Relevant Patient Data Review for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Relevant Patient Data Review
Guidelines:
- Know risk populations
- ASA classifications
- Risk of adverse anesthetic event
- Braden scale
- Risk for pressure injury
- Hypothermia
- ASA classifications
- 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
- PTSD
- Braden Scale
- Sensory, Moisture, activity, mobility, nutrition, friction 1-4 higher better
- Surgery scores 1 on 3 of them by default!
Nurse’s role:
- Preoperative interview
- Before block!
- Proper SBAR if transferring
- Patient safety
- Boxing gloves
- Warm safe snuggle sheet
- Patient comfort
- Joint/back pain significant increase
- Discharge dispo
- Ride home?
Pitfalls:
- Secret piercings
- Young adults
- Fluid overload
- Improper report
- No preoperative comparison
Examples:
- 35F no surgical history but has mirena (still HCG, U-ter-us = pee for us)
- ASA 4 with planned same-day PACU recovery (consider SDS candidacy, ICU bed availability,time of day)
- 6/10 preoperative pain unrelated (May worsen and not reflective of post op recovery)
- NICU transfer to OR (warmer!)
Linchpins (Key Points):
- Rn must actively engage with patient unique needs and identify risks
Transcript
References
- Association of periOperative Registered Nurses. (2022). Guidelines for Perioperative Practice (2022 ed.).