Presentation on theme: "Pre-operative Assessment and Intra operative Nursing Role"— Presentation transcript:
1 Pre-operative Assessment and Intra operative Nursing Role Presented by :Sana’a AL-SulamiTeacher assistantNursing department
2 Outline Deine the peri-operative period and the phases. caring for peri-operative clients ( pre – intra – post operative )Pre-operative patient assessment.Duties of the Nurses in OR:Reception NurseAnesthetic NurseCirculating NurseScrub NurseDiscuss immediate and later postoperative care.postoperative complications
3 ( pre – intra – post – operative ) Objectives:At the end of this lab, the student must be able to:1.Define peri-operative care and the phases.2.Caring for peri-operative clients.( pre – intra – post – operative )3.Identify the preoperative assessments.Discuss Duties of the Nurses in OR:Reception NurseAnesthetic NurseCirculating NurseScrub Nurse4. Discuss immediate and later postoperative care.5.Identify the postoperative complications
4 Phases of peri-operative care: Intra-operative phase. is a term used to describe the entire span of surgery, including what occurs before, during, and after the actual operation.Phases of peri-operative care:Pre-operative phase.Intra-operative phase.Post-operative phase.
5 Caring for peri-operative clients: 1. pre-operative phase:Assessment.Pre-operative medication.IV Solution.Pre-operative preparation.Chart.Signature of the nurse and other personnel involved with preparing the client for surgeryTransporting the client to the OR.
8 2.Intr – operative phase Reception Nurse Identified patient by asking him to say his name and checks and corresponds with his record and reporting list.Reassures patients , creates quiet , calm atmosphere to decrease patient apprehensiveness .Checks the preoperative assessment
9 Pre-operative Assessment: Review preoperative laboratory and diagnostic studies.Review the client’s health history and preparation for surgery.History of present illness and reason for surgery.Past medical history.Assess the physical needs.Assess the psychological needs.Assess the culture needs.
10 Reception Nurse4. Confirms that the patient has signed the operating consent.5. Checks the time of administrative order premedication and any adverse reaction is reported to anesthetist.6. Uses the check list to complete the preparation for anesthesia and surgery.7. Transfer patient to the anesthetic room.
11 Anesthetic NursePrepares safe environment for induction of anesthesia.Checks suction apparatus , gassupply , gas cylinder machine to bewell prepared for use.Checks O2 supply and emergency tray in position.Checks and records all drugs required by the anesthetist .
12 Anesthetic NurseArranges for the scrub nurse to see the signed consent.Prepares inhalation trolleyAssist in the transfer patient torecovery roomCleans used equipment
13 Circulating NurseManaging the nursing care of the patient and coordinating the needs of surgical team members for each procedure, using critical thinking skills.Observes the procedure from a broad perspective and helps team members create.Assess the patient’s condition before, during, and after the procedure.
14 Circulating Nurse4. Maintains a safe care environment.5. Manages equipment use and delegates / directs care provided by OR technicians.6. Performs the role of scrub nurse when necessary.7. Is responsible for directing and coordinating all nursing care based on established clinical nursing practices .8. Continuously evaluates patients outcomes during intra operative phase.
15 Scrub Nurse Before scrubbing: After scrubbing: Assists circulating nurse inpreparation of operation theater.After scrubbing:Prepare the sterile instruments .Performs proper draping.Assess surgeons in wearing gowns and gloves.Prepare appropriate needles and sutures.Counts all swaps, sponges, and sterile instruments.
16 Scrub Nurse3. Arranges sterile instruments in expected orders for use. 4. Hands instruments to the surgeons and helps to keep an eye on the patients condition. 5. Listens carefully to what the surgeon is saying. 6. Counts instruments before wound closure.
17 Immediate post operative period: Post operative care:Immediate post operative period:Initial assessment:Airway patencyEffectiveness of respirationPresence of artificial airwaysMechanical ventilation, or supplemental oxygenCirculatory status, vital signsWound condition, including dressings and drainsFluid balance, including IV fluids, output from catheters and drains and ability to voidLevel of consciousness and pain
18 Later post operative period: Post operative careLater post operative period:Ongoing assessment:Respiratory functionGeneral conditionVital signsCardiovascular functionFluid statusPain levelBowel and urinary eliminationDressings, tubes, drains, and IV lines
19 Nurse’s roles in the post-operative phase: Ensures a patent airwayHelps maintain adequate circulationPrevents or assist with the treatment of shackMaintains proper position and function of drain tubes and IV infusionMonitor for potential complications
20 Post operative complication: HemorrhageShockHypoxiaAspiration