Page 109 - Demonstrating skill coppysaved colored-converted

Procedures
1. Explain the procedure
2. Check whether the client has any questions regarding the surgery and understands the
procedure.
3. Wash hands
4. Verify admission orders regarding the type of surgery, any risks (including recent
changes in vital signs), and client preparation
5. Verify the client by checking the name tag and asking the name
6. Make the patient NPO for six to eight hours
7. Complete the preoperative checklist, including history, physical assessment, and check of
valuables.
8. Perform neurological assessment, including checks for orientation, eye coordination,
hand-grips, knee bends, and plantar and dorsiflexion of the feet
9. Perform vascular assessment including checks of pulse, blood pressure, and apical pulse
rhythm, peripheral pulses, and temperature. Compare with previous information. Clients
over 50 may require a baseline electrocardiogram
10. Auscultate the lungs bilaterally front and back. If any wheezes, rhonchi, coughs, upper
respiratory infections, or increased temperature, notify the physician or qualified
practitioner
11. Assess the gastrointestinal system (time of last meal, food allergies, bowel sounds, last
bowel movement, and time of last fluids).
12. Assess the genital/urinary system (last menstrual period, last void, state of pregnancy,
estrogen replacement therapy).
13. Assess skin and muscle tone for any skin breakdown, redness, bruises, decreased skin
integrity
14. Ascertain any allergies or adverse reactions during previous surgeries or use of
anesthesia.
15. Obtain medication history, including the time and date of the last dose of medication
16. Ascertain any history of drugs/alcohol use and when they were last used.
17. .Check weight.
18. Check if the family is available and who is present
19. .Ascertain if the client has signed the surgical consent. Determine if the client has a living
will or has designated resuscitation status.
20. Remove all valuables except for wedding rings if requested. Tape rings in place. Check
and document whether valuables are placed in a locked area, safe storage area, or given
to the family.
21. Check if eyeglasses and dentures are removed; place in a labeled container
22. Maintain elimination as needed (catheterization, enema)
23. Administer intravenous fluids according to orders
24. Administer medications according to orders.
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