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Chapter-06 Perioperative Nursing

BOOK TITLE: Medical Surgical Nursing

Author
1. Basavanthappa BT
ISBN
9788184486353
DOI
10.5005/jp/books/10522_6
Edition
2/e
Publishing Year
2009
Pages
41
Author Affiliations
1. Govt College of Nursing, Fort, Bengaluru, Karnataka, Government College of Nursing, Bengaluru, Karnataka, India, PhD Guide for Research Work, Govt. College of Nursing, Fort, Bengaluru, Karnataka, India, Govt. College of Nursing, Fort, Bangalore, India, Govt. College of Nursing, Fort, Bangalore, Government College of Nursing, Bengaluru, Karnataka, PhD Guide for Research Work, Govt College of Nursing, Bangalore, Government College of Nursing, Fort, Bengaluru, Karnataka, India, Government College of Nursing, Bengaluru, Karnataka, Government College of Nursing, Bengaluru, Karnataka, India, Raja Rajeswari College of Nursing, Bengaluru, Karnataka, India; Faculty of Nursing, RGUHS, Karnataka, India and Academic Council, RGUHS, Karnataka, India; UG, PG and Doctoral Courses on Nursing, Various Universities; Nursing Research Society of India, New Delhi, India, Trained Nurses Association of India, New Delhi, India; RGUHS, Nursing Teachers Association, Karnataka, India, Raja Rajeswari College of Nursing, Bengaluru, Karnataka, India; Faculty of Nursing; Academic Council, RGUHS, Karnataka, India; UG, PG and Doctoral Courses on Nursing, Various Universities; Nursing Research Society of India; Trained Nurses Association of India, New Delhi, India; RGUHS, Nursing Teachers Association, Karnataka, India
Chapter keywords

Abstract

Perioperative nursing refers to the role of nurse during the preoperative, intra operative and post operative phases of patient’s surgical experience (surgery). Surgery may be defined as the art and science of treating diseases; injuries and deformities by operation and instrumentation. Surgical procedure involves the interaction of the patient, surgeon, anesthetist and nurse. Surgery may be performed for purpose of diagnostic (as lymph node biopsy or bronchoscopy); cure, i.e. elimination or repair pathology (ex. Appendicectomy); palliation, i.e. alleviation of symptoms without cure (ex. Rhizotomy); prevention (removal of mole prior to malignancy); exploration, i.e. surgical examination (laparotomy) and cosmetic improvement (ex. Repair cleft palate). A Perioperative nurse is defined as the registered nurse, who, using the nursing process, designs, coordinates and delivers care to meet the identified needs of the clients whose protective reflexes or self-care abilities are potentially compromised because they are under the influence of anesthesia during operative or other invasive procedures. Preoperative phase: It begins where the decision for surgical intervention is made and ends with transference of the client to the operative site. Nursing activities range from a baseline assessment of the client during the preoperative interview and continues with assessment in the pre-admission unit, client room, holding area, or induction room on the day of surgery. Before surgery, the nurse prepares the client and family for the surgery, performs diagnostic tests and assesses the client in preparation for the operation. Intraoperative phase: It begins where the client is transferred to the operating room bed and ends when the client is transferred to an area of recovery from anesthesia. In this phase, nursing interventions range from communicating the client’s plan of care, identifying nursing activities, necessary for expected outcome and establishing priorities for nursing actions. During surgery, the nurse assists surgeons and other operating room nurses to ensure that the client receives optimal care. The nurse also coordinates client needs with team members and personnel’s from the other disciplines, coordinates the use of the supplies and equipment, controls the environment, prepares for potential emergencies and communicates and documents the client’s plan of care. Postoperative phase: It begins with the client’s transfer to an area for recovery and ends with client’s recovery from surgery. Nursing activities range from communicating pertinent information about the client’s surgery, to assist the client to be physical stability and wakefulness and institute measures to help the client achieve maximum recovery. Chapter also gives different positions of surgery and trays for preoperative care and also some figures of common surgical instruments.

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