Adult Health Exam 1 Study Guide

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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 tha... t 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. [Show More]

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