IntraOperative Nursing Management

Ideal Identify patient by asking her to state her name and by checking it in her id band and chart. Confirm that the

Actual Patient identified

Rationale was To make sure by that we will do right

asking her to state the

her name and by procedure to the checking it in her right patient. id band and chart. Was able to To have proof that that patient has the

patient has signed confirm the operating consent.

patient has signed signed the consent. operating

consent so that in case

something goes wrong, the

hospital has a legal basis and proof from

accusations. Create quiet and calm atmosphere for patient. to decrease patient Theres during music To lessen

the patients anxiety

procedure but is in and to reserve minimal volume. her energy for inside the surgery. are A

apprehensiveness Students the also calm was theatre

limited.

atmosphere created for

the patient.

Check preoperative assessment.

Preoperative assessment checked.

To make sure was that the patients condition is okay for the surgery. To patients baseline data. have

Checks the time of administrative order premedication and any adverse reaction is reported to anesthetist.

The

reception To

avoid

nurse has checked unnecessary the time of the delays administrative order of due to and

reactions

the from side effects

premedication and or allergies of noted any adverse the patient from reaction and was the medications. reported to the

anaesthetist. Use the check list to complete the preparation for anesthesia and surgery. Used the checklist To to complete track the

the procedures for performed and

preparation anesthesia surgery.

and to make sure all needed preparations was done.

Transfer patient to Patient the anesthetic room. Position the client according to where the site of incision will be.

was For

the of

transferred in the induction theatre room. anesthesia.

Patient was placed Placing in supine position.

the

client in a proper position will

provide a better

exposure of the operative area

or site. This will also reduce the risk of injury to the client. Avoid undue exposure. The client was To give the

dressed in a gown patient

privacy

upon arrival and and to protect inside the theatre. her dignity. During the skin

preparation for the induction of the her

anesthesia,

privacy was still kept by not other

exposing

parts of the body except her back. During the

surgery, the client was draped

properly and was given privacy. Ensuring safety by strapping patient. Patient was To prevent falls

strapped in the OR and injury. table.

Managing the nursing care of the patient and

The nurse

circulating To

provide

managed quality care for during

the nursing care of patient

coordinating the needs of surgical

the

patient

and the the and

procedure help the

coordinated

team members for needs of surgical scrub nurse with each procedure using critical thinking skills. Assess the patients condition before, during, and after the procedure. The nurse the circulating To make sure assessed that all the pre patients operative meds team members for what they need. the procedure.

condition before , given was on full during and after effect the surgery. and to

make sure that patient totally and was sedated is not

experiencing pain. Manage equipment to be used. The circulating To have a

nurse assisted in complete set of getting the needed instruments equipment and appropriate the for

listed it promptly.

surgery.

Having a list of the number of instruments is

essential for the closure of the incision. To

make sure that there are no

instruments left in the patients

body.

Continuously evaluates patients outcomes during intra operative phase.

The

To ensure that

anesthesiologist is the patient is in the one evaluating a good condition the outcome surgery. patients and to assess if during there are any

complications during surgery. the

Monitor aseptic practices.

The nurse

circulating To avoid breaks did not in sterile

come in contact technique while with anything coordinating and

sterile during the movement surgery. They did related not move too close personnel. to the backup

table which was considered sterile. The nurse gave

packed instrument and observed the sterile technique. Perform surgical hand scrub. The scrub nurse To make sure performed surgical that there is 0 hand before washing possible arranging microorganism the

the instruments in during the sterile field. After The NOD surgery.

has This is needed

ScrubbingPrepare aseptically the sterile instruments .Performs proper draping. Assess surgeons in wearing gowns and gloves. Prepare appropriate needles and sutures. Counts all swaps, sponges, and sterile instruments. Arranges sterile instruments in expected orders for use The nurse the instruments order of use. Hands instruments to the surgeons and helps to keep an eye on the patients condition. NOD prepared

to be prepared the before the to

sterile instruments, procedure

performed proper make sure that if draping, assisted there is any

in the gowning and lacking gloving of the instruments, still it be

surgeon, prepared can the needles

necessary prepared and to and make sure that

sutures, counts all there is an initial swaps, sponges counting of for

and the rest of the instruments

sterile instruments. basis before the closure of the incision. scrub To avoid

arranged crisscrossing of sterile the hands and in accidental fall of instrument.

At the 1st half of The NOD scrub the procedure, the nurse is the one NOD scrub nurse that was the will show

one the student on the how to hand the

assisting doctor handing in

the properly

of materials and to the

instruments to the educate

surgeon. But on student on what the 2nd half, the is the name of student scrub the unknown

nurse was given instruments. the opportunity to The hand and supplies instruments should necessary how to to students know hand to

the instruments

surgeon and has the surgeon for kept an eye on the training condition patient. Listens carefully to what the The student scrub nurse was of the preparation the future. and for

surgeon is saying. carefully listening to the demands of the surgeon and complied. Counts instruments before wound closure. The NOD scrub To make the job and

nurse was the one fast

who counted the accurate and to instruments every show after closure. the

wound students on how to perform it

correctly.