Preoperative care Flashcards
pre op and pt education
1
Q
What is preoperative care?
A
= involves holistic, physical, psychological, emotional and spiritual preparation of the patient
- educates patient on risks
- checklist
2
Q
Preop plan
A
= best patient outcomes
- gather and record all relevant info
- risks considered
- adverse events anticipated
3
Q
What does pre admission add to pre op care?
A
- Patient assessment and education
- Discuss post-operation care
- Fasting instructions and specific preparation instructions
- Ensure all forms are completed
- Consent and documentation check
- Controlling co morbidities and evaluating medications
- Stabilising nutritional and. Hydration status
- Preparing the patient physically and psychologically
- Advise obstinance from smoking and support where required
4
Q
Pre operative assessment
A
= involves a nursing history/ interview, observations, physical examination
- medical history and families
- medications
- social history
- airway considerations
- allergies
5
Q
what is patient education?
A
= the process by which health professionals and others impart information to patients and their caregivers that will alter their health behaviours or improve their health status.
- essential component for patients recovery
6
Q
benefits of patient education
A
- understand more about surgery
- more control
- increased use of self management strategies
- improved health related quality of life
- improved patient outcomes
- increased satisfaction with care
7
Q
Education for pt and family with surgery
A
- what to bring
- any changes
- fasting
- insertion of invasive instruments
- purpose of vital sign monitoring
- analgesia
- process - admissions
- where families should wait and what they should expect
- include what they should expect for post op recovery
8
Q
Fasting
A
= Nil by Mouth
- minimises the risk of regurgitating the stomach contents
- medications can be taken with little water
(around 6 hours prior)
9
Q
Preoperative medications
A
- benzodiazepines - reduce anxiety
- opioids
- anticholergics - prevent bradycardia
10
Q
Discharge planning
A
- should begin prior to admission
- consider support network
- patients carer
- shopping food/houskeeping
11
Q
Admission to clinical area
A
risk assessment
- pressure injury
- Venous thromboembolism
- falls
- malnutrition screening
- baseline observations
12
Q
Preoperative checklist
A
- Makeup nail polish removed
- Showered
- Hospital gown
- ID band x 2
- allergy band if applicable
- All jewellery to be removed or taped
- Bladder emptied
- Pre-medication given if applicable
- Glasses, hearing aids, dentures to be removed - reading glass case if required
- Health record, valid consent form, observation chart, drug chart (pre-med) and completed pre-procedure handover
- Old notes and Xrays
