Pre-op, intra-op, and post-op nursing care priorities, including surgical safety checklist concepts.
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- What are the three phases of surgical care?
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Preoperative, intraoperative, and postoperative.- What is the main purpose of a preoperative checklist?
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To verify the patient is physically and legally ready for surgery.- Who is responsible for obtaining informed consent for a surgical procedure?
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The surgeon.- What is the nurse's role in the informed consent process?
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Witnessing the patient's signature and confirming the patient understands the procedure.- What should a nurse do if a preoperative patient cannot explain the procedure they signed a consent for?
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Notify the surgeon before the patient goes to the operating room.- Why is a patient kept NPO before surgery?
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To reduce the risk of aspiration during anesthesia.- What preoperative teaching helps prevent postoperative atelectasis?
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Coughing and deep breathing exercises.- What is the purpose of an incentive spirometer after surgery?
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To promote deep lung expansion and prevent atelectasis.- Why are anti-embolism stockings or sequential compression devices applied before surgery?
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To help prevent deep vein thrombosis.- Why is jewelry and metal removed before surgery?
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To prevent burns and interference with surgical equipment.- Who marks the surgical site before an operation?
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The surgeon or provider performing the procedure.- What are the three components of the Universal Protocol for surgical safety?
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Pre-procedure verification, site marking, and a time out.- When is the surgical time out performed?
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Immediately before the procedure begins, in the operating room.- What is confirmed during a surgical time out?
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Correct patient, correct procedure, and correct surgical site.- What preoperative history finding raises concern for malignant hyperthermia risk?
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A family history of adverse reactions to anesthesia.
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