Postoperative Case Management

1. Postoperative Case Management ST230 Concorde Career College

2. Postoperative Case Management Objectives: • Describe the technique utilized when removing the gown and gloves postoperatively and explain the rationale. • List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.

3. Postoperative Case Management Objectives (continued): • Define the term homeostasis and describe the methods utilized in the surgical environment to monitor and maintain homeostasis. • List emergency situations that may arise in the surgical environment and describe the appropriate response to each situation.

4. Postoperative Case Management Objectives (continued): • Define the term specimen, identify methods for obtaining the specimen, describe methods of specimen processing, and outline the duties related to specimen handling.

5. Postoperative Case Management Objectives (continued): • List the types of documentation related to the surgical environment, describe the importance of each, apply recommended practices, and understand the legal implications of proper documentation.

6. Postoperative Case Management Drape Removal • Remove drapes after dressing application • Roll drape to contain biohazardous material • Dispose • Clean patient • Secure dressing

7. Postoperative Case Management Operating Room Cycle • Preoperative Phase • Intraoperative Phase • Postoperative Phase

8. Postoperative Case Management Homeostasis • How is homeostasis monitored in the OR? • How is homeostasis maintained in the OR?

9. Postoperative Case Management Emergency Situations • Respiratory arrest • Cardiac arrest • Malignant hyperthermia • Seizure • Anaphylaxis • Transfusion reaction • Pseudocholinesterase deficiency syndrome • Shock

10. Postoperative Case Management Surgical Specimens • What is a surgical specimen? • How are specimens obtained?

11. Postoperative Case Management Specimen Care • Name/location • Labeling • Type of exam • Requisition • Fixative Note: Most specimens are not replaceable

12. Postoperative Case Management Documentation • Operative Record • Anesthesia Record • Specimen Handling • Incident Report • Implant Log • Operative Report • PACU Record

13. Postoperative Case Management ST230 Concorde Career College, Portland

14. Postoperative Case Management Objectives: • Describe the elements involved in planning for the patient’s discharge from the facility. • List the components of physical, mental, emotional, and spiritual health and describe the methods through which health is achieved. • List the equipment and supplies needed in the postanesthesia care unit (PACU) and describe the function and importance of each.

15. Postoperative Case Management Objectives: • Outline the postoperative patient care typically provided in the PACU and beyond. • List and describe common postoperative complications including signs and symptoms, diagnosis, and available treatment options. • List the three phases of the operating room cycle, identify the tasks performed during each phase, and describe the rationale for each.

16. Postoperative Case Management Objectives: • List the three phases of the instrument cycle, identify the tasks performed during each phase, and describe the rationale for each. • Describe the technique utilized when assembling an instrument set and explain the rationale. • Define the term decontamination. • Describe the decontamination process, list the types of disinfectants, and explain the usage for each type.

17. Postoperative Case Management Objectives: • Define the term sterilization. • Describe the sterilization process, list the types of sterilants, and explain the usage for each type. • Identify sterilization process monitoring concepts, list and describe the monitoring methods, and explain the rationale for each. • List and describe the types of microbial barriers and state the advantages and disadvantages of each type.

18. Postoperative Case Management Objectives: • List the sealing methods utilized with the various microbial barriers and describe the usage of each type. • Identify methods utilized for identification of sterile items. • Describe the methods utilized when applying microbial barriers and describe the application procedure for each type. • Describe the principles for storage of sterile items and outline the technique for storing, handling, and distributing sterile supplies.

19. Postoperative Case Management Discharge Planning – Consider the following: • Where will the patient go? • How will he or she get there? • Who will be there to care for the patient, if necessary? • Medications? • Dressings? • Future appointments?

20. Postoperative Case Management Homeostasis List the components of physical, mental, emotional, and spiritual health and describe the methods through which health is achieved.

21. Postoperative Case Management PACU Equipment and supplies

22. Postoperative Case Management Equipment and Supplies • Oxygen • Suction • Monitoring Devices • Wound Care • Emergency (resuscitation) Equipment • Personnel • Diagnostic Equipment (available)

23. Postoperative Case Management Common Surgical Complications • Hemorrhage • Hematoma formation • Infection • Damage to nearby structures • Nuerovascular compromise • Wound dehiscence • Death • Complications related to anesthesia administration • Specific complications according to procedure performed • Organ perforation

24. Postoperative Case Management Operating Room Cycle • Preoperative • Intraoperative • Postoperative

25. Surgical Case Management Instrument Cycle • Preoperative Phase • Intraoperative Phase • Postoperative Phase