Podcast
Questions and Answers
What should be done for menstruating patients before surgery?
What should be done for menstruating patients before surgery?
Why should contact lenses be removed before general anaesthesia?
Why should contact lenses be removed before general anaesthesia?
What is the correct method for preparing hair before surgery?
What is the correct method for preparing hair before surgery?
When should anti-embolic stockings be applied?
When should anti-embolic stockings be applied?
Signup and view all the answers
What should be done with removable prostheses before surgery?
What should be done with removable prostheses before surgery?
Signup and view all the answers
How should patient jewelry be managed before surgery?
How should patient jewelry be managed before surgery?
Signup and view all the answers
What is essential to document before the patient leaves for the operating room?
What is essential to document before the patient leaves for the operating room?
Signup and view all the answers
What should be done to encourage the patient before surgery?
What should be done to encourage the patient before surgery?
Signup and view all the answers
What should be done with a wedding ring that cannot be removed?
What should be done with a wedding ring that cannot be removed?
Signup and view all the answers
Which action is vital for patient psychological preparation before surgery?
Which action is vital for patient psychological preparation before surgery?
Signup and view all the answers
What must be verified by the operating room nurse during the identification process?
What must be verified by the operating room nurse during the identification process?
Signup and view all the answers
Which of the following is NOT a responsibility of the holding area nurse?
Which of the following is NOT a responsibility of the holding area nurse?
Signup and view all the answers
What should the nurse confirm about the patient before they leave for the operating room?
What should the nurse confirm about the patient before they leave for the operating room?
Signup and view all the answers
What is the primary purpose of site marking before surgery?
What is the primary purpose of site marking before surgery?
Signup and view all the answers
Why is it important to keep noise in the environment to a minimum in the holding area?
Why is it important to keep noise in the environment to a minimum in the holding area?
Signup and view all the answers
Which of the following actions should be avoided during the identification procedure?
Which of the following actions should be avoided during the identification procedure?
Signup and view all the answers
What should be done if a patient has advance directives?
What should be done if a patient has advance directives?
Signup and view all the answers
What is necessary for the stretcher used to transport the patient to the operating room?
What is necessary for the stretcher used to transport the patient to the operating room?
Signup and view all the answers
What is the role of the nurse regarding the patient's hair before surgery?
What is the role of the nurse regarding the patient's hair before surgery?
Signup and view all the answers
What should be verified after the patient is received in the holding area?
What should be verified after the patient is received in the holding area?
Signup and view all the answers
What is the first step when marking the surgical site?
What is the first step when marking the surgical site?
Signup and view all the answers
How should the nurse address a drowsy or disoriented patient?
How should the nurse address a drowsy or disoriented patient?
Signup and view all the answers
What should be included in the verification of the patient’s identity?
What should be included in the verification of the patient’s identity?
Signup and view all the answers
Which of the following practices must be observed while admitting the patient to the operating room?
Which of the following practices must be observed while admitting the patient to the operating room?
Signup and view all the answers
Study Notes
Pre-Operative Patient Preparation
- Hygiene: Assist patient with personal care, remove nail polish and makeup, and hair removal (depilatory creams or clippers, not shaving unless required by surgeon, done close to procedure). Document skin condition and preparation method.
- Attire: Assist patient into a clean hospital gown.
- Vital Signs and Assessment: Assess and record patient's physical and emotional status, vital signs. Report untoward signs, symptoms, and extreme apprehension to the surgeon.
- Menses: Inform circulating nurse of menstruating patients to avoid confusion with vaginal bleeding. Use sanitary pads.
- Personal Belongings: Allow family to take valuables. Secure wedding rings (tape or tie). Store ambulatory patient clothing in a locker; bag and mark all items with patient name and date. Document disposition of belongings.
- Prostheses: Remove all removable prosthetics (eyes, limbs, contact lenses, eyeglasses, dentures, bridges) for safekeeping. Dentures may be permitted during local anesthesia. Hearing aids may be allowed, and contact lenses should be removed prior to general anesthesia.
- Hair: Long hair may be braided; wigs removed or covered with a cap; remove hairpins.
- Anti-embolic Stockings: Apply for patients with varicose veins, thrombophlebitis, or history of emboli, and for some geriatric patients, and for longer procedures.
- Voiding: Encourage patients to void prior to surgery, especially for abdominal or pelvic procedures. Record time of voiding; double check that a urine specimen is not needed before discarding urine. Foley catheter insertion may be performed in OR post-anesthesia.
- Spiritual Needs: Allow for religious symbols; permit family/significant others to stay with patient until OR. Some hospitals allow parents to accompany infants/children.
- Allergies and Special Orders: Note any allergies according to institutional policy and any special orders like NG tubes, IV fluids, or antiembolic stockings; correctly identify patient, bed, and chart.
- Consent: Ensure preoperative consent form is signed, witnessed, and dated. Document any advance directives.
- Transport: Place patient on a stretcher with elevated side rails and safety restraints.
Admitting Patient to the OR
- Transport: Individual transporting patient must have patient details; stretcher must have side rails, safety belt/straps, and an infusion pole.
- Reception: Nurse greets patient in the OR receiving area; verify patient identity (address by name if conscious).
- Patient Verification: Verify patient's identity with identification bracelet or chart; verify surgical procedure, site, and surgeon with patient/family (as appropriate).
- Chart Review: Verify chart completeness, lab results, last meal/drink time, premedication given and effects.
- Informed Consent: Ensure informed consent has been obtained, consent form is signed, witnessed, and dated.
- Holding Area: Patient admitted to the holding area for observations and assessment. Nurse performs tasks (cap, warm blanket, patient verification, team notification, chart review, pre-procedure vital signs, allergy/medication history, skin tone/integrity, and physical/mental state assessments).
- Procedural Information: Inform patient about procedures. Provide privacy. Remove body hair (if ordered). Reassure and answer questions (address anxiety).
- Comfort/Environment: Adjust blanket if too warm/moisturize lips if dry. Explain any delays or unusual circumstances. Create a quiet, restful atmosphere with appropriate music/earphones. Minimize extraneous noises.
- IV Line: Ensure intravenous line is in place and functioning.
- Patient Transfer: Transfer patient to OR once prepared.
Surgical Site Verification
- Consent: Recheck consent information.
- Site Clarification: Ask patient to describe/clarify procedure and point to the site.
- Marking: Marking of the procedure site (laterality, surface, levels, digits, lesions, bilateral procedures not needing markings) in the pre-procedure area must occur before entering OR.
- Indelible Marking: Use indelible markers; do not use stickers. Eye procedures have an indelible dot; ear procedures have a mark behind the ear.
- Alternatives: For anatomically impossible marking, use coloured arm bands.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers essential procedures and guidelines for preparing a patient for surgery. It includes hygiene practices, attire requirements, vital signs assessment, and handling personal belongings. Understanding these aspects is crucial for ensuring patient safety and comfort pre-operatively.
