Front | Back |
Phases of perioperative nursing
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Preoperative
intraoperative postoperative |
Role of the perioperative nurse - preoperative phase
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collect data
pt assessment develop nursing diagnosis develoop a care plan |
Role of the perioperative nurse - intraoperative phase
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implement the plan of care
document care coordinate interventions evaluate the interventions |
Role of the perioperative nurse - post-operative phase
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Evaluate nursing interventions and any modifications to POC
Identify complications Communicate care |
Scrub person
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Focuses on maintaining the sterile field
assists the surgeon with instrumentation |
Circulating nurse
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Functions outside of the sterile field
involved in all 3 phases patient advocate ensures delivery of safe patient care |
RNFA
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Works under direct supervision of the surgeon
additional training and education required surgical assistant |
PNDS
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"perioperative nursing data set"
a standardized language developed specificaly for perioperative nursing practice permits consistent and accurate documentation |
Surgical suite
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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
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Unrestricted
semirestricted restricted |
Unrestricted zone
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Entrances, ancillary areas
street clothes are permitted ancillary areas such as PACU, pre-op holding, family waiting area, blood bank, laboratory |
Semirestricted zone
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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
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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
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Those directly involved in the procedure
surgeon surgical assistant anesthesia care provider scrub personnel circulating nurse |
Surgical furniture and equipment
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OR bed
ESU suction devices patient monitors mayo stand back table ring stand kick buckets |