Perioperative phase (pre-surgery)
begins as soon as decision is made for surgery
ends when transfer to OR
Intraoperative phase (while in surgery)
Postoperative phase (admitted to PACU – post anesthesia care unit)
ends with complete recovery
※most insurance will pay for 10 days post-op for minor surgery
and 90 days post-op for major surgery (includes Dr. visit on both)
10 days to 2 wks to remove sutures
Nurses Function – assess, teach, report(*see chart in LeMone pg 54 – classifications of surgery)
1. Assist pt
A. cope with stressors – help pt to express fears ie. fears of pain from surgery & post surgery
B. seek relief from pain
C. return to optimal functioning
2. Primarily responsibility & accountability for nursing care of client having surgery is to
A. assess pt
B. report complications
Classified
1. location – external or internal, location of body part
2. extent or risk factor
3. purpose of the surgery
4. degree of urgency
*can get internal scars – adhesions can cut off circulation
*laproscopic procedure↓ adhesions
Location
1. external or internally
2. location of body parts or systems
A. cardiovascular
B. chest – heart, lung
C. neurologic – nervous system
Extent
1. minor (usually outpatient) – laprascopic – minimal physical assault or risk ie. skin lesion, D&C
pt can still have concerns with minor procedure (ie. cataract)
2. major (inpatient) – extensive physical assault / risk ie. joint replacement, heart surgery
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