Preoperative Care
Let's start with informed consent
- Informed consent is the responsibility of the surgeon. Surgeon must explain risks and benefits of the the surgery he or she is performing before patient signs informed consent
- No sedation should be given to client prior to signing consent
- Older clients or clients who have dementia or are confused may need legal guardian to sign
- Minors must have parents signed unless emancipated minors
- The nurse may be a witness after she or he makes sure that client understands procedure.
Let's see what we missed...
- ID band and allergy band on
- Pre op checklist completely done
- Informed consent
- H&P and other consults in chart
- Labs, Xrays, EKGs, Type and Screen
- Valuables w/family or locked locker
- Void before surgery
- Document last time client ate.
Preoperative Teaching
What to expect postoperatively
Pain management
Use of PCA if prescribed
When to request medication
Non-pharmacological pain relief strategies
Teach deep breathing exercises
Use of Incentive Spirometry
To prevent pneumonia and atelectasis
Leg and foot exercises to prevent venous stasis/DVT
The presence of invasive devices
Foley Catheter
Oxygen delivery
IV line
Endotracheal tube
NG tube
Drains
Subclavian lines
Epidural Catheter
Always take into account
Anxiety
Psychosocial Concerns
Culture