The Surgical Patient

Question 1

PCP replaced patient bill of rights in… and:

Answer 1

2003

plainer language

patient needs to be involved in their care

patient is a consumer of goods

patient is primary decision maker

Question 2

Biological needs

Answer 2

fluid balance

Question 3

When do you notify the surgeon?

Answer 3

patient expresses fear of DEATH

Question 4

Preoperative routine prep

Answer 4

blood urea nitrogen (BUN) kidney function

if high: dehydration, GI bleed, lessened kidney function

Question 5

discharge readiness criteria

Answer 5

vitals

respiratory

reflexes

mental status cognition

nausea/vomiting

oral intake

voiding

ambulation

Question 6

Other considerations of needs

Answer 6

immunocompromised patient-asepsis

bariatric

Question 7

Hierarchy of needs

Answer 7

self image-EGO

self-actualization-patient’s rights, participation in establishing goals, decision making

Question 8

Surgical discharge considerations

Answer 8

bleeding

extremity circulation

Question 9

Pain discharge considerations

Answer 9

etiology

prophylaxis

management

Question 10

Anesthesia discharge considerations

Answer 10

side effects

MH

regional anesthesia

Question 11

Preoperative checklist (1)

Answer 11

chest x-ray not routinely done

EKG

NPO-prevent aspiration

Question 12

Preoperative checklist (2)

Answer 12

nail polish, acrylic nails, cyanosis

pulse oximeter attached to nail-bed

medications/sedative ordered by anesthesia

voiding/catheterization/levin tube-stomach