Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Individualized Physical Assessments Guidelines: Proper documentation of patient condition pre and post-op Identification of adverse assessment findings Plan of care specific to patients condition Considerations: Pressure ulcers Jewelry/Scars/tattoos Bruising Burns Bovie Possible interventions A-Line Foley Mouth opening Teeth Flexibility Any nerve pain/tingling/weakness critical comparison Nurse’s role: Documentation Communication Identification Assessment is continuous […]
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Age and Culturally Appropriate Health Assessment Techniques Guidelines: Proper preoperative workup to be completed Maximize patient autonomy Advanced directive! Suspension of DNR/DNI common before surgery, define the details! Decision makers common Identify risk populations Dementia worsens with anesthesia Pressure ulcers Comorbidities Considerations: Mental competency Old and young first, to avoid prolonged NPO times […]
Relevant Patient Data Review for Certified Perioperative Nurse (CNOR)
Relevant Patient Data Review Guidelines: Know risk populations ASA classifications Risk of adverse anesthetic event Braden scale Risk for pressure injury Hypothermia Vitals, IV access, NPO status Imaging HCG! Family history Malignant hyperthermia! Considerations: Medical history is king Hysterectomy Implanted metal Renal function Mouth opening Patient fear PTSD Boxing gloves Braden Scale Sensory, […]
Confirming Patient Identity (Patient Identifiers) for Certified Perioperative Nurse (CNOR)
Confirming Patient Identity (Patient Identifiers) Definition/Etiology: 2 identifiers required From a competent source Not diagnosis May be artificial but must be unique Considerations: Mentally incompetent Dementia Sedated Temporary ID’s Not confusing with real names Should be evidently temporary “Jon Doe”“Jane Doe” Name alert beware UNIQUE ID’s from other facilities = BAD MRN = […]
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Patient Consent for Treatment Definition/Etiology: Informed consent – “process in which a health care provider educates a patient about the risks, benefits, and alternatives of a procedure or intervention” Examples: anesthesia, surgery, conscious sedations, blood transfusion Implied Consent – when medical staff assume that the patient would given verbal treatment. (Unconscious patients) Examples: stopping […]
Preoperative (Preop) Nursing Priorities
Overview Goals Preoperative nursing priorities Patient safety Patient-centered care Prepare patient for surgery Nursing Points General Possible risks Injury Knowledge deficit Fear and anxiety Infection Intraoperative complications Postoperative complications Assessment Preoperative nursing priorities Decrease risk of wrong-site surgery Patient identification Name Birthdate Patient verification Confirms procedure and surgical site Consent matches Site marked Provider initials […]
Preoperative (Preop) Education
Overview Goal of education Increases patient safety Prepares patient and family What to expect before, during, after surgery Decreases anxiety and fear Before and after surgery Decreases length of stay Decreases postoperative complications Increases healing time Importance of education Increases patient autonomy Decreases knowledge deficit Education begins with provider Nursing Points General Patient education specifics […]
Preoperative (Preop)Assessment
Overview Purpose of the preoperative assessment Prepares patient for surgery Physically Psychologically Identify surgical risk factors Identify specific patient needs Physical Mental Spiritual Cultural Nursing Points General Goals of the preoperative assessment Identifies risk factors to surgery Comorbidities Patient cognitive abilities Verification of surgical site Informed consent Understands instructions Share information with perioperative team members […]
Informed Consent
Overview Informed consent Provider gives information about procedure to patient See elements below Patient must be competent Decision is voluntary Appropriate decision-making skills Provider will assess Patient accepts or declines treatment Written consent provided by patient Role of perioperative nurse Confirm patient is informed by provider Coordinate additional conversation if necessary Witness written consent Check […]
Health Assessment Course Introduction
The Health Assessment course will help you understand how to complete a thorough, efficient head to toe assessment of your patient. Health Assessment can be intimidating, but we break down each body system and show you on a real person how to look, listen, and feel for abnormalities. We believe that if you know what […]