Level Two Operative Nursing

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  • Preoperative Nursing Care
  • Preop Diagnostic Studies p. 308 Table 17-5 Preop Teaching-p. 309 Table 17-6
  • Remember to deep breath & cough.
  • Intraoperative Nursing Care
  • Table 18-1 Intraoperative Nursing Activities p. 317 Table 18-2 Perioperative Nursing Activities p. 318
  • Postoperative Nursing Care
  • Table 19-1 Phases of Postanesthesia p. 330 p. 331 Tables 19-3 & 19-4 Assessment and Inadequate oxygenation Respiratory, Cardiovascular, Pain, Temp, GI, GU, Wounds
  • Complications with ABCs are commonly caused by obstruction, hypoxemia, and hypoventilation. 
  • Sensory, Process & Procedural. General surgery information includes respiratory strategies, pain management, equipment. Informed consent-disclosure, understanding, voluntary Lab and diagnostic results, H&P, consults, v/s, skin prep, marked surgical site by surgeon with patient agreement, void before preop drugs. SBAR report to OR.
  • Prevent complications-infection, positioning, hypothermia, surgical site prep; identify patient and procedure; room prep; monitor for anaphylactic rx & malignant hyperthermia. 
  • RNs need to monitor for the potential complications shown in Fig 19-1 on p. 332 Teamwork & Collaboration p. 334
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