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    Anuj Misra
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    Surgical nursing involves providing care to patients undergoing surgical procedures. It includes three main phases - preoperative, intraoperative, and postoperative care. In the preoperative phase, nurses prepare patients for surgery through assessments, counseling, education and following preoperative checklists. During surgery, nurses play various roles like scrub nurse and circulating nurse. In the postoperative phase, nurses closely monitor patients' vital signs and watch for complications, while providing pain management and psychological support. Surgical nursing requires critical thinking, teamwork, and adherence to standards to advocate for patient safety throughout the surgical experience.

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    Surgical nursing involves providing care to patients undergoing surgical procedures. It includes three main phases - preoperative, intraoperative, and postoperative care. In the preoperative phase, nurses prepare patients for surgery through assessments, counseling, education and following preoperative checklists. During surgery, nurses play various roles like scrub nurse and circulating nurse. In the postoperative phase, nurses closely monitor patients' vital signs and watch for complications, while providing pain management and psychological support. Surgical nursing requires critical thinking, teamwork, and adherence to standards to advocate for patient safety throughout the surgical experience.

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    Download as PDF, TXT or read online from Scribd
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    705 views26 pages

    Surgical Nursing Final PDF

    Uploaded by

    Anuj Misra
    Surgical nursing involves providing care to patients undergoing surgical procedures. It includes three main phases - preoperative, intraoperative, and postoperative care. In the preoperative phase, nurses prepare patients for surgery through assessments, counseling, education and following preoperative checklists. During surgery, nurses play various roles like scrub nurse and circulating nurse. In the postoperative phase, nurses closely monitor patients' vital signs and watch for complications, while providing pain management and psychological support. Surgical nursing requires critical thinking, teamwork, and adherence to standards to advocate for patient safety throughout the surgical experience.

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    of 26

    NURSING : A SURGICAL PERSPECTIVE

    DR. ANUJ MISRA MBBS, MS (Gen. Surg.), FIAGES

    WHAT IS SURGICAL NURSING ?


    Nursing care of patients whose conditions or disorders are treated surgically Blends technical and behavioral aspects of care (science and caring) Involves critical thinking to anticipate patient needs and work with team to rapidly initiate appropriate interventions to promote patient advocacy and safety Guided by professional standards and ethics

    WHAT IS SURGICAL NURSING ?

    Different needs Psycological Medical/ Surgical

    WHAT IS SURGICAL NURSING ?


    Operative Classifications: Diagnostic Curative Reparative Reconstructive/ cosmetic Palliative Operative Categories:

    Emergent Urgent Elective

    WHAT IS SURGICAL NURSING ? Perioperative Phases : Pre-operative Intra-operative Post-operative

    PREOPERATIVE PERIOD Objectives: Access patients health status preoperatively Identify specific patient needs Teach and counsel

    PREOPERATIVE PERIOD How we do it ? Standard preop checklist Follow preop instructions Psychological support

    PREOPERATIVE PERIOD PREOPERATIVE CHECKLIST:


    1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Name, Age/Sex,CR No/ HI No, Diagnosis, Proposed surgery, Site/Side verification Vitals -Pulse rate/ BP, ht/wt Check/ order investigations- Blood/ECG/CXR Co morbidities DM/ TB/ HTN/ CAD/ hypo/ hyperthyroidism Allergies Drugs/ food Regular Medications AHA/ ADA/ Blood thinners Informed Valid Consent NPO status/ inquire about time of last meal/ liquid intake Proper attire hospital gown Skin prep/ part preperation (contd.) General

    PREOPERATIVE PERIOD PREOPERATIVE CHECKLIST: (contd.)


    8. 9. 10. 11. 12. Start IV drip if ordered Remove dentures/plates/jewelary/contact lenses Allow patient to void Special prep bowel prep/ cathaterisation, etc. Premedications antibiotics sedatives/anxiolytics antacids others SHIFT TO OT ON CALL PROPER HANDOVER TO OT NURSE

    INTRAOPERATIVE PERIOD

    INTRAOPERATIVE PERIOD
    ROLES : 1. 2. SCRUB NURSE help surgeon with ( or OT TECHNITIAN) instruments CIRCULATING NURSE setting up OT instrument availability supplies/ counts maintain asepsis patient transfer- in/out Registered Anesthesia Nurse/ Assistant

    3.

    INTRAOPERATIVE PERIOD

    TIME OUT

    POSTOPERATIVE PERIOD
    3 STAGES : IMMEDIATE STAGE : 0 4 hrs INTERMEDIATE STAGE : 4 24 hrs EXTENDED STAGE : 1 4 Days

    POSTOPERATIVE PERIOD
    OBJECTIVES : 1. 2. 3. 4. Vitals assessment Pain relief Look out for expected complications Psychological care anxiety, etc.

    POSTOPERATIVE PERIOD
    Assessments and Interventions : 1. Vital signs 2. Continuous Pulse ox 3. Color and temperature of skin 4. Level of consciousness 5. Intravenous fluids 6. Surgical site management dressing etc. 7. Position and safety 8. Fluid intake, output 9. NPO until bowel sounds return

    POSTOPERATIVE PERIOD
    Common Post-operative Complications : Pain Hypovolemic Shock/ Fluid Overload Airway Obstruction Pulmonary embolus Atelectasis Pneumonia Thrombophlebitis-DVT Surgical site infection (SSI)

    WHAT IS SURGICAL NURSING ?

    MOMENTS OF HAND HYGIENE

    WHAT IS SURGICAL NURSING ?

    WHAT IS SURGICAL NURSING ?

    WHAT IS SURGICAL NURSING ?


    UNIVERSAL PRECAUTIONS: practice, in medicine, of avoiding contact with patients' body fluids BODY FLUIDS : Blood Semen/ vaginal secretions Synovial fluid/ CSF Pleural/ peritoneal/ pericardial fluid wearing gloves when collecting or handling blood and body fluids contaminated with blood, wearing face shields when there is danger of blood splashing on mucous membranes and disposing of all needles and sharp objects in punctureresistant containers (SEGREGATION OF MEDICAL WASTE).

    WHAT IS SURGICAL NURSING ?

    Behavior :
    Keep yourself calm Smile please ! Keep patient / attendants informed

    WHAT IS SURGICAL NURSING ?

    WHEN IN DOUBT, ASK !!

    PLEASE DONT !!

    WHAT IS SURGICAL NURSING ?

    THERE IS NO EXCUSE FOR NOT PROVIDING STANDARD PATIENT CARE

    THANK YOU AND GOD BLESS YOU

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