Chapter 1 Flashcards
When does the periop period statrt
when the pat is informed of the need for surg
When does the peri-op period end
when the patient achieves his or her optimal level of postsurgical function.
When does intra-op begin and end
when transfered to OR room and when transfered to PACU
When does Post op begin and end
Trans to pacu
when optimal function returns
What does the AORN patient focused model include as its four domains
Patient safety
Physiologic response
Behavioral response
Healthcare team and system
What is the goal of periop nursing
care and support pats and their families and to help make decisions
What is the outcome periop nurses want
for the pat to achieve wellness equal or greater than that before sugery
What does PNDS mean
Perioperative Nursing Data Set
What is PNDS purpose
to standardize nursing vocabulary
What does PNDS help with
measurement and eval of outcomes
provides foundation for research
What are the roles of the periop nurse
Patient assessment before, during, and after surgery
Patient and family teaching
Patient and family support and reassurance
Patient advocacy
Performing as scrub or circulating nurse during surgery
Control of the environment
Efficient provision of resources
Coordination of activities related to patient care
Communication, collaboration, and consultation with other healthcare team members
Maintenance of asepsis
Ongoing monitoring of the patient’s physiological and psychological status
Supervision of ancillary personnel
What are some settings where periop nursing practices
Operating room Freestanding surgical centers Satellite surgery facilities Mobile surgical units Surgeons’ office−based operating rooms Clinics Interventional radiology Cath lab
Who is included in the sterile surg team
Primary surgeon
Assistants to the surgeon
Scrub
Who is in the nonsterile surg team
Circulating nurse
Anesthesiologist or nurse anesthetist
Others including the perfusionist or radiology technician
What is the main focus of activities in the preop phase
patient support,
teaching
preparation for the procedure.
What is the focus of care for intra op
patient safety
emotional support
facilitation of the procedure, prevention of infection,
satisfactory physiologic response to anesthesia and the surgical intervention.
What is the focus of care for post op
support of the patient’s physiologic systems.
What do post op nurses start doing later on in the recovery before discharge
reinforce the essential information they need for discharge and that was given during pre-op
What is the intra op doing most during surg
managing tech
documenting pat care
What are some typical nursing diagnoses
knowledge deficit
risk for infeciton
Impaired transfer ability • Imbalanced nutrition: more than body requirement
What data base should the peri op nurse use for their nursing process
PNDS
What are some examples of PNDS desired pat outcomes
The patient is free of signs and symptoms of infection. • The patient is free of signs and symptoms of injury related to transfer/ transport. • The patient demonstrates knowledge of nutritional requirements related to procedures.
What are some examples of interventions
Evaluates for signs and symptoms of skin and tissue injury as a result of transfer or transport
Provides instruction regarding dietary needs
Implements aseptic technique
Is peri op nursing patient centric or task oriented
pat centric
