Presented by: Sana’a AL-Sulami

Teacher assistant

Nursing department

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 Nurse Anesthetic Nurse Circulating Nurse Scrub Nurse

Discuss immediate and later postoperative care. postoperative complications

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 Nurse Anesthetic Nurse Circulating Nurse Scrub Nurse

4. Discuss immediate and later postoperative care.

5.Identify the postoperative complications

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 surgery

Transporting the client to the OR.

1. Identified patient by asking him to say his name and checks and corresponds with his record and reporting list.

2. Reassures patients , creates quiet , calm atmosphere to decrease patient apprehensiveness .

3. Checks the preoperative 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.

4. 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.

Prepares safe environment for induction of anesthesia.

Checks suction apparatus , gas supply , gas cylinder machine to be well prepared for use. Checks O2 supply and emergency tray

in position. Checks and records all drugs required

by the anesthetist .

Arranges for the scrub nurse to see the signed consent.

Prepares inhalation trolley Assist in the transfer patient to recovery room Cleans used equipment

1. Managing the nursing care of the patient and coordinating the needs of surgical team members for each procedure, using critical thinking skills.

2. Observes the procedure from a broad perspective and helps team members create.

3. Assess the patient’s condition before, during, and after the procedure.

4. 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.

1. Before scrubbing:1. Assists circulating nurse in preparation of operation theater.

2. After scrubbing:1. Prepare the sterile instruments .2. Performs proper draping.3. Assess surgeons in wearing gowns and

gloves.4. Prepare appropriate needles and sutures. 5. Counts all swaps, sponges, and sterile

instruments.

3. 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.

Immediate post operative period:Initial assessment: Airway patency Effectiveness of respiration Presence of artificial airways Mechanical ventilation, or supplemental oxygen Circulatory status, vital signs Wound condition, including dressings and

drains Fluid balance, including IV fluids, output from

catheters and drains and ability to void Level of consciousness and pain

Later post operative period:Ongoing assessment: Respiratory function General condition Vital signs Cardiovascular function Fluid status Pain level Bowel and urinary elimination Dressings, tubes, drains, and IV lines

Ensures a patent airway Helps maintain adequate circulation Prevents or assist with the treatment of

shack Maintains proper position and function

of drain tubes and IV infusion Monitor for potential complications

Hemorrhage

Shock

Hypoxia

Aspiration