Transcript ADMISSION TO THE OPERATING ROOM SUITE

ADMISSION TO THE
OPERATING ROOM SUITE
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Preanaesthesia Preparations
 The
anaesthesia provider or surgeon may
wish to talk with the patient before
sedation is given.
 The
surgeon should mark the actual
surgical site with an indelible marker.
 The
patient should be informed about all
procedures before they are initiated.
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The procedures may need to be completed
before the induction of anaesthesia
 Removal
of body hair if ordered.
 Marking of surgical incision sites such as
for plastic surgery of the face and torso.
 Insertion of IV access.
 Insertion of invasive haemodynamic
monitoring lines, as appropriate.
 Administration of the preanaesthesia
medication and other drugs such as
preoperative antibiotics, as ordered.
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Nursing care
an anxious patient – provide comfort,
reassurance and attention.
 For
A
compassionate expression in the eyes and
voice and reassuring touch of the hand can
convey concern and under -standing to the
patient.
 The
nurse should answer questions and see
to the patient’s comfort.
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Cont…
a drowsy patient – unnecessary
conversation should be avoided.
 For
 The
patient should be kept warm.
 Maintain
quiet and restful atmosphere to
enable the patients to gain full advantage
of the premedication.
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Transfer to the operating room
Before transporting the patient into the OR, the
circulating nurse has several important duties to
fulfill:

Greet the patient and validate his or her identity
 The circulating nurse should introduce self and
address the patient appropriately.

Ask the patient to state and/or spell his or her
name especially full name and date of birth.
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Cont…


Check the identity wristband before the patient leaves
for the OR.
Verification of the surgical procedure, site, and
surgeon with the patient provides reassurance that
this is the correct patient.

Check the side rails, restraining straps, IV
infusions and indwelling catheters.

Observe the patient for any reaction to the
medication.

Observe the patient anxiety level.
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Cont…

Check the history and physical examination
data, laboratory tests, radiograph reports and
consent form or documentation in the patient’s
chart.

Review the plan of care


Pay particular attention to allergies and any previous
unfavourable reactions to anaesthesia or blood
transfusion.
Become familiar with this patient’s unique and
individual need.
The patient is taken into the OR after the surgeon sees
him or her and the anaesthesia provider is ready to
receive the patient.
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Circulating nurses can minimize the potential
hazards in the following manner:

Never leave the sedated patient unguarded. An
unattended patient may fall or be injured by
equipment.

Correctly identify patients, surgical sites and
medications. An incorrect surgical procedure on
a patient or an error on medication is usually the
result of inadequate identification.

Create, maintain and control an optimally
therapeutic environment in the OR. This
involves control of the physical environment,
such as temperature, humidity, and personnel.
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Cont…

Traffic flow in and out of the room should be kept
to a minimum. The more movement and talking,
the greater the microbial count in the room.

Once the patient is in the OR, it should be kept
quiet so the effects of sedation are not
counteracted.

A tranquil, relaxed atmosphere is conducive to
team concentration and orderly functioning so all
can go well. The standards of ethical conduct
should be strictly enforced.
The End
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