Perioperative Nursing: An unfolding Case study in Patient Safety by Gerry Altmiller,EdD, APRN, ACNS-BC, FAAN
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Course
NUR MISC (NURMISC)
Institution
University Of South Florida
Perioperative Nursing: An unfolding Case study in
Patient Safety
by
Gerry Altmiller,EdD, APRN, ACNS-BC, FAAN
The Case:
John Egan, 53.
Hx of Type 1 diabetes mellitus, cigarette
smoking 40 pack years, CAD, and PVD.
Six weeks ago, he developed a wound of his
left heel which measure...
perioperative nursing an unfolding case study in patient safety by gerry altmiller
identify what he needs done before he can go to surgery safely
identify the priority nursi
Written for
University Of South Florida
NUR MISC (NURMISC)
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Perioperative Nursing:
An unfolding Case study in
Patient Safety
by
Gerry Altmiller,EdD, APRN, ACNS-BC,
FAAN
, The Case:
✓ John Egan, 53.
✓ Hx of Type 1 diabetes mellitus, cigarette
smoking 40 pack years, CAD, and PVD.
✓ Six weeks ago, he developed a wound of his
left heel which measured 4cm by 2cm when
he discovered it. Despite IV antibiotics and
chemical debridement, the wound
developed a gangrene infection. He is
scheduled for a BKA of the left lower
extremity tomorrow at 10:00am.
✓ His meds include daily insulin,
aspirin 325mg/day, Pletal 100mg BID.
✓ He has an advanced directive and NKDA.
,Identify the priority nursing care
for
Mr. Egan:
Identify what he needs done before he
can go to surgery safely.
, Priority Care to maintain patient safety
✓
Complete preoperative
testing/preparation
✓
Maintain normal glucose levels
✓
Ensure informed consent
✓
Ensure correct surgical site
✓
Prevent postoperative infection
✓
Complete preoperative teaching to
prevent
complications
✓
Address psychological comfort
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