Nursing Care of the Surgical Patient

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Nursing Care of the Surgical Patient
Nursing Care of the Surgical Patient
Development
Table of Contents
Introduction
Procedures for Subcourse Completion
Lesson Assignment
Lesson 1. Preoperative Care of the Surgical Patient.
Figure 1-1. Perioperative nursing.
Surgical Experience
Managing Preoperative Fears.
Figure 1-2. Turning techniques.
Figure 1-3. Deep breathing exercise.
Coughing
Figure 1-4. Coughing exercise.
Nursing Implications for Preparing a Patient for Surgery
Figure 1-6. DD Form 1924, Surgical Checklist.
Patient's chart.
Figure 1-7. SF 522, Request for Administration of Anesthesia and for Performance of Operations and Other Procedures.
Acquire required x-ray reports and films as necessary
Final Preparation of the Preoperative Patient.
Communication.
Figure 1-8. Typical NPO sign.
The Morning of Surgery
Exercises
Exercises (cont)
Exercises (cont)
Solutions to Exercises
Lesson Assignment
Lesson 2. Operating Room Care of the Surgical Patient.
Figure 2-1. Typical surgical team.
Key Members of the Surgical Team
Section III. The Anesthetic Agent
Factors Considered When Selecting an Anesthetic Agent
General Anesthetic.
Section IV. Reasons for Surgery
Reasons for Surgery Varies
Exercises
Exercises (Cont)
Exercises (Cont)
Solutions to Exercises
Lesson Assignment
Lesson 3. Recovery Room Care of the Surgical Patient.
Facts About the Recovery Room
Figure 3-1. Typical recovery room.
Facts Concerning Respiratory Distress.
Figure 3-3. Patient in Fowler's position.
Nursing Implications for the Early Detection of Pending Hypovolemic Shock
Figure 3-5. Position of the siderails. A. High positon. B. Intermediate postion. C. Low position
General Nursing Implications for the Care of a Patient
General Nursing Implications for the Care of a Patient (cont)
Section III. Suctioning the Patient in the Recovery Room
Figure 3-6. SF 510, Nursing Notes.
Administering Oral/Nasal Suctioning to the Recovery Room Patient
Figure 3-7. The connection of the suction catheter and the tube from the suction machine.
Administering Oral/Nasal Suctioning to the Recovery Room Patient (Cont)
Administering Andotracheal Suctioning to the Recovery Room Patient
Figure 3-8. Endotracheal tube in position.
Figure 3-9. Semi-Fowler's position.
Administering Andotracheal Suctioning to the Recovery Room Patient (cont)
Administering Andotracheal Suctioning to the Recovery Room Patient (cont)
Exercises
Exercises (Cont)
Exercises (Cont)
Solutions to Exercises
Lesson Assignment
Lesson 4. Postoperative Care of the Surgical Patient.
Section II. Effects of Anesthesia on Major Body Systems
Section III. Effects of Surgery on the Integumentary Systems
Figure 4-1. Wound separations. A. Dehiscence. B. Evisceration.
Figure 4-2. Penrose drain.
Section IV. Nursing Implications by Body Systems of a Postoperative Patient
Urinary System
Gastrointestinal system
Nasogastric Tube.
Figure 4-3. NEX -- Nose to Ear to Xiphoid.
Nasogastric Tube. (cont)
Figure 4-4. Advancing NG tube.
Figure 4-5. Applying tape to secure NG tube.
Rectal Tube
Figure 4-6. Rectal tube inserted.
Integumentary System
Procedures for Collecting/Submitting a Wound Culture Specimen From a Postoperative Patient.
Maintain the Postoperative Patient's Wound/Nasogastric Drainage Tubes
Maintain the Postoperative Patient's Wound/Nasogastric Drainage Tubes (cont)
Figure 4-7. Hemovac.
Figure 4-12. Opening outlet to remove drainage.
Remove Sutures from a Postoperative Patient's Surgical Wound.
Figure 4-13 Removing suture from wound.
Section V. Genral Nursing Implications of the Postoperative Patient
General Postoperative Nursing Tasks
Exercises
Exercises (Cont)
Exercises (Cont)
Solutions to Exercises
Solutions to Exercises (Cont)
Comment Sheet