Section 1: Peri-Operative
Preoperative Phase- the period of time from when the decision is made to have
surgery to when they are on the operating table.
Intraoperative Phase- the period of time that begins with the tr
...
Section 1: Peri-Operative
Preoperative Phase- the period of time from when the decision is made to have
surgery to when they are on the operating table.
Intraoperative Phase- the period of time that begins with the transfer to the OR and
continues until the patient enters the Post Operative Care Unit (PACU).
Postoperative Phase- the period of time when the patient enters the PACU to the
time the patient attends the follow-up evaluation.
Informed Consent- the patient’s autonomous decision about whether to undergo a
surgical procedure based on nature of the condition, treatment options, and risks
and benefits involved.
Timeframes for Surgeries:
I. Emergent- no delay
II. Urgent- within 24 to 30 hours
III. Required- within a few weeks to months (prohibiting daily function)
In the preoperative phase, the nurse is in charge of…
• Initiates initial preoperative assessment
• Initiates teaching appropriate to patient’s needs
• Involves family in interview
• Verifies completion of preoperative diagnostic testing
• Administering medications (specially to prevent Venous
Thromboembolism and Surgical Site Infections
• Verifies understanding of surgeon-specific preoperative orders
• Discusses, reviews advanced-directive document
• Begins discharge planning by assessing patient’s need for
postoperative transportation, care
Preoperative Assessment: the nurse gets a detailed history, physical assessment,
medication history and performs diagnostic tests.
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