Question

Identify patients safety concerns In their appropriate nursing assessment and interventions, In the pre-, intra-, and post-operative settings (Minimum of five in each section)

Answer 1

PRE-OPERATIVE CARE

Pre-operative care refers to the health care provided before a surgical operation. The aim of pre-operative care is to do whatever is right to increase the sucess of the surgery.The nursing assessment in pre-operative care is that of advocate who identifies the patient's needs and risk factors that may be affected by the surgical experience.The following are the physiologic assessments necessary during the preoperative phase

:ASSESSEMENT

1. Age
2. Assess mouth for dental caries, dentures and partial plates.
3. Assess the patient's usual level of functioning and typical daily activities to assist in patient's care.
4. Infection
5. Respiratory status
6. Drug and alcohol use
7. Nutritional status and needs

NURSING INTERVENTION

1. Explore the client's fears worries and concerns.
2. Encourage patient verbalization of feelings.
3. To ensure that the client's understands the nature of his treatment including the possible complications and disfigurement.
4. Monitor for the patient ability to perform the daily needs,if necessary assist them in performing their daily activities,avoid unnecessary falls
5. Resrtict the patient to stop smoking before surgery
6. Administer preanesthetic medication as ordered and keep the patient in bed with the side rails INTRAOPERATIVE CARE

The intraoperative care phase extends from the time the client is admitted to the operating room, to the time of anesthesia administration, performance of the surgical procedure and until the client is transported to the recovery room or post anesthesia care unit.

ASSESSMENT

1. Monitoring vital signs
2. Oberve the patient symptoms and record it
3. Monitor for patient numbness or reduced feeling in part of their body
4. Montior for the side effects of anesthesia such as hypothermia,nausea and vomiting
5. Assess the conscious level of the patient

INTERVENTIONS

1. Patient safety should be observed at all times.Prevent accidental fallings by providing side rails
2. Make certain that equipments are safely functioning
3. Ensure that supplies and materials are available for use during surgical procedures.
4. Montior the patient throughout the operative procedure to ensure the person's safety and well being.
5. Maintain the strict aseptic techniques while performing the procedure to the patient.
6. Provide adequate postion to the patient.

POST-OPERATIVE CARE

The post-operative phase of the surgical experience extends from the time the client is transferred to the recovery room or post anesthesia care unit to the moment he or she is transported back to the surgical unit, discharged from the hospital until the follow-up care.

ASSESSMENT

1. Assess air exchange status and note the patient's skin colour
2. Assess the level of consciousness
3. operative site examination
4. Verify patient identity
5. Assess the patient fluid status

INTERVENTIONS

1. Fall precaution implementation by making sure the side rails are raised and restraints are secured well
2. Provide easy access to call bell and commode
3. Avoid restraints,and if possible allow family member or staff always asked to sit with them
4. Proper sterile techniques should be followed while doing dressing
5. Assist the patient in early ambulation.check the postoperative activity orders before get-ting patient out of the bed.Then have patient sit on the edge of bed for a few minutes initially
6. Administer the medications as ordered by the physician.