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Pre-surgical preparation

Preparation of the patient who is to undergo surgery.

Objectives:

– Assist the patient to understand and prepare for surgery. – Provide the necessary nursing care for the surgery. – Promote an environment of clinical safety prior to the surgical process. – Decrease patient and family anxiety before surgery.

Equipment:

– Equipment necessary for the administration of enemas, if needed.

Material:

– Identification bracelet. – Disposable razor. – Soap. – Disposable towels. – Disposable gown. – Disposable tights. – Disposable caps. – Oral antiseptic. – Necessary material for the administration of enemas, if needed. – Necessary material for the administration of medication. – Nursing records. – Medical records.

Procedure:

– Preserve the patient’s privacy. – Inform the patient and family about the date, time, and place of the surgery. – Know the patient’s previous level of knowledge related to the surgery. – Assess the patient’s and family’s anxiety related to the surgery. – Allow the patient to express his or her doubts. – Provide information about what the patient will feel during the procedure. – Instruct the patient on the technique for getting out of bed. – Reinforce the information provided by other team members. – Confirm the explanation received. – Ensure that the patient is fasting, if necessary. – Verify that the informed consent has been signed. – Verify that the necessary laboratory tests have been performed. – Verify that ECG has been performed, if necessary. – Communicate special care needs to the operating room staff. – Verify that the patient is wearing the identification bracelet and allergy bracelet if applicable. – Verify the need for shaving for surgery. – Remove rings, bracelets, and remove dentures, glasses, contact lenses or other prostheses, if necessary. – Remove nail polish and makeup, if needed. – Administer enemas, if needed. – Administer pre-surgery medication, if necessary. – Check that the patient has performed hygiene prior to surgery or assist in the same if not autonomous. – Check that the patient has done the mouth rinse with the oral anti-septic solution. – Check that the patient has put on the garments according to the protocol. – Provide information to the family about the waiting areas. – Prepare the room for the patient’s return. – Record in the nursing documentation: procedures performed, date and time of surgery, incidents and patient response.

Observations:

For the bath or shower prior to surgery it is not necessary to use soaps with skin antiseptics as it does not provide benefits in terms of decreasing surgical site infection.[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section]

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