PERIOPERATIVE
NURSING
PERIOPERATIVE NURSING
— used to describe the nursing care
provided in the total surgical
experience of the patient:
a. preoperative
b. intraoperative
c. postoperative.
Preoperative Phase =
sesxtends rom th from the time the client
is admitted in the surgical unit, to
the time he/she is prepared for the
surgical procedure, until he is
transported into the operating room.
Intraoperative Phase
extends from the time the client
is admitted to the OR, to the time of
administration of anesthesia, surgical
procedure is done, until he/she is
transported to the RR/PACU.
Postoperative Phase ——_=
extends from the time the client
is admitted to the recovery room, to
the time he is transported back into
the surgical unit, discharged from
the hospital, until the follow-up
care.
4 Major Types of Pathologic Process
Requiring Surgical Intervention (OPET)
©Qbstruction — impairment to the flow
of vital fluids (blood,urine,CSF, bile)
Perforation — rupture of an organ.
©Exosion — wearing off of a surface or
membrane.
Tumors — abnormal new growths.Identify the type of pathologic process
requiring surgery
Hydrocephalus Obstruction
Burn Erosion
Benign Prostatic Hyperplasia tunor
Cholelithiasis Obstucton
Intussusception Obstruction
Ruptured Aneurysm Perforation
Classification of Surgical
Procedure
According to PURPOS!
Diagnostic — to establish the presence of a
disease condition.
(eg biopsy)
Exploratory ~ to determine the extent of
disease condition
(e.g Ex-Lap )
Curative — to treat the disease condition.
* Ablative ~ removal of an organ “ectomy”
* Constructive — repair of congenitally
defective organ “plasty,[Link]”
* Reconstructive — repair of damage organ
© Palliative —to relieve distressing sign and
symptoms, not necessarily to cure the
disease.
Identify the type of surgery according to
purpose:
Pap Smear Diagnostic
Tonsilectomy Curative - Abatve
Nephrocapsulectomy —“urative -Ablative
Osteoplasty Curative - Constuctve
Perineorthaphy Curative - Reconstructive
Trachelorthaphy Curative - Constructive
‘Skin Grafting Curative - Reconstructive
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ia ep‘According to DEGREE OF RISK
@ Major Surgery
- High
risk / Greater Risk for Infection
- Extensive
~ Prolonged
= Large amount of blood loss
Vital organ may be handled or removed
Minor Surgery
= Generally not prolonged
+ Leads to few serious complication
Involves less risk
‘Ambulatory Surgery! Same-day Surgery / Outpatient
‘Surgery
Advantages:
= Reduces length of hospital stay and cuts costs
= Reduces stress for the patient
= Less incidence of hospital aequired infeetion
Less time lost from work by the patient; minimal