Preoperative Medications

Posted by: Daisy Jane, RN, MN

Overview One of the important events during the preoperative phase of the surgical experience is the administration of preoperative medications. Not only are anesthetics administered during this time, but so as drugs that minimizes respiratory tract secretions. Medicating the client pre-procedure to reduce anxiety and promote relaxation may also be necessary. Medication History Before discussing [...]

The Rehabilitation Team

Posted by: Daisy Jane, RN, MN

The rehabilitation of clients requires trained and specialized personnel working closely with them to speed up the recovery and provide certain skills and strategies to encourage one’s independence. It is the work of the rehabilitation team to meet these client needs while offering support and encouragement in every step of the way to the client [...]

Postoperative Phase

Posted by: Daisy Jane, RN, MN

Definition The postoperative period of the surgical experience extends from the time the client is transferred to the recovery room or past-anesthesia care unit (PACU) to the moment he or she is transported back to the surgical unit, discharged from the hospital until the follow-up care. Goals during the Postoperative Period During the postoperative period, [...]

Total Hip Replacement Surgery

Posted by: Daisy Jane, RN, MN

Definition One of the most successful surgeries in orthopedics is the total hip replacement. In this procedure, the acetabulum and the head of the femur is replaced with prostheses. In cases where a severely damaged hip is present, an artificial joint is used to replace the non-functional area. Indications Total Hip Replacement surgery is indicated [...]

Intraoperative Phase

Posted by: Daisy Jane, RN, MN

Definition The intraoperative phase extends from the time the client is admitted to the operating room, to the time of anesthesia administration, performance of the surgical procedure and until the client is transported to the recovery room or postanethesia care unit (PACU). Throughout the surgical experience the nurse functions as the patient’s chief advocate. The [...]

Standards of Professional Performance of Registered Nurses in Operating Room

Posted by: Daisy Jane, RN, MN

Standards of Professional Performance of Registered Nurses in Operating Room The entry into the professional operating room (OR) nursing as the clinical practice setting of choice is as a staff nurse. A staff nurse should have a degree in Nursing (Nursing) who has successfully passed the nursing licensure examination (registered nurse or RN). A registered [...]

Preoperative Nursing Management

Posted by: Daisy Jane, RN, MN

Overview Perioperative nursing describes the wide variety of nursing functions associated with the patient’s surgical management. It has three phases of the surgical experience namely: Preoperative phase. This phase begins when the decision for surgical intervention is made and ends when the patient is transferred from the operating room. Intraoperative phase. This phase begins when [...]

Operating Room Committee

Posted by: Daisy Jane, RN, MN

Definition The Operating Room Committee is an interdisciplinary committee charged to coordinate and standardize the care of patients undergoing surgical or other invasive procedures. It is a committee of the medical staff. This Committee oversees clinical practice related to Preoperative, intraoperative and Postoperative procedure care. It has the authority to establish clinical procedure and policy [...]

Internal Fixation of the Hip

Posted by: Lhynnelli, RN

Definition Stabilization of an intracapsular fracture of the femoral neck or an extracapsular fracture of the intertrochanteric region. Discussion The procedure is indicated for the patient when early postoperative mobilization may not be feasible. The procedure could be performed under local anesthesia if necessary because of poor physiologic status. Fixation can be achieved with a [...]

Shirodkar Cerclage Procedure

Posted by: Lhynnelli, RN

SHIRODKAR (Cerclage for Incompetent OS) Definition The placement of an encircling “tape” ligature at the level of the internal cervical os to maintain the integrity of the cervical canal. Discussion The procedure is usually performed to prevent premature dilation and subsequent spontaneous expulsion of the fetus prior to safe delivery. It is usually recommended for [...]