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POST OPERATIVE

 Postoperative care is the management of a patient after surgery. .  This includes care given during the immediate postoperative period. as well as during the days following surgery. both in the operating room and postanesthesia care unit (PACU).

.PURPOSE The goal of postoperative care is to prevent complications such as infection. to return the patient to a state of health. to promote healing of the surgical incision.

which predisposes the patient to hypotension. 3. Exposure which predisposes the patient to respiratory infections and shock. . Rough handling. Hurried movements and rapid changes in positions. which may place a strain upon the patient·s sutures. 2. the operating room personnel strive to avoid the following three problems: 1.TRANSPORTING THE PATIENT FROM OPERATING ROOM  In moving the patient from the operating table to the stretcher .

or other medications during surgery. occurrence of unexpected events..  Reports patient·s response to surgical procedure and anesthesia.  Describes intraoperative factors (e. insertion of drains or catheters.TRANSFER OF PATIENT TO POST ANESTHESIA CARE UNIT Communicates intraoperative information:  Identifies patient by name.  Reports patient·s preoperative level of consciousness .g.  Describes physical limitation.  States type of surgery performed.  Identifies type of anesthetic used. administration of blood. analgesic agents.

PACU UNIT .

 . close observation is important.  Because the immediate post anesthesia period is a critical time for the patient. The patient·s physical and physiological functioning must be supported until the effects of anesthesia have worn of. Nurse will provide attention to the needs and assist patient in awakening from surgery safely and comfortably.RECOVERY ROOM The Recovery Room is a very safe place to be directly postoperatively.

 Assess patient·s pain level and administers appropriate pain relief measures.  Maintains patient·s safety(airway. prevention of injury)  Administer medication. circulation.POSTOPERATIVE ASSESSMENT RECOVERY AREA  Determines patient·s immediate response to surgical intervention. fluid and blood component therapy. .  Assess patient·s readiness for transfer to inhospital unit or for discharge home based on institutional policy. if prescribed.  Monitor patient·s physiologic status.

Common criteria used in the evaluation of patient discharge readiness are: 1. 2. . 3. The patient must have gained consciousness.DISCHARGE FROM THE RECOVERY ROOM  The Physician ² either the surgeon or anesthesiologist generally discharges the patient from he recovery room. There must be no excessive drainage from any site or body cavity. and the level of consciousness must be satisfactory. The vital signs must be stabilized. The physiologic effects of any narcotic medication must have stabilized. This usually requires 2hours stay in the recovery room. 4. 5. The have recovered from the effects of the general anesthesia.

. provisions must be made for attendance by a private duty nurse on the clinical unit where the patient is to be moved. The urine output must be adequate (30cc/hr). 9.6. The amount should be noted and recorded. 8. Should the situation arise. 7. The staff of the clinical unit to which the patient is to be transferred must be alerted and must be prepared for receiving the patient. All essential orders must have been carried out completed by the recovery room personnel.

.  Assist patient in recovery and preparation for discharge home.  Provides teaching to patient during immediate recovery period.  Determines patient·s psychological status.  Assist with discharge planning.SURGICAL UNIT/WARD  Continues monitoring of patient·s physical and psychological response to surgical intervention.

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GOALS OF CARE THROUGHOUT THE POST OPERATIVE PERIOD     Maintenance of adequate respiratory function. Maintenance of adequate fluids and electrolyte balance. Maintenance of adequate nutrition and elimination. . Maintenance of adequate renal function.

Provision of adequate discharge teaching and planning for the patient and significant others. comfort and safety. Promotion of and maintenance of early movement and ambulation. Promotion of and maintenance of adequate wound healing. Recognition of and prevention of postoperative complication . Provision of adequate psychological support for the patient and significant others.      Promotion of adequate rest.

 Reinforce previous teaching and answer patients and family questions about surgery and followup care. .  Assess patient·s response to surgery and anesthesia and their effects on body image and function.HOME OR CLINIC CARE  Provides follow-up care during office or clinic visit or by telephone contact.