Sunday, 27 August 2017

PREPARATION OF PRE OPERATION PATIENTS

PREPARATION OF PRE OPERATION PATIENTS


Understanding:
An activity to prepare patients both physically and spiritually as well as equipment to be used in surgery

Aim :
1.       Preparing the patient to be cooperative
2.       Prevent the occurrence of infections and complications
3.       Help smooth surgery

Procedure :
1.       Pre-interaction stage:
a.       Verify the patient's nursing care program
b.      Prepare the nurse in interacting with the patient
2.       Orientation stage:
a.       Give greetings
b.      Explain the purpose of the meeting and the procedure to be performed
3.       Patient Preparation
a.       Analyze patient's anxiety about surgery.
b.      Patients and families are given an explanation of the action to be taken.
c.       Help patients & families to relieve the anxiety
d.      Prepare the necessary administrative files
4.       Preparation
a.       Tool
1)      Hairdresser or hairdresser
2)      Crooked
3)      Soap
4)      Waslap
5)      Towels
6)      Medical devices and medicines according to doctor's program and type of surgery
7)      Special dress / shirt operation
8)      Form
a)      Form License of Operation is included
b)      Requesting blood to PMI when needed
c)       Investigations, Labs, Rontegen, etc.
d)      Form of medical action information has been filled in
b.      Preparation of the patient
1)      Patient / family is given an explanation of the action to be performed
2)      Extra bath when dirty
3)      Please at least 6 s / d 8 hours or appropriate case
4)      Shave the area to be europe
5)      Install infusion, Install NGT, catheter according to program & instructions
6)      The patient / family approves and signs the operating license
5.       Implementation
a.       Checking the completeness of medical / nursing documents, the results of the investigation, the operating license


b.      Measuring:
1)      Tension
2)      Pulse
3)      Temperature
4)      Respiratory
5)      Level of consciousness
6)      Incoming / outgoing liquid
c.       Reported to the room physician, that there was a preoperative patient
d.      Doctor room visite patient pre surgery
e.      If the patient is over 40 years old then do the procedural intern physician consul for ACC surgery, or not done on the doctor doctor's instructions.
f.        Room physician / GP physician / doctor Polyclinic reports pro-surgery patient as indicated on DPJP surgical duty and anesthesia doctor in charge of surgery
g.       The DPJP surgeon and anesthesiologist in charge of the surgery perform an initial visite of the preoperative patient
h.      Change the patient's clothes and put on the headgear
i.         Check the completeness of medical devices and medicines and blood needed for surgery
j.        Take the patient to the surgical room when the equipment, the attendant and the surgical room are ready
6.       Termination stage:
a.       Thank you for the cooperation with the patient
b.      Evaluate client response
c.       Summarize the results of the activity
d.      Clean up the tools and put them in place
7.       Document:
a.       Client name
b.      Date and time
c.       Action taken
d.      Client response
e.      Name of officer


Related unit :

Ø  emergency departments
Ø  Polyclinic installation
Ø  Installation of the Surgical Room
Ø  VK installation
Ø  Installation of childbirth
Ø  installation of Perinatology
Ø  Inpatient installation
Ø  Completeness of the file
Ø  Doctor Instruction Sheet.
Ø  Nursing Notes.
Ø  Action Width.
Progress Note Sheet.

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