Friday, November 19, 2010

Intraoperative Phase

MAINTENANCE OF SAFETY

1.) Maintains aseptic, controlled environment.

2.) Effectively manages human resources, equipment, and supplies for individualized patient care.

3.) Transfer patient to operating room bed or table.

4.) Position the patient: function alignment, exposure of surgical site.

5.) Applies grounding device to patient.

6.) Ensure that the sponge, needle and instrument counts are correct.

7.) Completes intraoperative documentation.

PHYSIOLOGIC MONITORING

1.) Calculates effect on the patient of excessive fluid loss or gain.

2.) Distinguishes normal from abnormal cardiopulmonary data.

3.) Reports changes in patient's vital signs.

4.) Institutes measures to promote normothermia.

PSYCHOLOGICAL SUPPORT

(Before induction and when patient is conscious.)

1.) Provides emotional support to patient.

2.) Stands near or touches patient during procedures and induction.

3.) Continues to assess patient's emotional status.

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