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Peri Op

This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

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9 views

Peri Op

This document discusses perioperative nursing practice and the phases involved in surgical procedures - preoperative, intraoperative, and postoperative. It outlines the nursing activities and considerations in each phase, including preparing the patient physically and psychologically before surgery, ensuring safety and sterile technique during surgery, and monitoring vital signs and wound care after surgery. Key aspects like informed consent, classifications of surgery based on magnitude, purpose, and urgency, and physical preparation of the patient are also summarized.

Uploaded by

sofia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
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PERIOP🫀🫁🤢🤢🤢

Peri operative nursing practice- refers to the performance of nursing activities


during the pre-operative and post-operative phase of the patient’s surgical
experience

Phase Start
Pre-operative phase starts when the patient decides to undergo the procedure or
when the procedure is scheduled
Intra-operative phase starts when the palient is admilled to the OR bed until the
palient is transferred to the PACU
Post-operative phase starts when the palient is admitted to PACU until the
patient is transferred to the regular ward

Phase Nursing Activities/Consideration


Pre-operative phase Visit the potient
Interview / Informed Consent
Preparation - Physical and Psychological
Intra-operative phase Safety
Aseptic-controlled environment
Positioning
Input and output S:Traffic control in the OR ; A:Movement of personnel ( kept to a
minimum) Humidity and temp inside the OR
Post-operative phase Temperature and other vital signs
Oxygenation status
Level of Consciousness
Drainage / Dressing
Airway

Informed Consent - on agreement mode by the client to undergo a procedure provided


that the pelient is given the necessary and complete information about the
procedure before giving consent

• Information provided to the potient.


1. Nature and Magnitude of the Procedure
2. Risks and Benefits of the Procedure
3. Alternative Treatment
4. Prognosis

Who cannot give consent?


• Minors
• Unconscious
• Mentally-ill

Conditions requiring Informed Consent


• Minor and Major Procedures
• Anesthesia administration
• Radiographic exam with the use of contrast medium
• Entry to a body cavity- procedure is invasive or intrusive

Classifications of Surgery
• According to Magnitude
• According to Purpose
• According to Urgency

Surgery: According to Magnitude


• Major procedure
• Minor procedure
Characteristics of Major procedure
• High risk for morbidity and mortality
• Extensive or prolonged
• Large amount of blood loss
• Presence of complications

Surgery: According to Purpose

• Diagnostic - biopsy
• Exploratory - to assess the extent of the condition; EX: exploratory
laparotomy
• Curative - cure the condition

⁃ Ablative - removal of a body part - Ectomy


⁃ Constructive - repair of a congenital defect - Cleft palate -
Palatoplasty
⁃ Reconstructive - repair of a damaged or diseased organ - Skin graft

• Palliative - to reduce distressful signs and symptoms


⁃ Rhizotomy - common procedure under palliative; reduce the distressful
s/sx

Surgery: According to Urgency

• Optional - according to patient’s discretion - Cosmetic surgery such as


rhinoplasty, face lift, blepharoplasty
• Elective - according to availability / convenience of the patient -
Surgery for non toxic goiter
• Required - should be done within a few weeks - Surgical procedure for
cataract surgery
• Urgent - should be performed within 24-48 hours - Appendectomy
• Emergency - should be performed immediately - Ruptured Appendectomy

Physical preparation of the Client


Common anxiety associated with surgery: Fear of the unknown
1. Health Teaching - Deep Breathing and coughing exercises, splinting the
wound
Ambulate to prevent deep vein thrombosis
2. Pre-operative Checklist
3. What is to be removed and retained - nail polish, dentures, jewelry,
contact lens and retain hearing aid
4. Methods of Hair Removal
⁃ Shaving - highest risk of infection
⁃ Clipping - surgical clipper is used
⁃ Depillation - depilatory cream (Veet)

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