components of medications pre-op nursing assessment
,current meds
blood thinners
herbal
opioids
substance use/tobacco
components of baseline pre-op nursing assessment
VS/height/weight
head to toe assessmeny
dentition/IV placement/prep
nutrition/hydration (NPO status)
pyschosocial/cultural/religious
support system
translator needed?
pre-op nursing diagnoses
anxiety RT upcoming procedure
risk for injury RT upcoming procedure
risk for pain RT surgical procedure
deficient knowledge RT upcoming procedure
interventions for "anxiety RT upcoming procedure" pre-op nursing diagnosis
medications
,therapeutic communication
IV access
what is important to remember when giving medications as an intervention
for anxiety in pre-op care?
can impair cognitive function
may not be able to get informed consent from the patient
interventions for "risk for injury" pre-op nursing diagnosis
prevent infection (skin preparation)
diagnostic studies
allergy
rights of medication and TIME OUT
pre-operative checklist
interventions for "risk for pain" pre-op nursing diagnosis
pain managment
IV access
interventions for "deficient knowledge" pre-op nursing diagnosis
consent
C&DB (cough and deep breath)
activity
nutrition/NPO
, medication (hold or take before surgery)
transportation
what are some tasks a nursing assitant could do in the pre-operative setting?
transporting and positioning the patient
clean the patient
put on monitors
informed consent
decision of whether to undergo procedure
must be informed of... procedure, risks, benefits, alternatives, opportunity for
questions
what makes someone able to give informed consent?
must be 18 years old (unless emancipated)
deemed decisional
information must be given in primary language
if someone does not meet the requirements to give informed consent, who
should the nurse go to?
next of kin (if not decisional)
parent (if under 18)
what happens if medications that alter orientation are given to recieve
informed consent?
go to the next of kin for informaed consent
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