Perioperative NSG Management

8/8/2019 Perioperative NSG Management

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PERIOPERATIVE NSG MANAGEMENT


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PREOPERATIVE ASSESSMENT

Verify patients identity

Assess patients current level of pain

Identify prior orthopedic injuries or mobilityissues

Confirm availability of blood products as well as

blood typing and cross matching Review medical record for pertinent laboratory

values and diagnostic studies


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AT THE OR

Circulating nurse confirms information by:

Reviewing the surgical consent

Checking how the procedure is scheduled Conferring with the surgeon

Confirming all the information with the patient


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Perioperative Nurses provides patient

education which includes:

> care that will be provided during surgery

> postoperative paint management

> signs and symptoms of infection


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The nurse explains the intraoperative and

immediate postoperative periods and assess

the patients level of understanding.

Nurse gives the patient and the family

members an opportunity to ask questions and

express fears or concerns before transporting

the patient to OR.


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INTRAOPERATIVE CARE

Circulating nurse transports the patient to the

OR and assist the anesthesia care provider and

assist the anesthesia care provider in applying

monitoring equipment

Perioperative nurse places the patients feet

into boots that will be fastened to the table

spars.


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The nurse attaches the boots on the patients legs

in slight internal rotation to the table spar.


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Patient is transferred to the orthopedic table

and position him, assessing for pressure points

and body alignment.

Skin preparation is done


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Typically, the patient is prepped from the midline

abdomen laterally to the level of the bed, distally to the

middle of the thigh, and proximally to the navel.


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After the prep, the nurse applies a small

amount of gross traction, as well as a mild

amount of abduction, before locking the table

in position.


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Hip landmarks are identified for surgical exposure.


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The nurse positions both of the patients legs

similarly, as the nonsurgical side will be used as a

radiographic reference.

The circulating nurse confirms correct positioning

with the physician before the scrub person applies

the surgical drapes because variations of anatomy

and physique may require alterations It is also important that the circulating nurse

ensure that each table control has been locked


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POSTOPERATIVE CARE

Monitoring of the vital signs after surgery

Circulating nurse reassesses the circulation of

both of the patients feet and the condition ofthe skin around the perineal area

drainage tube care

deep vein thrombosis preventive care


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If patient has not been given a regional anesthetic

and is able to obey commands, the nurse assess

the mobility of the patients lower extremities.

Physical therapy begins within hours after surgery.

Activity is not restricted because the patient can

bear weight immediately and activity is increased

according to the patients tolerance level.


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Most patients are walking without aids within

seven to 10 days after surgery.

For those patients who continue to use aidsbeyond the seven to 10-day period, use of

these aids is usually discontinued after two to

three weeks.

Patient is discharged home from one to three

days

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Perioperative NSG Management