Chapter 33. Care of the Surgical Patient. Fundamentals of Nursing Care Concepts, Connections, & Skills, Second Edition
|
|
- Cecily Bishop
- 5 years ago
- Views:
Transcription
1 Chapter 33 Care of the Surgical Patient Modified 2016 by T. Collins, MSN CMSRN
2 Purposes of Surgery Curative: Treats disease or injury Corrective: Repairs an anatomical or a congenital defect Cosmetic: Improves physical appearance Exploratory: Provides further data/diagnosis Palliative: Alleviates symptoms and provides comfort
3 Degree of Urgency Elective: Voluntary and scheduled a week or more in advance Urgent: Performed within 24 hours of diagnosis to prevent complications Emergency: Cannot be delayed Salvage: Cardiopulmonary resuscitation is in progress or the patient s life or limb is threatened
4 Multiple Choice Question A nurse schedules surgery to remove a sebaceous cyst from a patient s leg. This surgery is classified as which of the following? A. Elective B. Urgent C. Emergency D. Salvage
5 Answer A. Elective Rationale: Elective surgery is any surgery that is voluntary and scheduled a week or more in advance. Elective surgery includes those surgeries intended to improve a patient s quality of life, either physically or psychologically. The surgery may be medically necessary, such as a cyst removal, or may be patient-desired, such as breast augmentation.
6 Various Surgical Settings Outpatient Stand-alone surgery center Medical office Hospital outpatient surgery department Inpatient Hospital-based surgery
7 Preoperative Care of the Surgical Patient Components of the Pre-surgical Assessment Patient history Review of all body systems Physical exam Laboratory testing
8 Preoperative Diagnostic Testing A minimum of: CBC, UA, EKG Commonly done: Bleeding indicators: PT, INR, aptt Nutritional status: prealbumin, albumin, transferrin, total protein Glucose, electrolytes, BUN, creatinine, GFR, bilirubin, SGOT, SGTP, amylase, alkaline phosphatase, uric acid, cholesterol Radiology: CXR
9 Preoperative Patient Teaching When should preop teaching beginning? Provides a smoother, shorter recovery period Decreases anxiety, increases compliance TCDB exercises Incentive spirometry Leg/feet exercises SCDs, TED hose Pain and nausea relief measures Medications
10 Preoperative Medications Purposes: Relief of apprehension and anxiety Sedation Analgesia Amnesia Decrease of anesthetic requirements Decrease of gastric volume and acidity Prevention of nausea and vomiting
11 Purposes of Preoperative Medications (cont.) Dry secretions and prevent aspiration Prevent bradycardia Facilitate induction Decrease risk of allergic reaction Decrease stress of parental separation Prevent infection Prevent clot formation
12 Physician Informed Consent Explain procedure, available alternatives, and risks of the procedure and anesthesia Nurse Make sure the consent form lists correct surgical procedure and is signed by the patient and the physician Answer patient questions and concerns
13 Preoperative Checklist Provides confirmation that all pre-op tasks have been completed and that the patient is ready for surgery Usually placed on front of chart for OR staff convenience Also provides documentation Confirms the presence of Consent, Hx & Px, and lab results in chart AND ID band, prep, NPO status, location of prosthetics, allergies, and pre-op VS and meds.
14 Intraoperative Care of Surgical Patient Surgical Team Members: Anesthesia provider Surgeon First surgical assistant Circulating nurse Scrub nurse
15 Multiple Choice Question Which of the following is the scrub nurse s main task? A. Coordinating the surgical team B. Providing and maintaining a sterile field C. Being the primary patient advocate D. Sustaining the patient s life
16 Answer B. Providing and maintaining a sterile field Rationale: It is the scrub nurse s job to set up the sterile field immediately prior to beginning the procedure. It is also the scrub nurse s responsibility to see that field sterility is maintained while she actively assists the surgeons working within the sterile field during surgery.
17 Types of Anesthesia General anesthesia: The patient is totally unconscious; must be intubated Conscious sedation: The patient is asleep but not totally unconscious; can breath on his own Regional anesthesia: Specific nerves and the region innervated by the nerves are blocked from sensory perception Local anesthesia: A very small area of tissue is blocked from sensory perception
18 Basis for the Selection of Anesthesia Type Type of surgery to be performed Length of time the surgery will take Patient s preexisting medical conditions Any reactions to previous anesthesia Preference of the surgeon and the anesthesia provider
19 Intraoperative Interventions Intubation and suctioning Miscellaneous interventions and equipment Positioning patient Surgical shave Surgical scrub Draping the patient Tissue specimens Needle, sponge, and instrument counts Final intraoperative interventions
20 Intubation Intubation vs Extubation Insertion of an endotracheal tube into the patient s trachea to maintain an open airway and ventilate the patient Used to deliver inhaled anesthesia Extubation Removal of the endotracheal tube
21 Surgical Procedures Suffixes/Words: ectomy: to remove otomy: to cut or separate ostomy: to create an opening ablation: to remove from transplant: to uproot and replant
22 Postoperative Care of the Surgical Patient 1. Maintain airway and gas exchange: R, SpO 2, and breath sounds; assess skin color; provide suction PRN 2. Monitor cardiac function: BP, AP, peripheral pulses, skin temp 3. VS every 5-15 minutes as determined by condition 4. Monitor level of responsiveness 5. Monitor surgical site and drains
23 Postoperative Care of the Surgical Patient (cont.) 6. Administer IV fluids 7. Equipment: telemetry, O 2, Foley catheter, NG, PCA, etc. 8. Assess and medicate pain, nausea, and other discomforts 9. Safety interventions 10. Documentation
24 Return to the Patient s Room Room Preparation: Must be ready before the patient returns from recovery! Make the post-surgical bed Arrange furniture to accommodate the gurney Provide the following: Suction supplies O 2 supplies, IV pole, and pump VS equipment, penlight Emesis basin/bag
25 Preparation of the Hospital Room (cont.) Washcloths/towels/clean gown Blankets and extra pillows for positioning Mouth care supplies, lip lubricant, tissues TEDs, SCDs Ice chips, if allowed Bedpan and calibrated measuring device to measure urine Pen and paper for notes
26 Initial Post-Op Assessment First Priority: Open airway and gas exchange, respirations, skin color, SpO 2, apply O 2 if needed Second Priority: LOC, BP, and radial pulse; auscultate breath sounds, AP, and bowel sounds; assess pupils and peripheral pulses Surgical Site: Assess bleeding and drainage; assess for abd distention
27 Post-Op Assessment Priorities (con t.) IV fluids Foley or assess for bladder distention Assess for pain, nausea, and discomforts Safety interventions Documentation Physician s orders Then assess VS according to the patient s condition and the facility s policy for frequency
28 Postoperative Problems and Complications Respiratory: Airway obstruction, hypoxemia, hypoventilation, atelectasis, pulmonary embolism, pneumonia Cardiovascular: Tachycardia and other arrhythmias, BP, BP, decreased cardiac output, DVT Hemorrhage Gastrointestinal: N/V, paralytic ileus
29 Postoperative Problems and Complications (cont.) Hypothermia or fever Pain and discomfort Urinary retention Wound infection
30 Wound Infections Approximation Edges of the surgical incision meet and are aligned with each other Dehiscence Separation of the wound edge Seen in approximately 2% of all midline abdominal incisions Associated with 15% to 40% mortality Caused by infection
31 Information in the Connection Features Clinical Connection Knowledge Laboratory and Diagnostic Patient Teaching Real World Supervision/Delegation Post Conference
32 Information in the Safety Features Why are the particular safety features so important that they are highlighted as safety issues? What could happen if those safety guidelines are not followed?
33 Information in the Skills Procedures Review the steps of each of the skills procedures. Make sure you understand why the steps are important. What could happen if each of the steps are not followed or are followed out of order?
Surgical Technology Patient Care Skills Preop Routine Objectives:
Surgical Technology 8-Jul-09 Patient Care Skills Preop Routine Objectives: 1) Discuss why preop preparation of the patient is important a) Preparing the patient decreases impact and potential risks of
More informationZ: Perioperative Nursing Specialty
Z: Perioperative Nursing Specialty Alberta Licensed Practical Nurses Competency Profile 263 Major Competency Area: Z Perioperative Nursing Specialty Priority: One Competency: Z-1 HPA Authorizations and
More informationBeth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3)
Beth Israel Deaconess Medical Center Department of Anesthesia, Critical Care, and Pain Medicine Rotation: Post Anesthesia Care Unit (CA-1, CA-2, CA-3) Goals GOALS AND OBJECTIVES To analyze and interpret
More informationFamily Medicine Residency Surgery Rotation
Family Medicine Residency Surgery Rotation Rotation Goal The overall goal for the educational experience provided in the areas of general surgery, trauma surgery, office orthopedic surgery and sports medicine,
More informationUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL ANESTHESIOLOGY RESIDENCY PROGRAM GOALS AND OBJECTIVES CA-2/CA-3 REQUIRED ROTATIONS IN PEDIATRIC ANESTHESIOLOGY The Department of Anesthesiology has established
More informationSurgical Residency Curriculum
Community Memorial Hospital Surgical Residency Curriculum Program Director: G. W. Iwasiuk MD FACS 2016 Educational Goals & Objectives Surgeons provide continuing care for patients with a myriad of surgical
More informationReturned Missionary Study Guide
Returned Missionary Study Guide Skills to Refresh if Returning to Capstone: 1st Semester skills Head to Toe Assessment (Need to be able to document each of these.) o Vital Signs BP Pulse Respirations Temperature
More informationN: Emergency Nursing. Alberta Licensed Practical Nurses Competency Profile 135
N: Emergency Nursing Alberta Licensed Practical Nurses Competency Profile 135 Competency: N-1 Multi-Systems Assessment N-1-1 N-1-2 N-1-3 N-1-4 Demonstrate knowledge and ability to apply critical thinking
More informationSubacute Care. 1. Define important words in the chapter. 2. Discuss the types of residents who are in a subacute setting
175 26 Subacute Care 1. Define important words in this chapter 2. Discuss the types of residents who are in a subacute setting 3. List care guidelines for pulse oximetry 4. Describe telemetry and list
More informationYour Anesthesiologist, Anesthesia and Pain Control
You can reduce your pain level after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in
More informationSurgical Weight Loss at Eastern Maine Medical Center Your Inpatient Nursing Stay
Surgical Weight Loss at Eastern Maine Medical Center Your Inpatient Nursing Stay Dear Prospective Patient: I have recently been informed that you are considering weight loss surgery at EMMC. As you know
More informationG: Surgical. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67
G: Surgical College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 67 Major Competency Area: G Surgical Competency: G-1 Surgical Nursing Date: June 1, 2015 G-1-1 G-1-2 G-1-3
More informationPerioperative Care in Obstetrics
Perioperative Care in Obstetrics Bernadette M. Balestrieri-Martinez MSN, RNC-OB, C-CNS, C-EFM Adapted from Southwest Washington Perinatal Education Consortium Author: Daren Sachet, RNC, BSN, MPA Objectives
More informationLiver Resection. Why do I need a liver resection? This procedure is done for many reasons. Talk to your doctor about why you are having this surgery.
Liver Resection What is a liver resection? This is a surgical procedure where the surgeon removes part of the liver. It is done under general anesthetic which means you sleep during the procedure. Why
More informationCourse Outline and Assignments
Course Outline and Assignments WEEK ONE 10-16-12 Instructional In Class-Learning to be completed prior to class 10-17-12 Total Hours Assessment 1. proper hand washing techniques 2. donning and removing
More informationLINEE GUIDA PER INFERMIERI PER LA CHIRURGIA AMBULATORIALE NEGLI STATI UNITI
LINEE GUIDA PER INFERMIERI PER LA CHIRURGIA AMBULATORIALE NEGLI STATI UNITI MAIMONIDES MEDICAL CENTER DEPARTMENT OF NURSING PERIOPERATIVE SERVICES PRE-ADMISSION TESTING (P.A.T) I. POLICY: To facilitate
More informationCONSENT FOR SURGERY OR SPECIAL PROCEDURES
Admission Date THE VALLEY HOSPITAL CONSENT FOR SURGERY OR SPECIAL PROCEDURES - Colonoscopy 1. Authorization. I hereby authorize Dr. (" my Doctor") and any such assistants or designees as may be selected
More informationYour Anesthesiologist, Anesthesia and Pain Control
You should avoid having pain after surgery by planning ahead. For example, if you know that you are going to be getting up to do your exercises with the therapist, ask for pain control medication in advance.
More informationTOTAL HIP REPLACEMENT FLOW SHEET
TOTAL HIP REPLACEMENT FLOW SHEET Before Surgery: Nothing to eat or drink after midnight the night before surgery. Make sure you have a bowel movement the day before surgery. Be sure to attend your pre-op
More informationQUALITY NET REPORTING
5/18/15% A webinar series that keeps you in the know Brought to you by Progressive QUALITY NET REPORTING Sarah Martin, MBA, RN, CASC Progressive Huddle May 18, 2015 ASCQR ASC Quality Reporting started
More informationLaparoscopic Radical Nephrectomy
Urology Department Laparoscopic Radical Nephrectomy Information Aims of this leaflet To give information on the intended benefits and potential risks of kidney surgery To guide you in the decisions you
More informationIntroduction to Perioperative Nursing
C H A P T E R 1 Introduction to Perioperative Nursing LEARNER OBJECTIVES 1. Define the three phases of the surgical experience. 2. Describe the scope of perioperative nursing practice. 3. Discuss application
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Anesthesia 1. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation.
More informationAbout Your Colectomy
UW MEDICINE PATIENT EDUCATION About Your Colectomy How to prepare and what to expect This handout explains a colectomy operation, including how to prepare for surgery, what to expect afterward, recovering
More informationCRITICAL ACCESS HOSPITALS
Are anesthesia services and post-anesthesia services medical director(s) qualified in terms of education, experience and competency as determined by the hospital medical staff and appointed by the governing
More informationEmpire BlueCross BlueShield Professional Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 02/01/2014 05/31/2014 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationPreparing for Thoracic Surgery and Recovery
Division of Thoracic Surgery Preparing for Thoracic Surgery and Recovery A Guide for Patients and Families Brigham And Women s/faulkner Hospitals Important Phone Numbers Important Phone Numbers BWH NUMBERS
More informationPLASTIC AND HAND SURGERY CORE OBJECTIVES
PLASTIC AND HAND SURGERY CORE OBJECTIVES Through rotation on the plastic and hand surgery service, residents shall attain the following goals: I. Patient Care A. Preoperative Care: Residents will evaluate
More information2016 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST
2016 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST STUDENT NURSE EXTERNNAME SCHOOL OF NURSING STUDENT AGREEMENT: I request the Clinical Skills Check list be released to (hospital/agency). I
More informationSURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER. Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow
SURGICAL RESIDENT CURRICULUM FOR NORTH CAROLINA JAYCEE BURN CENTER Residency years included: PGY1 _X PGY2 PGY3 _X PGY4 PGY5 Fellow I. Clinical Mission of the North Carolina Jaycee Burn Center The clinical
More informationEnhanced Recovery Programme
Enhanced Recovery Programme Page 14 Contact details South Tyneside NHS Foundation Trust Harton Lane South Shields Tyne and Wear NE34 0PL For advice please contact ward 1 on 4041001 Or ward 3 on 0191 4041003.
More informationPediatric Surgery Curriculum Clinical Base Year
Pediatric Surgery Curriculum Clinical Base Year Collaborating Faculty: Cindi Graves, MD Residency Program Director Department of Surgery Purpose and Educational Value The purpose of the Pediatric Surgery
More informationDRAFT. WORKING DRAFT Nursing associate skills annexe. Part of the draft standards of proficiency for nursing associates. Page 1
WORKING Nursing associate skills annexe Part of the draft standards of proficiency for nursing associates Page 1 Working draft version of the nursing associate skills annexe, part of the draft nursing
More informationA PATIENT S GUIDE TO UNDERSTANDING ADVANCE HEALTH CARE DIRECTIVES. By Maureen Kroning EdD, RN
A PATIENT S GUIDE TO UNDERSTANDING ADVANCE HEALTH CARE DIRECTIVES By Maureen Kroning EdD, RN Dedication This handbook is dedicated to patients, families, communities and the nurses that touch their lives
More informationGeneral OR-Stanford-CA-1 revised: Tuesday, February 02, 2016
Stanford University Anesthesiology Residency Program Rotation specific goals and objectives for residents Core Curriculum for PGY 1 Surgery Residents on the Anesthesia Rotation Description: The General
More informationW Monday Tuesday Wednesday Thursday 1 1/15 Holiday
W Monday Tuesday Wednesday Thursday 1 1/15 Holiday 2 1/22 Study Guide HW DUE Lecture/Lab 0630-1230 room 814 Chapter 7: Asepsis/Infection Control First day to wear uniform Lab kits Andi to demo kits Bring
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
More informationObjectives. Positioning the Bariatric Patient in the OR. Goals of Positioning. Airway challenges 6/9/2014
Objectives To identify proper positioning of Bariatric patients for surgery Barbara Lawrence RN MEd ONC Clinical Education Specialist Magee-Womens Hospital of UPMC To recognize patients who are more vulnerable
More informationThe ASA defines anesthesiology as the practice of medicine dealing with but not limited to:
1570 Midway Pl. Menasha, WI 54952 920-720-1300 Procedure 1205- Anesthesia Lines of Business: All Purpose: This guideline describes Network Health s reimbursement of anesthesia services. Procedure: Anesthesia
More informationSurgical Treatment. Preparing for Your Child s Surgery
Surgical Treatment Preparing for Your Child s Surgery If your child needs an operation, it will be performed at a hospital that has special expertise in heart surgery for children. This may be a hospital
More informationAppendix A.1 SURGICAL TECHNOLOGIST WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE
WORK PROCESS SCHEDULE AND RELATED INSTRUCTION OUTLINE A.1-1 WORK PROCESS SCHEDULE O*NET-SOC CODE: 29-2055.00 RAPIDS CODE: 1051CB This schedule is attached to and a part of these Standards for the above
More informationVERNON COLLEGE SYLLABUS. DIVISION: Allied Health and Human Services DATE:
VERNON COLLEGE SYLLABUS DIVISION: Allied Health and Human Services DATE: 2011-2012 CREDITS HRS: 4 HRS/WK LEC: 2 HRS/WK LAB: 6 LEC/LAB COMB: 8 I. VERNON COLLEGE GENERAL EDUCATION PHILOSOPHY STATEMENT General
More informationThe Ohio State University Department of Orthopaedics. Residency Curriculum. PGY1 Rotations
The Ohio State University Department of Orthopaedics Residency Curriculum PGY1 Rotations Goals and Objectives Anesthesiology Rotation PGY1 Level I. Core Competency Areas By the end of the PGY1 rotation
More informationPractical Nursing A. Performing Medical Aseptic Procedures Notes: 1. Wash hands. 2. Follow body substance isolation (BSI)
Name: Practical Nursing Directions: Evaluate the student by entering the appropriate number to indicate the degree of competency. The rating for each task should reflect employability readiness rather
More informationAnthem Blue Cross and Blue Shield Commercial Professional Reimbursement Policy
Subject: Global Surgery IN, KY, MO, OH, WI Policy: 0012 Effective: 01/01/2018 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria
More informationENDOSCOPY ORIENTATION COMPETENCY CLINICAL PLAN PROCEDURE REGISTERED NURSE (RN)
ENDOSCOPY ORIENTATION COMPETENCY CLINICAL PLAN PROCEDURE REGISTERED NURSE (RN) NAME: EMPLOYMENT/TRANSFER DATE: BLS RENEWAL DATE: ALLIANCE ORIENTATION DATE: HOSPITAL ORIENTATION DATE: NURSING ORIENTATION
More informationUCSD DEPARTMENT OF ANESTHESIOLOGY
UCSD DEPARTMENT OF ANESTHESIOLOGY LEARNING OBJECTIVES FOR POSTANESTHESIA CARE ROTATION, UCSD MEDICAL CENTER I. PATIENT CARE Residents will demonstrate competence in: 1. Placement/Removal of central and
More informationA Patient s Guide to Surgery
Please ask your doctor about any tests that you may need and any medication you should avoid A Patient s Guide to Surgery Patient Education About Your Surgery This information will give you and your family
More informationUniCare Professional Reimbursement Policy
UniCare Professional Reimbursement Policy Subject: Global Surgery Policy #: UniCare 0012 Adopted: 07/15/2008 Effective: 08/01/2017 Coverage is subject to the terms, conditions, and limitations of an individual
More informationROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE
ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Kelly Yeh, MD Director of Pediatric Anesthesia Santa Clara Valley Medical Center kelly.yeh@hhs.sccgov.org.,
More informationInstitutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
More informationEmpire BlueCross BlueShield Professional Commercial Reimbursement Policy
Subject: Global Surgery NY Policy: 0012 Effective: 10/01/2016 Coverage is subject to the terms, conditions, and limitations of an individual member s programs or products and policy criteria listed below.
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Licensed Practical Nurse Operating Room/PARR Position Number(s) Community Division/Region(s) 47-5892
More informationPLACEMENT. Disclaimer
1 TITLE: GUIDELINE FOR PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE Disclaimer PLACEMENT The Canadian Society of Gastroenterology Nurses and Associates (CSGNA) presents this guideline to be used as a reference
More informationMassachusetts Eye and Ear Infirmary CA-3 Rotation in Anesthesiology for Otorhinolaryngologic & Ophthalmolic (ENT) procedures
Massachusetts Eye and Ear Infirmary CA-3 Rotation in Anesthesiology for Otorhinolaryngologic & Ophthalmolic (ENT) procedures I. Medical Knowledge A. Cognitive objectives 1. Know age and size appropriate
More informationPosition Number(s) Community Division/Region(s) Inuvik
IDENTIFICATION Department Northwest Territories Health and Social Services Authority Position Title Charge Nurse Operating Room / PARR Position Number(s) Community Division/Region(s) 47-5668 Inuvik Nursing
More informationSpine Center at Riverview Medical Center. Pre-operative Spine Surgery Education Guide
Spine Center at Riverview Medical Center Pre-operative Spine Surgery Education Guide Welcome Welcome and thank you for choosing Riverview Medical Center for your spinal surgery. The Spine Center of Riverview
More informationENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation
Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT
More informationPreparing for Surgery
Preparing for Surgery Patient Education Guide This book is for You should arrive on (date) at (time) 3801 East Highway 98 Port St. Joe, FL (850) 229-5600 www.sacredheartonthegulf.org Sacred Heart Hospital
More informationPercutaneous Transhepatic Biliary Drainage Interventional Radiology
Percutaneous Transhepatic Biliary Drainage Interventional Radiology Your doctor has scheduled a percutaneous transhepatic biliary drainage to be done in the Interventional Radiology (IR) Department on
More informationGENERAL PROGRAM GOALS AND OBJECTIVES
BENJAMIN ATWATER RESIDENCY TRAINING PROGRAM DIRECTOR UCSD MEDICAL CENTER DEPARTMENT OF ANESTHESIOLOGY 200 WEST ARBOR DRIVE SAN DIEGO, CA 92103-8770 PHONE: (619) 543-5297 FAX: (619) 543-6476 Resident Orientation
More informationYour Guide To Spine Surgery
Your Guide To Spine Surgery Your Guide To Spine Surgery C O N T E N T S Foreword 2 Introduction 3 The Spine 4 Preparation before Surgery 5 Day of Surgery 7 After Surgery 9 Medical and Nursing Care in the
More informationHandoff Communications
Courtesy of Banner Health. Used with permission. S Patient ID Label Here Surgeon: Procedure: NPO Status: Ht/Wt: Site Marked: Procedure: Anesthesia Type: General Epidural Spinal Local MAC Other: B A R History:
More informationUniversity of South Dakota Vermillion, South Dakota Department of Nursing. Simulation Scenario Infection: Post Anesthesia Care Unit (Part 1) Overview
Title: To cite this reference: University of South Dakota Simulation Scenario Infection: Post Anesthesia Care Unit (Part 1) Overview Post Anesthesia Care Target Group: First Year Concept: Infection Unit
More informationWhipple Procedure (Pancreaticoduodenectomy)
Enhanced Recovery After Whipple Procedure (Pancreaticoduodenectomy) Your Path to Healing Your Pancreatic Surgical Oncology Team This expert team is an important part of the Pancreatic Surgery Program at
More informationRadical Prostatectomy Care Guide: A checklist of what to expect
Radical Prostatectomy Care Guide: A checklist of what to expect Form: D-5473 How to prepare for your operation as an outpatient 1. Pre- Admission Visit Where to find us: Toronto General Hospital (TGH),
More informationLaparoscopic partial nephrectomy
Laparoscopic partial nephrectomy This leaflet is written to give you information and answer questions you may have about your surgery. If you have any further questions, please speak to your doctor or
More informationSTANDARDIZED PROCEDURE LUMBAR DRAIN INSERTION (Adults, Peds)
I. Definition The purpose of this standardized procedure is for the Advanced Health Practitioner to safely place a lumbar drain. II. Background Information A. Setting: The setting (inpatient vs outpatient)
More information*Your Name *Nursing Facility. radiation therapy. SECTION 2: Acute Change in Condition and Factors that Contributed to the Transfer
Gaining information about resident transfers is an important goal of the OPTIMISTC project. CMS also requires us to report these data. This form is where data relating to long stay transfers are to be
More informationSAMPLE Bariatric Surgery Program Survey for Facilities and Surgeons
I. Facility Section (to be completed by the facility s risk and/or quality department) Facility Name: Address: Date: Contact Person: Directions Please check the appropriate yes or no answer boxes where
More informationLESSON ASSIGNMENT. After completing this lesson, you should be able to:
LESSON ASSIGNMENT LESSON 8 Perioperative Patient Care. TEXT ASSIGNMENT Paragraphs 8-1 through 8-25. LESSON OBJECTIVES After completing this lesson, you should be able to: 8-1. Select from a list of facts,
More informationBeth Israel Deaconess Medical Center Perioperative Services Manual. Guidelines for Perioperative Handoffs from OR to receiving units.
Beth Israel Deaconess Medical Center Perioperative Services Manual Title: Guidelines for Perioperative Handoffs from OR to receiving units. Policy #: PSM 100-102A Purpose: This guideline provides a standard
More informationSurgery guide. Prior to surgery. What to expect before, during and after your procedure.
Surgery guide What to expect before, during and after your procedure. Prior to surgery Please complete the following one to two weeks before your scheduled surgery: Register with Texas Children s Pavilion
More informationThe Day of Your Surgery
The Day of Your Surgery What do I need to do the day of surgery? Take the medications the clinic nurse told you to take with a small sip of water. Brush your teeth or rinse your mouth but spit out all
More informationSkills/Experience Checklist Home Health Registered Nurse
This form is a self-assessment of your current skills and abilities. This form is also used to document skill demonstration. EMPLOYEE PROFILE Last Name First Name Middle Initial Employee Number Direct
More informationSurgical Oncology Manual: Patient Protocols: Daily Rounds:
Surgical Oncology Manual: Patient Protocols: Daily Rounds: All inpatients must be seen by the chief resident or fellow prior to that day s OR cases. Multidisciplinary notes are to be completed for every
More informationHAWAII HEALTH SYSTEMS CORPORATION
All Positions HE-13 6.822 Function and Location This position works in the respiratory therapy unit of a hospital and is responsible for supervising several respiratory therapy technicians in providing
More informationNEONATAL-PERINATAL MEDICINE CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationPreparing for Surgery
Preparing for Surgery Patient Education Guide This book is for You should arrive on (date) at (time) 6801 Airport Blvd. Mobile, AL (251) 633-1000 www.providencehospital.org providence hospital It is a
More informationCHAP2-CPTcodes _final doc Revision Date: 1/1/2017
CHAP2-CPTcodes00000-01999_final103116.doc Revision Date: 1/1/2017 CHAPTER II ANESTHESIA SERVICES CPT CODES 00000-09999 FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES Current
More informationSupervision of Residents/Chain of Command
Supervision of Residents/Chain of Command Creighton University Department of Surgery Residency Training Program Chain of command for Surgery residents at CUMC PGY1: The intern on call covers the two general
More informationPatient Education Guide. Inpatient Team. Following Surgery. You Should Know
Patient Education Guide All kidney and/or pancreas transplant recipients must bring their Patient Education Guide to the hospital with them when they come to be admitted. The Patient Education Guide contains
More informationCLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson
CLERKSHIP CURRICULUM IN ANESTHESIOLOGY L.J. Patterson AIM To introduce clerks to clinical anaesthesia covering: peri-operative assessment and optimization, monitoring techniques, management of acute medical
More informationContact sheet e.g SW, CPN, Nursing Home, NOK
Date Time Hb Wbc Plts Hct Neuts Na K Urea Creat INR APPT CRP Tot Prot Alb Globulin Bilirubin ALT AlkPhos Gamma Amylase Phoshate Calcium Ca Corr Mag egfr BLOOD RESULTS Adult Major Burns Assessment - Integrated
More informationMillikin University Decatur, Illinois. Nursing Internship Application for Summer 2018
Millikin University Decatur, Illinois Nursing Internship Application for Summer 2018 Applicant s Anticipated Graduation Date (Circle Response) December 2018 OR May 2019 * Please complete this application
More informationStandard Location YES. Activities of Daily Living section completed. VMG Clinic Intake Form
Tracer Record Review - Outpatient Only updated: 3/21/2016 Data Definition Tool The Tracer Packet is to be completed in each outpatient area by the manager or designee on a monthly basis. It is suggested
More informationUW MEDICINE PATIENT EDUCATION. Angiography: Percutaneous or Transjugular Liver Biopsy. How to prepare and what to expect. What is a liver biopsy?
UW MEDICINE PATIENT EDUCATION Angiography: Percutaneous or Transjugular Liver Biopsy How to prepare and what to expect This handout explains how to prepare and what to expect when having a percutaneous
More informationSCIP-Inf-2, SCIP-Inf-3, SCIP-Inf-4, SCIP-Inf- 9, SCIP-Inf-10, SCIP-VTE-1, SCIP-VTE-2 Anesthesia End Time 5
Release Notes: Alphabetical Data Dictionary Version 3.3 Surgical Care Improvement Project (SCIP) - Data Dictionary The General Abstraction Guidelines explain the different sections of the data element
More informationCNA SEPSIS EDUCATION 2017
CNA SEPSIS EDUCATION 2017 WHAT CAUSES SEPSIS? Sepsis occurs when the body has a severe immune response to an infection Anyone who has an infection is at risk for developing sepsis Sepsis occurs when the
More informationOvarian Tumor Reduction Surgery
PATIENT EDUCATION patienteducation.osumc.edu Information About Your Your doctor found a mass in your pelvic area. Surgery is used to remove the pelvic mass and to find out if the tissue is benign (not
More informationYour Guide To Head & Neck Surgery
Your Guide To Head & Neck Surgery Singapore General Hospital Outram Road Singapore 169608 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted
More informationSurgery Road Map. General practices. Road map sections
Surgery Road Map MHA s road maps provide hospitals and health systems with evidence-based recommendations and standards for the development of topic-specific prevention and quality improvement programs,
More informationSURGICAL SERVICES EE-1 9/14
Are outpatient surgical services required to meet the same quality standards as the inpatient surgical services provided? Is the scope of the surgical services provided by the hospital defined in writing
More informationNAME: DATE: MARGARETVILLE HOSPITAL PHYSICIAN ASSITANT/NURSE PRACTITIONER ED CLINICAL PRIVILEGES
SUPERVISING PHYSICIAN(s): MARGARETVILLE HOSPITAL PHYSICIAN ASSITANT/NURSE PRACTITIONER ED CLINICAL PRIVILEGES The following privileges are required to practice in the Emergency Room of Margaretville Hospital:
More information60 Memorial Medical Parkway Palm Coast, Florida 32164
POLICY & PROCEDURES TITLE: Privileges of Student Nurses and Student Nursing Assistants POLICY # EDU 001 POLICY CATEGORY: Administrative / Education Origination Date: 12/2008 Last Review/Revision Date:
More informationUnit 8 Med Surg Nursing Quiz
Unit 8 Med Surg Nursing Quiz 1. How will the nurse assess the flank area of a patient with pyelonephritis for tenderness? a. Push gently into the two lowest intercostal spaces. b. Palpate along both sides
More informationRegions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
More informationRIGHT HEMICOLECTOMY. Patient information Leaflet
RIGHT HEMICOLECTOMY Patient information Leaflet April 2017 WHAT IS A RIGHT HEMICOLECTOMY? This is an operation that is designed to remove the right side of your large bowel. Part of the large bowel is
More informationLaparoscopic Radical Prostatectomy
To learn about prostatectomy surgery, you will need to know what these words mean: The prostate is the sexual gland that makes a fluid that helps sperm move. It surrounds the urethra at the neck of the
More informationAbdominal Surgery. Beyond Medicine. What to Expect While You Are in the Hospital. ilearning about your health
ilearning about your health Abdominal Surgery What to Expect While You Are in the Hospital www.cpmc.org/learning Beyond Medicine. Table of Contents On the Day of Your Surgery...3 Your Nursing Care...3
More information