Learning Module Care of the Surgical Patient(2) PDF

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Med Sure II...

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Page 1 of 3 Neumann University-Undergraduate Nursing Nursing ___306____ Topic/Content__Perioperative Nursing__ Content Hours ______2_______________

Learning Module # __4___

Learning Outcomes

The Student Will: 1. Differentiate the common settings for surgical procedures.

Total Exam Items 9-11

Essential Learning Tools (Readings, labs, simulations, assignments, projects, clinical. Alternative Instructional Equivalencies by Hour should be included as per catalog)

Perioperative Nursing-Preoperative Phase I. Caring for the pre-surgical patient A. Nursing practice standards B. Surgical categories and settings

2. Describe the purpose and components of a preoperative nursing assessment.

II.

4. Discuss the nurse’s role in the physical, psychosocial, and educational preparation of the surgical patient.

III.

5. Identify the special

Content (Major Headings Bolded)

Nursing Assessment of the Preoperative Patient. A. Subjective data 1. Psychosocial assessment 2. Past health history 3. Medications 4. Review of systems B. Objective data 1. Physical examination 2. Diagnostic studies (Table 17-5) Nursing Management of the Preoperative Patient A. Preoperative teaching 1. Principles of pre-operative teaching 2. General surgery information 3. Ambulatory surgery information B. Legal preparation for surgery C. Informed consent D. Day of surgery preparation E. Pre-operative medications (Table 17-8) 1. Benzodiazepines 2. Opioids 3. Antibiotics (Per S.C.I.P Guidelines, see p. 315) 4. Anticholinergics

Lewis, Bucher, Heitkemper, Harding. (2017). Medical-Surgical Nursing .Ch. 17 and 18 ANA Code of Ethics-Bring Code of Ethics Book to Class

Joint Commission Documents: National Patient Safety Goals, 2016 https://www.jointcommission.org/assets/1/6/20 16_NPSG_HAP_ER.pdf Surgical Care Improvement Project-Core Measures http://www.jointcommission.org/assets/1/6/Surgic al%20Care%20Improvement%20Project.pdf WHO Guidelines for Safe Surgery http://www.who.int/patientsafety/safesurgery/tool s_resources/SSSL_Checklist_finalJun08.pdf? ua=1 All above are also on Course Blackboard Sample Pre-operative Checklist-See course Blackboard

Page 2 of 3 considerations of preoperative preparation for the patient from another culture and the older adult surgical patient 6. Identify the importance of the National Patient Safety Goals and SCIP in the provision of safe and effective care

6. Identify the roles and responsibilities of the interdisciplinary surgical team.

7. Discuss the various types of anesthesia used during surgical procedures and their possible effects on the patient postoperatively.

F. Safe transportation to the operating room G. Communication between pre-op RN and surgical RN. IV. V. VI. 9-11

Culturally competent care Gerontologic considerations

Perioperative Nursing-Intraoperative Phase I. II. III.

Caring for the patient in surgery The operating environment Safety guidelines for the perioperative setting A. Surgical Care Improvement Project (SCIP) B. WHO Guidelines for Safe Surgery C. National Patient Safety Goals (NPSG)

IV.

The surgical team A. Perioperative nurses 1. Circulating role-usually an RN 2. Scrub role-LPN, technologist) B. Surgeon and assistants (RN, MD, or PA) C. Anesthesia care providers 1. Anesthesiologist (MD) 2. Nurse anesthetist (CRNA)

V.

Nursing management prior to surgery (holding area)

VI.

Nursing management of patient during surgery

VII.

Anesthesia A. General 1. Intravenous induction agents 2. Inhalation agents 3. Other meds (Table 18-7) (a) Benzodiazepines (b) Opioids (c) Skeletal muscle relaxants (d) Antiemetics

BMP (Basic Metabolic Panel)-view https://www.youtube.com/watch? v=kRqBnfMs8bM

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B. C. D. E.

8. Using the Code of Ethics as a guide, discuss the responsibility of the perioperative nurse to the sedated patient.

VIII. IX.

(e) Reversal agents Local Regional Spinal and Epidural Anesthesia Anesthesia emergencies 1. Anaphylactic reactions 2. Malignant hyperthermia

Case Study and Discussion Transfer to PACU for further care

Case Study-ANA Code of Ethics with Interpretive Statements-see Provisions. Bring booklet to class

Date Developed: Aug 5, 2013 Date of Revisions::Aug 14, Jan15, Sept 15, Jan 31,16, Jan.8, 2017, Dec., 2018 Initials of Responsible Faculty: JP...