Perioperative Nursing Essay

1183 words - 5 pages ✓ Expert Reviewed
VIEW DOCUMENT
Preview

The nurse in preoperative care is responsible for the patient's initial interview and examination. This nurse needs to elicit information that is important and will be used throughout the entire operative experience. According to Taylor (1997), the assessment "includes a nursing history and physical to establish baseline data, identify risk factors, and determine teaching and psychosocial needs of the client and the client's family."� The health history can be broken up into developmental considerations, medical history, medications, previous surgical experiences and perceptions and knowledge of the current surgery. Some lifestyle patterns that should also be included are nutrition, use of alcohol, drugs, and nicotine, activities of daily living, and occupation.The patient must undergo certain screening tests that give the healthcare team data to provide a higher level of care. Taylor (1997) states, "usual screening tests include chest x-ray, electrocardiography, complete blood count, measurement of electrolyte levels, and urinalysis."� Physiologic values that are significant include an elevated white blood cell count that may indicate infection, a decreased hematocrit and/or hemoglobin, hypo/hyper kalemia, and an increased BUN or creatinine.Postoperative teaching is also begun in the preoperative phase. The nurse must use their assessment to determine what are the teaching needs of the patient and their family. Once these have been identified, the nurse can explain to the patient what to expect and methods in which to deal with such stressors. By teaching before the surgery, it allows the patient time to practice different activities, and to figure out how they are going to rearrange their lifestyle. Some of the aspect the nurse teaches, according to Taylor (1997) include: surgical events and sensations, pain management, and physical activities, including deep breathing, coughing, incentive spirometry, leg exercises, and turning in bed. The patient and family must be instructed on what they need to do in the days prior to surgery and directions on where to go, how to dress, what to bring, and who to bring with them.The preoperative nurse is responsible for many tasks on the day of surgery. The nurse must maintain NPO status, and prepare the patient. Allergies, vital signs, informed consent, and identification band must all be complete. The patient may need to have their skin prepared, and should empty their bladder. All makeup, nail polish, and jewelry should be removed, as well as dentures and hearing aids. The patient can then be medicated and transferred to the operating room.Leadership, advocacy, and safety are the biggest concerns of the intraoperative nurse. The circulating nurse oversees the entire operation, including giving psychological support to reduce anxiety for the patient, positioning of the patient,...

Find Another Essay On Perioperative Nursing

Reflective Journal - A Nurse's Duty in the Surgical Ward

1043 words - 4 pages PART C: REFLECTIVE JOURNAL AND EVALUATION OF CLINICAL EXPERIENCE Aseptic Technique Although the importance of aseptic technique has been continually reiterated, I have realised its substantial role in the perioperative environment. Aseptic technique refers to the practice of creating and maintaining a sterile environment used for sterile procedures (Laws, 2010a). This is incredibly important as repetitive minor breaches of the sterile...

The Nurses Role In The Placement Of The Patient Perioperatively Under Basic Anaesthetic.

1703 words - 7 pages "Careful patient positioning is an art and a science that affects patient safety and outcomes" (Gruendemann and Fernsebner 1995, p.388). This statement could not be truer but in the age of advancing medicine and technology basic nursing skills such as perioperative patient positioning are gaining more emphasis from nurses as the medical profession disregards their importance. In this dissertation, the author will re-emphasise the significance...

Critiquing A Quantitative Study

1840 words - 7 pages ambulatory settings the nursing profession needs to be aware of the benefits of pre-warming the patient prior to surgical procedures. Since I have been an operative nurse for over twenty five years I believe that perioperative nursing needs to understand the importance of maintaining normothermia even for short procedures and should advocate warming patients who are cold before surgery (British Journal of Anesthesia, 2009). An efficient and cost...

Identify The Stages Regarding The Nursing Process And The Abilities Necessary To The Nursing Process

1952 words - 8 pages . Farrell, A., Riley, K., Wheeler, S., and McLean, S. 2011. Application of Critical Thinking. Journal of Renal Nursing. 3(6), 273-278. Goldenberg, S. 2011. Critical Thinking for Medical Assistants. AMT Events. 2011(March), 22-25. Huckabay, L. 2009. Clinical Reasoned Judgement and the Nursing Process. Journal Compilation. 44(2), 72-78. Junttila, J., Hupli, M., Salateva, S. 2010. The use of Nursing Diagnoses in Perioperative Documentation. International...

Making Use Of Evidence To Support Professional Training And Policy

925 words - 4 pages . The first article, van Gennip et al.(2013) I attained from the International journal of nursing studies. I first attempted to gather evidence from ODP specific journals such as the Journal of Perioperative Practice, using search terms such as; compassion and dignity. There were numerous results; however there were no appropriate results with a study and a method section. I wanted to expand my search area so I specifically used the search terms...

Transcultural Nursing

4399 words - 18 pages pioneer. Journal of Perioperative Practice. [Online] 18 (9), pp. 404-406. Available from: http://ezproxy.napier.ac.uk:2083/ehost/pdfviewer/pdfviewer?sid=965b1f56-f54c-4a4c-a8bd-1905cb576d1b%40sessionmgr10&vid=1&hid=18 [accessed 18th February 2011]. Funnell, R., Koutoukidis, G., & Lawrence, K., (2009). Tabbner's Nursing Care: Theory and Practice. (5th ed). Chatswood, N.S.W.: Elsevier Australia. Giger, J., N., & Davidhizar, R., E., (2008...

Critical Thinking And Evidence-Based Practice

1838 words - 7 pages and care. Concept maps are also very helpful for nursing students during their learning process because “the strategy of concept mapping helped improve cognitive abilities and organizational skills – two very important skill sets needed to be an efficient and effective perioperative nurse” (Noonan, 2011). Concept maps can also be used as tools for hospital or facility orientations to demonstrate to the new recruits the rules and layout of the...

Transitioning From Nursing Student To New Graduate Nurse (NGN)

1625 words - 7 pages Transitioning from academic nursing student to Registered Nurse/New Graduate Nurse (NGN) within the healthcare environment is a challenging task for many NGNs. They may encounter a number of challenges, such as the following: transition shock, professional isolation, lack of clinical experience, stress, lack of a support network and cultural incompetence. At the end, this essay will discuss the rationale for developing my two most important...

Collaboration For Change.

1575 words - 6 pages include: Aseptic Technique, Safe ESU use, Anesthesia Care, and Procedure Counts.Practical Education: OB staff will observe and learn the techniques for perioperative care in the main OR during GYN procedures. Laura Phillippi will assist with all non-call C-Section with a participating OB nurse. The on-call staff will continue. If possible the...

Sickle Cell Patient Treatment

1397 words - 6 pages . Eventually the method of care for patients falls solely on doctors and whether they view qualitative results over quantitative depends on the care sickle cell patients receive. Work Cited ED Nursing.2010 Dec. Sickle cell patients need better pain relief. ED Nursing. Academic One File [Internet]. [cited 2011 Jan 22]. Available from: http://find.galegroup.com/gtx/retrieve Firth Paul. 2010. A survey of perioperative management of sickle cell...

Katharine Kolcaba's Theory Of Comfort

4029 words - 16 pages nursing and perioperative areas. Application in Research      In the first decade of its existence, the theory has stood up to initial empirical testing. It has been shown in studies that, once the nurse or caretaker initiates a comfort measure (intervention) to meet the holistic comfort of the patient, the patient?s comfort is increased over a previous baseline measurement. Presently, Kolcaba is creating ways to test the last part of her...

Other Perioperative Nursing Essays

Ethical, Professional And Appropriate Issues Influencing Theatre Professionals

3896 words - 16 pages Essay title - Critically analyze ethical, professional and legal issues influencing theatre practitionersIntroductionNow-a-days nursing has developed its all functional activities in accordance with technological, political or socio-economical rapid change. ...

Perioperative Medical ANALYSE THE EFFECT OF THE NEW PERIOPERATIVE NURSE SURGEON ASSISTANT ROLE WITHIN MY PRACTICE

3240 words - 13 pages INTRODUCTIONThroughout this assignment I will analyse the impact of the Perioperative Nurse Surgeon Assistant (PNSA) role at MercyAscot hospital where I am currently employed. I will discuss any foreseeable problems, and the support given by the hospital. The position...

Patient Advocacy: Concept Analysis

1820 words - 7 pages Rogers (2000) believes that concept analysis is the foundation for expanding nursing knowledge and developing nursing theory. The concept of patient advocacy has been referenced and studied in many articles because the definitions and principles of advocacy been loosely defined, leading to ambiguous interpretations (Bennett, 1999). The perioperative nurse's role as a patient advocate has been described as: to inform patients of their rights in a...

A Career In Surgical Nursing Essay

1731 words - 7 pages Bureau of Labor Statistics projects there will be about 3.5 million job opportunities. Typically, in a hospital setting there is a high turnover so the demand for registered nurses is great. However, operating room nurses are more likely to continue in this specialty versus pursuing a different type of nursing because it takes more time to become skilled, according to the Association of perioperative Registered Nurses ("Perioperative certification...