Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
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Outline
Communication of Patient Outcomes (Continuum of Care)
Guidelines:
- SBAR Report to PACU always
- Standardized
- “Read back” method
- Call ahead before transfer
- Especially ICU
- Transfer is inherently risky
- Updating family – facility policy
Considerations:
- Pathway to handoff – ICU
- Necessary equipment
- Vent
- Warmer
- Parents
- Most relevant information first
Nurse’s role:
- Updates to family in most facilities
- Facilitate conversations with surgeons
- Report from pre-op,to post-op
- Documentation
Pitfalls:
- Too much detail to family
- Report jumbled
- “I just took over”
- Unknown plan
- Not calling ahead
Examples:
- Calling family “we expected 2 hours but it’s taking a little longer we had trouble getting her to sleep”(!!!! Family gonna freak)
Linchpins (Key Points):
- Surgical events and details needs translation before reporting out of the OR in most instances
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Transcript
References
- Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).
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Concepts Covered:
- Documentation and Communication
- Legal and Ethical Issues
- Disorders of the Thyroid & Parathyroid Glands
- Oncology Disorders
- Perioperative Nursing Roles
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Intraoperative Nursing
- Microbiology
- Communication
- Factors Influencing Community Health
- Postoperative Nursing
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