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3 PHASES -affix signature as witness

PREOPERATIVE - time of consent


(decision) until brought to the operating  Conducting assessment:
room o History taking:
INTRAOPERATIVE - wheeled in the OR cardiovascular conditions,
until wheeled into the RR blood, respiratory
POSTOPERATIVE- RR until the patient disease(hypoxia), dm
recovers from the effect of surgery (wound healing), renal,
liver disease, mental health
PREOPERATIVE CARE o Significant others support

 Consent:  Surgical risks:


When to require?
o A-ge
N-on surgical invasive procedure
o N-utrition
eg. Transvaginal sonography,
o G- eneral health
colonoscopy, endoscopy
o M-edications
A-nesthesia
o M-ental status
R-adiation eg. X-ray,
S- urgical invasive procedure
 Physical examination:
What should be present?
o Purpose of procedure
-why do you plan to do this
procedure
o Complications
o Alternatives- what other How to join pb works?
things to be done aside -create account
from the procedure -group name: ncm104aIIIC
o Witness- who? Eg.
Relatives (closest), nurse

Important roles when taking


consent:
o A minor, parent or legal
guardian
-emancipated minors
o Minors who are
married
o Illiterate pt- thumb
print
o Court- if no one will
sign
o Unconscious- close
relative
Role of nurse:
-assess the knowledge
-ensure that the pt has signed

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