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Concept of Perioperative Care Questions and Answers 2024
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Concept of Perioperative Care
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Concept of Perioperative CareConcept of Perioperative Care: - answer Perioperative term used to describe the three
phases of surgical procedures: preop, intraop, postop.
Preoperative phase preceding surgery which the client is identified as a candidate for
surgical or procedural intervention. Assessed and prepped for surgery, lab tests, and
meds.
Intraoperative phase is the actual surgical intervention phase. Anesthesia, prepped,
draped! Necessary teach tube is inserted (intubation).
Postoperative phase recovery phase. when client leaves surgical site until discharge.
Tailored to meet specific patient needs.
Concepts Related to Perioperative Care – answer Pg. 1250
Introduction to Perioperative Nursing: - answer Documentation should include all steps
of the nursing process, including assessment, diagnosis, identified outcome, planning,
implementation, and evaluation.
Interdisciplinary Team: - answer-anesthesia personnel (monitors physiological status)
-circulating nurse (manages nursing care during the procedure)
-interpreter
-scrub nurse (chooses and passes surgical instruments and supplies)
-preoperative nurse
-postoperative nurse
-radiology personnel
-referral or specialty physician
-respiratory therapist (maintains clients airway and oxygen status)
-social worker
-surgeon
-surgical technician/first assistant
-wound, ostomy, and continence nurse (WOCN) effective wound healing.
Perioperative Diagnostic Tests: - answer Lab work completed in all phases as needed.
Blood work analyzed by the nurse, anesthesiologist, and surgeon. Ranges of serum test
differ depending on whether the client is female or male or and adult or pediatric client.
Pg.1252-1253
, Perioperative Safety Protocols and Precautions: - answer Joint commission has
established a universal protocol, guidelines for healthcare professionals that are
designed to prevent errors during surgical procedures including wrong site surgery.
Each organization emphasizes the need for pre procedure verification often termed time
out to ensure the correct procedure is being performed on the right site for the right
client.
Verification/Hand-Off Reports - answer A pre procedure verification process or hand off
report is performed in all three phases. Designed to prevent errors. Pg. 1253
Medications: - answer Always follow the six rights client, medication, dose, time, route,
documentation, refuse.
AORN focuses on six phases of med use: procuring, prescribing, dispensing,
transcribing, administrating, and monitoring.
Continually assess med therapeutic and adverse effects of meds being administered.
Two client identifier method!
Lifespan & Developmental Considerations: - answer-nurse assesses client needs
related to lifespan and developmental considerations.
-Always maintain airway patency, tissue perfusion, monitoring clients VS, and ensure
safe med administration.
Preoperative Nursing: - answerCommunication is key through all phases! Nurses
employ therapeutic communication to educate the client about the upcoming procedure
and to assess the clients health history and current physical status.
Preparing the Client: - answerClient is identified as needing surgery and includes many
interventions from client teaching to discharge planning! Some related topics are:
-nature and anticipated length of the procedure, expectations and recovery time
-whether or not to stop taking current meds
-communicate with surgical team prior
-deep breathing/coughing exercises
-surgical incision care
-pain control
-prevention of clot formation
Medications Perioperative - answerPg.1255
If patient has any questions about surgery prior? - answerNurse should notify doctor to
come back an explain!
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