Kristinelou Marie N.

Reyna September 16, 2021

BSN 3 RLE

1. informed consent for the surgery?

Answer:
 The nurse is responsible and accountable for the verification of and witnessing that the patient or the
legal representative has signed the consent document in their presence.
 The nurse must assess the patient or the legal representative of the patient is of legal age and competent
to provide consent.
 Notify the physician about the obtained informed consent.

2. concerning the surgery?

Answer:
Preparing before the surgery has an important role for nurses to their patients. To relieve their fear and
anxiety of undergoing surgery, the nurse can provide nonpharmacological techniques such as:
 Demonstrating deep breathing techniques to the patient to promote optimal lung expansion and
consequent blood oxygenation after anesthesia.

3. transcultural notes for surgery?

Answer:
The nurse must consider that every patient has their own individual needs, beliefs and practices.
Therefore, the nurse should be sensitive to their cultural differences. The nurse’s role should be aware of
and respect the patient’s cultural preferences and avoid stereotyping.

4. What are the major items on the preoperative checklist the nurse must ensure have been carried
out?
Answer:
A preoperative checklist contains critical elements that need to be checked preoperatively as part of the
patient’s safety and care before going for surgery. This includes:
 Patient identification:
The nurse will ask your complete name and birthday, check your identification bracelet and compare it
against your records. It is important that you accurately identify your complete name to prevent any
potential errors.
 Surgical consent:
The nurse may witness your signature on your written surgical consent. You are encouraged to ask
questions about your surgery. You need to be well informed by the surgeon. The nurse can assist you in
calling your physician to answer your questions.
 History and Physical Examination:
Your surgeon will completely document your medical history and physical examination. Most often it is
done before the day of surgery but may be done on the day of surgery too. If you had any changes in your
health conditions after they had done your medical history and physical examination, you must inform
your physician on the day of surgery. For example, a flu, any injury that your physician may not know, or
blood transfusion.
 Surgical site signature:
 Surgical site signature means your surgeon or designee will sign the site of your surgery to accurately
identify the area of your surgery. Not everybody will have this surgical site signature. The need for
surgical site signature is for patients with surgery that indicates a right or left location. For example: left
leg, right arm, left eye, or right kidney.
 Blood specimen:
When taking blood specimen from a patient, the nurse must check the patient identification and compare
it against the blood label to make sure there is a correct match.
 X-ray:
If you bring an x-ray film with you, the nurse will check if the label matches correctly with your
identification.
 Anesthesia interview:
Your anesthesiologist will interview you before surgery. This is the time that you want to ask questions
about your anesthesia and how your pain will be managed.
 Nurse interview:
The nurse will assess and ask you a lot of questions. Some of the questions may be repetitive but it is
important to ask for your safe care.
 List of medications:
Make sure you bring your list of medications, doses and how often you take them. The medications will
include both prescribed and over the counter medications, herbs and other medications like cocaine. The
nurse will validate all of these medications on the day of surgery. She will either document or update
what it is in your record. It is very important that we need to know all the medications that you are taking.
 Allergy:
You need to inform the nurse and the physician if you have taken medications that caused itchiness,
redness, hives, or any discomfort after you have taken a medication.
 Devices:
You need to let the nurse know if you have home insulin or pain device including pacemaker and
automatic internal compression device (AICD.) This is important to know so we can safely plan your
care. If you have home supplies, bring extra to the hospital with you.