PERIOPERATIVE CARE

1. PERIOPERATIVE CARE

2. Medical vs. Surgical Asepsis

3. Principles of Surgical Asepsis(Sterile Technique) Sterile object remains sterile only when touched by another sterile object Only sterile objects may be placed on a sterile field A sterile object or field out of range of vision or an object held below a person�s waist is contaminated

4. Principles of Surgical Asepsis(Sterile Technique) When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field becomes contaminated by capillary action Fluid flows in the direction of gravity The edges of a sterile field or container are considered to be contaminated (1 inch)

5. Informed Consent

7. Pre-Op Checks

8. Operative Site Identification

11. Common Post-Operative Orders NPO until fully alert, then ice chips as tolerated. Advance diet as tolerated. Suction prn Complete current IV then discontinue if pt. tolerating fluids. Compazine 5 mg prn for nausea and vomiting Morphine Sulfate 10 mg IM every 3-4 hours prn

12. Common Post-Operative Orders Accurate intake and output T,C, and DB every 2 hours Hemoglobin and hematocrit in a.m. Catheter if patient can�t void in 8 � 10 hours Reinforce dressing prn

15. Immediate Post-Op Assessment and Interventions

16. Immediate Post-Op Assessment and Interventions