Transcript ST230_PostoperativeCaseManagement

ST230
Concorde Career College
Objectives:
 Describe the technique utilized when
removing the gown and gloves
postoperatively and explain the rationale.
 List the three phases of the operating room
cycle, identify the tasks performed during
each phase, and describe the rationale for
each.
Objectives (continued):
 Define the term homeostasis and describe the
methods utilized in the surgical environment
to monitor and maintain homeostasis.
 List emergency situations that may arise in
the surgical environment and describe the
appropriate response to each situation.
Objectives (continued):
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Define the term specimen, identify methods
for obtaining the specimen, describe methods
of specimen processing, and outline the
duties related to specimen handling.
Objectives (continued):
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List the types of documentation related to the
surgical environment, describe the
importance of each, apply recommended
practices, and understand the legal
implications of proper documentation.
Drape Removal
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Remove drapes after
dressing application
Roll drape to contain
biohazardous
material
Dispose
Clean patient
Secure dressing
Operating Room
Cycle
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Preoperative Phase
Intraoperative
Phase
Postoperative
Phase
Homeostasis
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How is homeostasis
monitored in the
OR?
How is homeostasis
maintained in the
OR?
Emergency Situations
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Respiratory arrest
Cardiac arrest
Malignant hyperthermia
Seizure
Anaphylaxis
Transfusion reaction
Pseudocholinesterase
deficiency syndrome
Shock
Surgical Specimens
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What is a surgical
specimen?
How are
specimens
obtained?
Specimen Care
Name/location
 Labeling
 Type of exam
 Requisition
 Fixative
Note: Most specimens
are not replaceable
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Documentation
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Operative Record
Anesthesia Record
Specimen Handling
Incident Report
Implant Log
Operative Report
PACU Record
ST230
Concorde Career College, Portland
Objectives:
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Describe the elements involved in planning
for the patient’s discharge from the facility.
List the components of physical, mental,
emotional, and spiritual health and describe
the methods through which health is
achieved.
List the equipment and supplies needed in
the postanesthesia care unit (PACU) and
describe the function and importance of
each.
Objectives:
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Outline the postoperative patient care
typically provided in the PACU and beyond.
List and describe common postoperative
complications including signs and
symptoms, diagnosis, and available
treatment options.
List the three phases of the operating room
cycle, identify the tasks performed during
each phase, and describe the rationale for
each.
Objectives:
 List the three phases of the instrument
cycle, identify the tasks performed during
each phase, and describe the rationale for
each.
 Describe the technique utilized when
assembling an instrument set and explain
the rationale.
 Define the term decontamination.
 Describe the decontamination process, list
the types of disinfectants, and explain the
usage for each type.
Objectives:
 Define the term sterilization.
 Describe the sterilization process, list the
types of sterilants, and explain the usage
for each type.
 Identify sterilization process monitoring
concepts, list and describe the monitoring
methods, and explain the rationale for each.
 List and describe the types of microbial
barriers and state the advantages and
disadvantages of each type.
Objectives:
 List the sealing methods utilized with the various
microbial barriers and describe the usage of each
type.
 Identify methods utilized for identification of sterile
items.
 Describe the methods utilized when applying
microbial barriers and describe the application
procedure for each type.
 Describe the principles for storage of sterile items
and outline the technique for storing, handling,
and distributing sterile supplies.
Discharge Planning – Consider the following:
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Where will the patient go?
How will he or she get there?
Who will be there to care for the patient, if
necessary?
Medications?
Dressings?
Future appointments?
Homeostasis
List the components of physical, mental,
emotional, and spiritual health and describe
the methods through which health is
achieved.
PACU
Equipment and
supplies
Equipment and Supplies
 Oxygen
 Suction
 Monitoring Devices
 Wound Care
 Emergency
(resuscitation)
Equipment
 Personnel
 Diagnostic Equipment
(available)
Common Surgical Complications
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Hemorrhage
Hematoma formation
Infection
Damage to nearby structures
Nuerovascular compromise
Wound dehiscence
Death
Complications related to anesthesia administration
Specific complications according to procedure
performed
Organ perforation
Operating Room
Cycle
1.
2.
3.
Preoperative
Intraoperative
Postoperative
Instrument Cycle
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Preoperative Phase
Intraoperative
Phase
Postoperative
Phase