Saturday, October 14, 2006

#10

10) Discuss the purpose of the pre-op checklist. Give examples of when the nurse would need to call the physician.
The overall goal of the preoperative assessment is to gather data in order to identify risk factors and plan care to ensure patient safety throughout the surgical experience. Goals of the assessment are to
1. Determine the psychologic status of the patient in order to reinforce coping strategies to undergo the proposed surgery.
2. Determine physiologic factors related and unrelated to the surgical procedure that may contribute to operative risk factors.
3. Establish baseline data for comparison in the intraoperative and postoperative period.
4. Identify prescription medications and over-the-counter drugs and herbs that have been taken by the client that may affect the surgical outcome.
5. Identify if the results of all preoperative laboratory and diagnostic tests are documented and communicated to appropriate personnel.
6. Identify cultural and ethnic factors that may affect the surgical experience.
7. Determine if the client has received adequate information from the surgeon to make an informed decision to have surgery and that the consent form is signed.
Examples: fear of death, excessive anxiety, fear of pain and discomfort
Lewis pg 361-362
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1 comment:

Kelly said...

Hi Jenn, just wanted to add my info. with yours.....
#10 Discuss the purpose of the preoperative checklist. Give examples of
when the nurse would need to call the physician.


The purpose of the preoperative checklist is to confirm that all preoperative preparations have been completed and that the signed consent for surgery is present before giving any preoperative medications. The use of a preoperative checklist ensures that no detail has been omitted.

Sample checklist is located in Kozier, pg 372 Fig. 17-1

Example of when the nurse would need to cal the physician:

 If it is clear that a competent adult patient was not fully informed on their surgical procedure and treatment options.

 If physician orders are not clear or safe for the nurse/patient.

(Lewis, pg. 361,381)

10:03 AM

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