Perioperative
the time span that includes preparation for process of recovery from surgery begins when decision is made that surgery is necessary, until patient is transferred to operating table
Preoperative
time period before the surgery
intraoperative
Begins when surgery begins until transferred to the recovery room PACU
Postoperative
From recovery room until recovered from surgery depends on surgery and how invasive PACU
Ablative
removal of a diseased organ or structure
Diagnostic
removal and examination of tissue
Constructive
repair a congenitally malformed organ or tissue
Reconstructive
repair or restoration of an organ or structure
Pallitive
relief of pain, the interruption of the nerve root between the ganglion and the spinal cord,
transplant
transfer an organ or tissue from one body part to another or from one person to another to replace a diseased structure, to restore function, or to change appearance
Classification of surgery
Emergent
patient requires immediate attention, life threatening condition
WITHOUT DELAY
Classification of surgery
Urgent/Imperative
patient requires prompt attention
WITHIN 24 HOURS TO 30 HOURS
Classification of surgery
Required
patient needs to have surgery
PLAN WITHIN A FEW WEEKS OR MONTHS
Classification of surgery
Elective
patient should have surgery
FAILURE TO HAVE SURGERY NOT CATASTROPHIC
Classification of surgery
Optional
patients decision
PERSONAL PREFRENCE
Diagnostic Procedures needed BEFORE surgery
CBC(complete blood count) PT(prothrombin), UA(urinalysis), ECG(electrocardiogram-same as EKG)
Skin prep for surgery
surgical bath with hibiclens
Bowel prep for surgery
Enema, antibiotics
Pre op medication may consist of what
• Sedative
• Anticholinergic (dry secretions)
•
Antiemetic
• Antibiotic
Patient need to do what before administering pre op medications?
Void
Side effects of pre op medications will be what?
drowsiness and extreme dry mouth
Intraoperative
Circulating nurse
prepares necessary equipment, arranges sterile and nonsterile supplies, performs appropriate assessments, counts sponges, needles, and equipment after surgery
Intraoperative
Scrub Nurse
checks to make sure equipment is functioning properly, counts with circulating nurse, observes progress of the surgical procedure, , hands surgeon instruments and needed supplies during surgery, Identifies and handles surgical specimens correctly, maintains count of supplies so none are misplaced in the wound
A patient will remain NPO after surgery until?
Gag reflex returns
Postoperative care
What is your main goal?
Maintain airway, make sure its good and open
Meds to hold before surgery:
• Anticoagulants- blood thinner
• NSAIDs
•
Insulin/orals
• Steroids Delay healing
• Laxatives