Nursing Interventions
- Get consent
- Review NPO status
- Ask about bowel prep
- Baseline vitals
- Review or draw labs
- Give medications (IV fluids & antibiotics)
- Insert IV and Foley
- Remove jewelry/make up, nail polish
- May remove dentures/hearing aids/glasses and contacts
- Family to the waiting area
- Head to toe assessment
- Skin prep (washing/shaving)
- Review allergies & current medications
- May need to full admit
- Review health beliefs
- Side rails up (fall prevention)
- STOP BANG
Teaching
Explain what you are doing, what will happen
Assess the patient’s understanding
Involve the family
Answer questions
Emotional Aspect
Feelings about illness and surgery
Coping
Self concept and body images
Risk Factors
Age
Obesity
Chronic Disease
HIGH RISK MEDICAITONS TO SCREEN FOR
Aspirin
NSAIDS
Steroids
Vitamins
Herbal Supplements
Blood thinners
Antidepressants
Anticonvulsants
STOP BANG SCORING
Snoring
Tired
Observed not breathing
Pressure (blood)
BMI > 35
Age >50
Neck circumference >40cm
Gender (male)
Reason
Diagnostic (identify disease) e.g. biopsy
Exploratory (Disease extent) e.g. Ex-Lap
Ablative (remove an organ)
Reconstructive (organ repair)
Constructive (repair congenitally damaged organ)
Palliative (not curative)
Cosmetic
Risk
Major
Minor
Urgency
Emergent (save life or limb)
Urgent (ASAP)
Elective (scheduled, may or may not be needed)