preoperative med surg exam 1
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1. preoperative stage begins when the decision to proceed
with surgical intervention is made
and ends with the transfer of the pa-
tient onto the operating room (OR)
bed.
2. Informed consent the patient's autonomous decision
about whether to undergo a surgical
procedure.
3. It is the surgeon's and the anesthe- provide a clear and simple explana-
siologist's responsibility to tion of what the surgery will entail
prior to the patient giving consent
4. its the nurse responsibility to what The nurse clarifies the information
during consent provided, verifies the presence of the
patient's or designee's signature, and
may be asked to sign as a witness.
5. If at any point the patient requests notifies the physician
additional information, or if the
nurse feels that the patient may not
understand, the nurse
6. The nurse ascertains that the con- administering psychoactive premed-
sent form has been signed before ication
7. consent is not valid if it is obtained under the influence of medications
while the patient is that can affect judgment and decision
making capacity.
8. Informed consent is necessary in Invasive procedures
the following circumstances: procedures requiring sedation
a nonsurgical procedure
procedures involving radiation
blood product administrating
9. Voluntary Consent Valid consent must be freely given,
without coercion. Patient must be at
, preoperative med surg exam 1
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least 18 years of age unless they are
emancipated minor
10. Patient Who Is Incompetent Legal definition: individual who is not
autonomous and cannot give or with-
hold consent (e.g., individuals who
are cognitively impaired, mentally ill,
or neurologically incapacitated).
11. informed consent should be in writ- Explanation of procedure and its
ing. It should contain the following: risks
•Description of benefits and alterna-
tives
•An offer to answer questions about
procedure
•Instructions that the patient may
withdraw consent
•A statement informing the patient if
the protocol differs from customary
procedure
12. If the patient is non-English speak- in a verbal or written form in the lan-
ing, it is necessary to provide con- guage that the patient understands
sent
13. If the patient has doubts and has not a second opinion may be requested
had the opportunity to investigate
alternative treatments,
14. No patient should be urged or co- give informed consent
erced to
15. Refusing to undergo a surgical pro- legal right and privilege.
cedure is a person's
16. Asking patients to describe in their patients comprehension
own words the surgery they are
about to have promotes nurses' un-
derstanding of
, preoperative med surg exam 1
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17. A completed, updated and signed patient entering the OR
History and Physical must be pre-
sent prior to the
18. Not more than 30 days before the comprehensive medical history and
date of the scheduled surgery, each physical assessment.
patient must have a
19. The primary provider is required to 24 hours of scheduled surgery on all
update the form within non-inpatient clients
20. The History and Physical consists present illness; surgical, medical, so-
of the history of cial, and family histories; allergies;
current medications; and plan of
care.
21. it is the surgical team's responsi- current and accurate in the preoper-
bility to make sure the presence of ative area.
these forms and all other support-
ing documentation (medication rec-
onciliation, Power of Attorney form,
etc.) are
22. The goal in the preoperative period the patient to be as healthy as possi-
is for ble
23. Every attempt is made to assess for risk factors that may contribute to
and address postoperative complications and de-
lay recovery
24. The preoperative assessment pro- underlying conditions that may af-
vides information regarding fect the patient's response to surgery
techniques and anesthesia
25. During the physical examination, joint mobility
many factors that have the poten-
tial to affect the patient undergoing
surgery are considered, such as
26.
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