surgical pt Flashcards
(14 cards)
What 3 should get a CXR done
Age older then 60
Smokers
Anesthesia
5 possible sx complications?
Bleeding Damage to organs Death Allergic reactions Blood clots
Surgeons place considerable emphasis on ______ of oral presentations!
the quality
Informed consent explains what 3 things?
Benefits
Risks
alternatives
2 be valid, informed conset must be what 2 things?
- informed
2. voluntary
What does JCAHO
Joint Commission on Accreditation of Healthcare Organization
what is the goal of the pre-op eval?
- to uncover any co-morbidoty
ex- EKG
when is the operative noted completed?
handwritten into the cart RIGHT AFTER procedure or EMR
4 considerations for the pre op eval?
Timing
Site of operation
Anesthesia type
Consent
______ must be conducted in the location where the procedure will be performed, immediately before the start of any invasive procedure or surgical incision. Required by JCAHO
“Time-Out” Procedure
Level of consciousness: Alert, drowsy, etc
Vital signs ( don’t forget the units!)
Intake & Output
Labs: Review any labs done from the previous day
Exam: FOCUSED!!!
Assessment
Plan
**All these belong in which section of the post op note?
objective
what 3 pts should get an ECG done?
Cardiovascular disease
Hypertension
Diabetes*
What is the baseline best practice ethical standard?
informed consent
Patient comments, complaints, Nursing notes,Family comments: belong in which section of the post op note?
Subjective
