Individualized Physical Assessments for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
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
- Pre-op baseline assessment
- Induction assessment
- Emergence assessment
- Burns
- Cuts
- Bruises
- Redness
- Reactions
Pitfalls:
- Improper baseline completed
- Nurse turnover with bad report
- Anesthesia turnover
- “f/u primary care”is not treatment plan
- Improper nursing expectation
- PACU has septo/rhino who continues to bleed – how much is normal!?
Examples:
- 86M left sided weakness in PACU
- History? (compare to pre-op)
- Family? (compare to patient’s norm)
- Consults & CT (if doubt, act)
- Drain foley balloon, red discharge (notify physician, leave in place as is if possible, anticipate urology consult or need for further operative time/anesthesia)
- Routine assessment finds bruising behind the ears intra-operatively
Linchpins (Key Points):
- Proper identification and documentation of patient condition can be vital to proper
treatment
Transcript
References
- Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).
NCLEX
Concepts Covered:
- Circulatory System
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
- Cardiovascular
- Shock
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
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- Upper GI Disorders
- Liver & Gallbladder Disorders
- Newborn Complications
- Lower GI Disorders
- Multisystem
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- Nervous System
- Central Nervous System Disorders – Brain
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- Test Taking Strategies
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- Basics of NCLEX
- Prefixes
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- Medication Administration
- Gastrointestinal Disorders
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- Pregnancy Risks
- Labor Complications
- Hematologic Disorders
- Fundamentals of Emergency Nursing
- Factors Influencing Community Health
- Delegation
- Perioperative Nursing Roles
- EENT Disorders
- Basics of Chemistry
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- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
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- Behavior
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- Preoperative Nursing
- Endocrine System
- Legal and Ethical Issues
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- Anxiety Disorders
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- Depressive Disorders
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- Peripheral Nervous System Disorders
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- Newborn Care
- Basics of Mathematics
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- Proteins
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- Hematologic System
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- Basics of Human Biology
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- Prioritization
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- Writing
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- Neurological Trauma
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- Childhood Growth and Development
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- Concepts of Pharmacology
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