Week 2 Perioperative Management PDF

WEEK 2 Perioperative management Andrea Zivin OFFICIAL Learning Outcomes: 1. Identify the roles and responsibilities of the registered nurse in the perioperative setting 2. Discuss the key components of a pre-operative assessment and preparation for surgery, and apply theses...

WEEK 2 Perioperative management Andrea Zivin OFFICIAL Learning Outcomes: 1. Identify the roles and responsibilities of the registered nurse in the perioperative setting 2. Discuss the key components of a pre-operative assessment and preparation for surgery, and apply theses to the person’s individual care 3. Distinguish between the various types of anaesthesia and the associated impact on post-operative nursing care 4. Develop customized post-operative care processes that are specific to the assessment requirements for a range of surgical operations. OFFICIAL  (ACORN, 2019; ACSQHC, 2023; WHO, 2009) OFFICIAL Intraoperative Nursing Roles: Anaesthetic Nursing Scrub Scout (circulating) *See table 18.1 Intraoperative activities of perioperative nurses. (Brown et.al, 2023) (Harding, 2023; Rothrock, 2019) OFFICIAL Anaesthetic nursing: (Harding, 2023; Rothrock, 2019) OFFICIAL Anaesthetic nursing Transferring the patient Assist the Anaesthetist Be knowledgeable in anaesthesia, thinking one step ahead Prepare equipment, and ensure its working Monitor patient haemodynamic status Medication administration Airway support IV cannulation & fluids Advocate and ensure patient is safe OFFICIAL Anaesthetic Nurses: Major concerns Hypoxaemia Hypotension Hypothermia Hypovolaemia Malignant Hyperthermia- rare, anaphylactic response OFFICIAL ANAESTHESIA Clear & Patent NURSING Airway Mallampati Score ASSESSMENT: Rise and fall of chest Breathing bilaterally equal depth/rate Pulses ECG monitoring (typically Circulation 3 or 5 lead) HR/BP/Sa02 (Gibbins et al., 2020; Rothrock, 2019) OFFICIAL  Knowledge in the surgery, instruments, & equipment Instrument Setup Surgical Scrub, Gown & Glove Asepsis & Sterility Positioning the patient Supporting the surgeon Coordinating patient movement Documentation Scrub/Scout: (Harding, 2023; Rothrock, 2019) OFFICIAL SCRUB/SCOUT ROLE: Knowledge in the surgery, instruments, & equipment Confirming specimens Patient safety & recognizing deterioration preparing dressings & drains Surgical Scrub, Gown & Glove monitoring for complications Asepsis & Sterility assisting with post-procedure clean-up Positioning the patient conducting count and maintaining item locations Supporting the surgeon Safety – electrical, radiation, plume/gases, sharps Coordinating patient movement Documenting OFFICIAL  Lithotomy Jackknife Lateral Prone Supine Positions: (Harding, 2023; Rothrock, 2019) Fowlers OFFICIAL  Surgical scrub Asepsis: (Rothrock, 2019) Scout opening Skin Scrub draping patient gowns & gloves prep OFFICIAL