measures TED stockings and s/c heparin Operation site preparation Ask patient to empty bowels and bladder Shower and gown Give pre-medication If you would like to get hold of my books, one on Physiology and another on Pathophysiology, check out my web site campbellteaching.co.uk Funds from selling books helps to finance distribution of resources to students in poorer countries. Tape or remove jewellery Remove nail varnish and make up Remove prostheses spectacles/contact lenses and hearing aid Note if dentures are in situ and any loose teeth or crowns, (all late removal) Ensure any specific preparation is carried out eg. bowel preparation Optimise the physical condition of the patient, eg good nutrition, lose weight, stop smoking, make sure the patient is not febrile