Exam (elaborations)
Perioperative nurse responsibilities Questions and Answers 2024
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Perioperative nurse responsibilities
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Perioperative nurse responsibilitiesPerioperative care - answer Encompasses preoperative, intraoperative, and
postoperative phases of the patient's surgical experience.
Preoperative phase - answer Starts when a decision is made for surgical intervention,
and ends with the arrival at the operation room.
Intraoperative phase - answer Starts when the patient arrives at the operating room and
ends when they are transferred to the PACU.
Postoperative phase - answer Starts when patient arrives at the post anesthesia care
unit (PACU)
Emergency surgery - answer Involves a major body organ, has the potential for
postoperative complications, requires hospitalization, must be done immediately to save
patient's life.
Elective surgery - answer Procedure that is preplanned by essentially healthy people.
Diagnostic surgery - answer Procedure performed to confirm a diagnosis.
Palliative surgery - answer Procedure is not curative, but is done to relieve or reduce
the intensity of an illness.
Preoperative nurse - answer Helps to ID individuals at risk for intraoperative and
postoperative complications, implement interventions to improve surgical outcomes.
Preoperative patient assessment - answer* ID patient: name & DOB
* mental/phycological status
* Functional status (ADLs)
* CV & respiratory status
* Skin condition
* Nutritional status
---how long NPO?
*ROM & mobility
* Pain
* Prosthetics or corrective devices
* sensory impairments
* cultural/spiritual needs
* medications/SUD
* herbs/supplements
, Preoperative patient & family education - answerAssess individual learning needs.
Familiarize pt with procedure & suggest activities to decrease anxiety, promote healing,
and prevent postoperative complications.
Gives client sense of control.
Preoperative checklist - answer1. Confirm patient ID & allergies on ID band.
2. Verify procedure site
3. Have advanced directives and consent signed
4. Remove clothing/personal items, put on gown.
5. Verify labs, and tests on chart
6. NPO since ____
7. premedication given (decrease anxiety, provide sedation, prevent nausea)
Informed consent - answerObtained by physician after explanation of procedure and
rights. Must include:
1. Pt full legal name
2. Surgeon name
3. Specific procedure
4. Signature of pt, next of kin, or legal guardian
5. Witness (nurse)
6. Date
Nurse role in informed consent - answerPatient advocate. Nurse assess decision
making capacity, ensures patient has necessary information to make decision, clarify
misunderstandings.
Support patient decision to withdraw consent and refuse the procedure.
Advanced directives - answerAllow individual to specify preferences for treatment
should they become unable to make independent health care decisions.
1. Living will
2. Durable power of attorney
Living Will - answerA document the outlines patient wishes regarding medical treatment,
life support, and resuscitation measures.
Durable Power of Attorney - answerIdentifies a person who is authorized to make health
care decisions on the patient's behalf if the patient becomes incapacitated.
Preoperative nurse collects and transfers pertinent data to - answerThe OR nurse.
Intraoperative nurse responsibilities - answer1. Continue assessment of patient
physiologic & psychologic status
2. Promote safety & privacy
3. Prevent wound infection & promote healing
These intraoperative healthcare members function inside sterile field - answer* Surgeon
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