Intraoperative phase started since the patient was transferred to the operating room and ends when the client was transferred to the recovery room. In this phase the scope of nursing activity is the maintenance of patient safety, monitoring of physiological and psychological support, in this phase of nurses also perform the function as "scrub nurse" and "circulating nurse".
Activity in the operating room, focused on patients undergoing surgical procedures, attention focused on the psychological and physiological reactions of the patient. Because surgery is usually a stressful experience, patients need to feel safe, knowing that there are people who give protection (to act as an advocate) during the procedure and when patients in anesthesia, the patient will feel calm and comfortable.
Intraoperative nurse responsible for the safety and well-being of the patient, the operating room personnel coordination, and implementation of the scrub nurse and activity settings during surgery. Another role of nurses in the operating room is the first assistant nurse has received registration and practice remain under the direct supervision of the surgeon. The responsibility of the nurse assistants include tissue handling, providing exposure to the area of operations, the use of instruments, sutures and providing hemostasis.
Assessment
1. Examination of data completeness operating procedures:
- Assessing the approval of medical action is correct, signed by the patient or the person most responsible.
- Completeness results of diagnostic examination and consultation.
- Completeness of records medical history and physical examination.
- Completeness history and health assessment.
- Preoperative check list.
- Make sure the patient's identity: name, age, gender, medical record number, name of person in charge of the patient.
- Physiological status (level: healthy - sick)
- Psychosocial status (expression of concern, level of anxiety, verbal communication problems, coping mechanisms).
- Physical status (where the surgery, tumor or pain conditions, skin conditions and effectiveness of preparation, shearing, state of the joints).
4 Nursing Diagnosis and Interventions for Postoperative Patient
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