Explain Various Phases Involved in Perioperative Nursing Flashcards

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Phases of perioperative nursing
Preoperative
intraoperative
postoperative
Role of the perioperative nurse - preoperative phase
collect data
pt assessment
develop nursing diagnosis
develoop a care plan
Role of the perioperative nurse - intraoperative phase
implement the plan of care
document care
coordinate interventions
evaluate the interventions

Role of the perioperative nurse - post-operative phase
Evaluate nursing interventions and any modifications to POC
Identify complications
Communicate care
Scrub person
Focuses on maintaining the sterile field
assists the surgeon with instrumentation
Circulating nurse
Functions outside of the sterile field
involved in all 3 phases
patient advocate
ensures delivery of safe patient care
RNFA
Works under direct supervision of the surgeon
additional training and education required
surgical assistant
PNDS
"perioperative nursing data set"

a standardized language developed specificaly for perioperative nursing practice

permits consistent and accurate documentation

Surgical suite
Specific areas in which selected tasks are performed

OR, storage areas, ancillary support areas

4 basic designs:
1. central corridor
2. central corridor with clean core plan
3. combination central core and perihperal corridor
4. racetrack/grouping plan
3 zones - surgical sutie
Unrestricted
semirestricted
restricted
Unrestricted zone
Entrances, ancillary areas
street clothes are permitted
ancillary areas such as PACU, pre-op holding, family waiting area, blood bank, laboratory
Semirestricted zone
Peripheral support areas
storage areas
scrub sinks
access corridors

OR attire - caps, body covering required

traffic pattern should be unidirectional - clean to dirty
Restricted zone
Where surgical procedures occur (OR) and adjacent substerile areas

hair should be covered
temperature 68-73
humidity 30-60%
15 air exchanges per hour with 3 of the exchanges from outdoor air
Surgical team
Those directly involved in the procedure
surgeon
surgical assistant
anesthesia care provider
scrub personnel
circulating nurse
Surgical furniture and equipment
OR bed
ESU
suction devices
patient monitors
mayo stand
back table
ring stand
kick buckets