Pre/ Post op care

Question 1

What are some post op complications?

Answer 1

• Bleed or clot
• Shock
• Infection (bacterial/ chest)
• Line associated (phlebitis)
• Muscle wasting

Question 2

What are ways complications can be reduced?

Answer 2

• Mobilising

- Hand hygiene

Question 3

What is the RN’s role with pre admission?

Answer 3

• Ensure client prepared (mentally and physically).
• Comprehensive assessment
• Pre op orders (nil by mouth ect, possibly withhold meds eg. Warfarin)
• Vitals (find their ‘normal’

Question 4

What is Dosa? and what are the risk management strategies?

Answer 4

DAY OF SURGERY ADMISSION
Risk management strategies:
-Identify right patient 
-ID band on patient 
-Make sure they understand the surgery. 
-Drug allergies.

Question 5

What occurs when transferring the patient to the operating theatre?

Answer 5

• Warm patient
• Check consent
• Risk management strategies.
• Go through checklist with another RN who will hand over to anaesthetist.

Question 6

What is the Nurses role in the operating theatre?

Answer 6

• Counts instruments/ gauze
• In-charge of hygiene (maintains sterility)
• Initiates Timeout (every stops for intro)

Question 7

Whats the Nurses role for the PACU transfer?

Answer 7

• Airway, breathing, circulation, bleeding.
• 1:1 nurse/ patient care.
• Pain relief/ Anti nausea medication

Question 8

What is the breathing assessment management?

Answer 8

• Rate
• O2 saturations
• Breathing effort (deep or shallow)
• Asculate lungs
• Don’t depress respiratory system with pain medication.

Question 9

What are the cardiovascular/ circulation risks?

Answer 9

• Arrhythmias
• Clots
• MI
• Low BP
• Haemorrhage (bleeding)

Question 10

What can increased blood pressure and/ or heart rate be a sign of?

Answer 10

-Internal bleeding.