Peri-Operative Nursing Procedures



DESCRIPTION

This is the process of building a therapeutic relationship and environment with the patient/client and family who visit the hospital. It makes the patient/client and family feel comfortable when discussing issues or needs with the nurse. This action is performed by the nurse immediately he/she comes into contact with a patient/client and family.

AIMS

  1. Develop mutual trust between patient/client and the nurse
  2. Reduce anxiety
  3. Maintains the dignity of patient/client
  4. Promotes effective communication
  5. Facilitate patient/client and family’s understanding of their roles and that of the nurse in the therapeutic relationship

TYPES

  1. N/A

DESCRIPTION

It is the act of describing a procedure, an action or task that will be carried out for a patient/client and or the family during the delivery of care.

AIMS

  1. Seek patient/client and family’s co-operation and consent
  2. Provide clear understanding of the action or task
  3. Allay fear and anxiety
  4. Support patient/client and family in with compliance treatment

TYPES

  1. N/A

DESCRIPTION

This is the responsibility of the operating room manager to coordinate activities of personnel in the operating room, maintain equipment and supplies, staffing and monitor staff performance.

AIMS

  1. Ensure efficiency and successful surgical outcome
  2. Prevent scheduling conflicts among staff
  3. Ensure adherence to operating room procedures
  4. Evaluate staff performance periodically

TYPES

  1. N/A

DESCRIPTION

This is a process of identifying, confirming, assessing, receiving and monitoring a patient scheduled for surgery.

AIMS

  1. Assess and monitor the right patient for surgery
  2. Cross check and receive items required for surgery

TYPES

N/A

DESCRIPTION

This is the process in which the scrub nurse dons the surgical gown and gloves for a sterile team member before any surgical procedure.

AIMS

  1. To prevent surgical site infection
  2. To prevent contamination of sterile items on gown’s trolley

TYPES

  1. N/A

DESCRIPTION

This is the duty of a scrub nurse to provide assistance during surgical procedures by prepping, draping, anticipating surgeon’s needs and wound dressing after skin closure.

AIMS

  1. Maintain sterility of the surgical field throughout the procedure to prevent post-operative infection
  2. Prevent retained foreign objects after surgery
  3. Serve as patient’s advocate during surgery

TYPES

  1. N/A

DESCRIPTION

This is the process of cleaning, disinfecting and sterilizing to render reusable surgical instruments safe for use.

AIMS

  1. Make reusable surgical instruments safe for use on a patient
  2. Prevent the transmission of microorganisms from one patient to another or staff
  3. Prevent surgical site infection

TYPES

  1. N/A

DESCRIPTION

Assist in supervisory planning, organizing, directing, coordinating and controlling activities. He/she assumes responsibility for the overall assessment, implementation and evaluation of patient care on the unit.

AIMS

  1. Provide safe environment for the patient and staff
  2. Ensure successful surgical outcome
  3. Co-ordinate between the surgical team, wards and significant others

TYPES

  1. N/A

DESCRIPTION

This is the duties of a non-sterile surgical team member who assist the sterile team by providing needed supplies and ensuring efficient and safe surgery.

AIMS

  1. Monitor activities of the members of the surgical team
  2. Ensure the safety of patient and personnel

TYPES

  1. N/A

DESCRIPTION

It is the act of tidying up the operating theatre by removing cobwebs, scrubbing and mopping the walls and floors as well as servicing the equipment once a week.

AIMS

  1. Provide a clean and safe environment in the operating theatre

TYPES

N/A

DESCRIPTION

It is an early nursing intervention given to patients as they recover from anaesthesia and a surgical procedure. It involves monitoring of vital signs, managing pain, assessing wound healing and addressing potential complications.

AIMS

  1. Identify or prevent early signs of post-operative complications
  2. Promote early recovery of the surgical patient

TYPES

  1. N/A

DESCRIPTION

This is the act of caring for surgical patient with infectious conditions while minimizing patient and staff risk for potential complications in the operating room.

AIMS

  1. Avoid spread of infection in the operating room
  2. Prevent postoperative complication

TYPES

  1. N/A

DESCRIPTION

This is the process of taking off soiled gowns, gloves, linens and processing the reusable items using decontaminate for safe future use.

AIMS

  1. Prevent transfer of microorganism contamination from patient to patient or patient to staff

TYPES

  1. N/A

DESCRIPTION

It is a set of specific practices and procedures performed under carefully controlled condition with a goal of minimizing infection.

AIMS

  1. Remove transcript microorganisms and inhibit the growth of resident microorganism from the nails, hands and forearms
  2. Prevent the migration of microbes from the skin and scrub attire of the sterile team members to the sterile field
  3. Act as a protective barrier

TYPES

  1. Brush/Traditional scrubbing
  2. Brushless technique of scrubbing
  3. Drying with one towel
  4. Drying with two towels
  5. Gowning and open gloving
  6. Gowning and Closed gloving

DESCRIPTION

This is an act of reducing resident flora and removing transient microorganisms on the hands by the use of antiseptic soap under running water before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the number of resident microorganisms on skin to an irreducible minimum
  3. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

  1. Surgical hand scrub (brush technique/traditional) and drying of hands with one (1) towel
  2. Surgical hand scrub (brush technique/traditional) and drying of hands with two (2) towels
  3. Surgical hand scrub (brushless technique) and drying of hands with one (1) towel
  4. Surgical hand scrub (brushless technique) and drying of hands with two (2) towels

SURGICAL HAND SCRUB (BRUSH TECHNIQUE/TRADITIONAL) AND DRYING OF HANDS WITH ONE (1) TOWEL

DESCRIPTION

This is an act of reducing resident flora and removing transient microorganisms on the hands by the use of antiseptic soap under running water before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the number of resident microorganisms on skin to an irreducible minimum
  3. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

  1. Surgical hand scrub (brush technique/traditional) and drying of hands with one (1) towel
  2. Surgical hand scrub (brush technique/traditional) and drying of hands with two (2) towels
  3. Surgical hand scrub (brushless technique) and drying of hands with one (1) towel
  4. Surgical hand scrub (brushless technique) and drying of hands with two (2) towels

SURGICAL HAND SCRUB (BRUSH TECHNIQUE/TRADITIONAL) AND DRYING OF HANDS WITH TWO (2) TOWELS

DESCRIPTION

This is an act of reducing resident flora and removing transient microorganisms on the hands by the use of antiseptic soap under running water before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the number of resident microorganisms on skin to an irreducible minimum
  3. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

  1. Surgical hand scrub (brush technique/traditional) and drying of hands with one (1) towel
  2. Surgical hand scrub (brush technique/traditional) and drying of hands with two (2) towels
  3. Surgical hand scrub (brushless technique) and drying of hands with one (1) towel
  4. Surgical hand scrub (brushless technique) and drying of hands with two (2) towels

SURGICAL HAND SCRUB (BRUSHLESS TECHNIQUE) AND DRYING OF HANDS WITH ONE (1) TOWEL

DESCRIPTION

This is an act of reducing resident flora and removing transient microorganisms on the hands by the use of antiseptic soap under running water before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the number of resident microorganisms on skin to an irreducible minimum
  3. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

N/A

SURGICAL HAND SCRUB (BRUSHLESS TECHNIQUE) AND DRYING OF HANDS WITH TWO (2) TOWELS

DESCRIPTION

This is an act of donning sterile gown and gloves before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

  1. Gowning and Closed gloving
  2. Gowning and Open gloving

GOWNING AND CLOSED GLOVING

DESCRIPTION

This is an act of donning sterile gown and gloves before any surgical procedure.

AIMS

  1. Prevent contamination of the sterile environment to promote patient safety
  2. Reduce the risk of microbial contamination of the surgical wound by skin flora

TYPES

  1. Gowning and Closed gloving
  2. Gowning and Open gloving

GOWNING AND OPEN GLOVING

DESCRIPTION

This is the act of getting the surgical suite, equipment, and instruments required ready for specific surgeries.

AIMS

  1. Keep the surgical suite clean and free from microorganisms
  2. Plan and optimize operating room activities
  3. Provide safe and sterile surgical field

TYPES

  1. N/A

DESCRIPTION

This is the process of moving a patient from the operating room to the recovery ward on trolley/bed after a surgical procedure.

AIMS

  1. Hand over relevant information about the patient during the surgery to recovery ward nurse
  2. Ensure continuity of care after surgery

TYPES

N/A

DESCRIPTION

This is the act of conveying a stable surgical patient from recovery ward/PACU to the surgical ward or ICU for further management.

AIMS

  1. Continuity of patient care

TYPES

  1. N/A

DESCRIPTION

This is the duties of a sterile team member who after surgery ensures patient is transported safely to the recovery ward with accompanying specimen if any, decontaminate used instrument and reset the operating room for the next surgery.

AIMS

  1. Reduce turnover time in the operating room

TYPES

  1. N/A

DESCRIPTION

This is the practice of enforcing rules and regulations for professional behaviour to ensure order and safety in the operating room.

AIMS

  1. Discourage ineffective and negative behaviour
  2. Promote order in the operating room

TYPES

  1. Preventive discipline
  2. Support discipline
  3. Corrective discipline

DESCRIPTION

This is the care and practises in the operating room to prevent and control hospital acquired infections.

AIMS

  1. Prevent the spread of hospital acquired infection among operating room staff

TYPES

  1. N/A

DESCRIPTION

This is the cleaning and application of dressing materials to the wound area after surgery by employing pressure unless contraindicated (flap or split skin grafting) to promote healing.

AIMS

  1. Prevent bleeding
  2. Provide optimum conditions for wound healing
  3. Prevent surgical site infection

TYPES

  1. N/A

DESCRIPTION

This is the act of regularly verifying and tracking how well and how consistently staff perform in their line of duty.

AIMS

  1. Improve productivity and increase the overall staff performance in the operating room

TYPES

  1. N/A

DESCRIPTION

This is the process of planning and effective use of time in the operating room to ensure efficiency.

AIMS

  1. Maximize the efficiency of operation room utilization
  2. Decrease turnover time

TYPES

  1. N/A

DESCRIPTION

This is the process of knowledge acquisition/dissemination on operating room practices to help student/staff perform competently.

AIMS

  1. Plan, schedule, coordinate and evaluate educational and training programs

TYPES

  1. N/A

DESCRIPTION

This is the process of tracking the status and performance of equipment and supplies to assess and identify fault/shortage and take preventive or corrective measures.

AIMS

  1. Ensure availability of equipment and supplies
  2. Prevent supply run out and/or equipment break down

TYPES

  1. N/A

DESCRIPTION

This is the act of bringing all staff together to deliberate on issues concerning the progress of work and staff in the operating room.

AIMS

  1. Provide updates
  2. Deliver announcements
  3. Solicit feedback
  4. Share information
  5. Promote teamwork

TYPES

  1. N/A

DESCRIPTION

Preoperative patient education is a process of ensuring that patients are well-informed and mentally prepared for their surgery.

AIMS

  1. Ensure that patients are well-prepared for their surgery
  2. Ensure informed decisions regarding surgery
  3. Allay patient’s fear and anxiety

TYPES

  1. N/A

DESCRIPTION

The informed consent process involves discussing the surgical procedure, its risks, benefits, alternatives, and potential complications with the patient and ensuring that they understand and voluntarily agree to the treatment.

AIMS

  1. Ensure that patient's autonomy and rights are respected
  2. Ensure informed decisions regarding surgery

TYPES

  1. N/A

DESCRIPTION

The informed consent process involves discussing the surgical procedure, its risks, benefits, alternatives, and potential complications with the patient and ensuring that they understand and voluntarily agree to the treatment.

AIMS

  1. Reduce the risk of aspiration and complications during surgery

TYPES

  1. N/A