sSurgery: pre-op

Question 1

when do you not need an informed consent surgery?

Answer 1

if its an emergency surgery, pt cant consent, and family can not be reached

Question 2

can a student nurse sign the consent form as a witness?

Answer 2

no

Question 3

what can a day surgery patient absolutely not do???

Answer 3

drive themselves home!

Question 4

day surgery checklist: 5 considerations

Question 5

why is it important to know patients health baseline pre-op?

Answer 5

helps us identify and manage potential risks. “red flags” like do they have scar tissue from previous surgeries? blood thinners? insulin issues?

Question 6

which drug can be especially tricky around surgery?

Answer 6

insulin because of stress but also fasting

Question 7

why are we concerned about obesity pre-op?

Answer 7

because it increases risk of sleep apnea

Question 8

some highlights of important patient education for pre-op

Answer 8

• teach about what to expect after- what drains/tubes they will have, how they will feel, timeline of returning to normal
• safety things (no driving for day surgery, no climbing out of bed)
• drugs and NPO, pre-op prep if required (cleaning, shaving, etc)

Question 9

how to approach an older adult about pre=op anxiety?

Answer 9

don’t rush, give time for them to connect meanings and respond

Question 10

what is an important consideration for pre-op teaching with kids?

Answer 10

they have developmentally specific irrational fears, such as mutilation, so be careful to not use idioms, etc