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