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NURSING NUR4970 Outline. Overview
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NURSING NUR4970 Outline. Overview
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NURSINGNUR4970
Outline.
Overview
Outline
Overview
I. Who is the perioperative nurse?
A. Registered Nurse
B. Provides care to surgical patient
1. Before, during, and after surgery
C. Roles
1. Pre-op RN
2. Circulator
3. Scrub RN
4. First Assist (RNFA)
5. PACU/Recovery RN
II. Goals of the perioperative nurse
A. Provide safe and effective care
B. Meet patient’s needs
1. Psychological
2. Spiritual
3. Physical
4. Cultural needs
Nursing Points
General
I. Pre-Op RN
A. Provides care before surgery
B. Assess patient (see below)
C. Obtain/complete pre-op orders
1. Informed consent
2. Lab work
3. Antibiotic
,NURSING
NUR4970
Outline.
Overview
II. Circulator (OR RN)
A. Provides care during surgery
1. Non-sterile RN in OR
B. Assess patient readiness (see below)
C. Provide emotional support
,NURSING
NUR4970
Outline.
Overview
D. Decrease injury risk
1. Perform “time out” before incision
a. Correct patient, site, procedure
2. Correct counts
a. Instruments, sponges, needles
3. Proper positioning
E. Decrease infection risk
1. Sterile technique
2. Proper skin prep
3. Proper temperature, humidity, airflow of
OR III. Scrub RN
A. Provides care during surgery
1. Sterile RN in OR
B. Prepares sterile field
C. Maintains sterile environment
D. Assists surgeon during procedure
1. Instrumentation
2. Sponges
3. Sharps
E. Performs sterile tasks with circulator
IV. First Assist (RNFA)
A. Provides care during surgery
1. Sterile RN in OR
B. Additional education required
C. Assists surgeon during procedure
1. Suturing
2. Control bleeding
3. Provide wound exposure
4. Closure
V. PACU/Recovery RN
A. Provides care after surgery
B. Assess patient (see below)
C. Patient readiness for discharge
1. Aldrete score
2. Post-operative wound care
, NURSING
NUR4970
Outline.
Overview
3. Prescriptions
4. Follow-up
Assessment
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