{"id":374,"date":"2022-12-06T10:41:24","date_gmt":"2022-12-06T10:41:24","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=374"},"modified":"2025-01-06T15:56:24","modified_gmt":"2025-01-06T15:56:24","slug":"module-5-d-types-of-interventions","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=374","title":{"rendered":"Module 5: D. Types of Interventions"},"content":{"rendered":"\n<h2>Types of Interventions<\/h2>\n\n\n\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<p><strong>Mechanical prophylaxis&nbsp;<\/strong><\/p>\n\n\n\n<ol><li>Elastic Compression Stockings (ECS)&nbsp;<\/li><li>Intermittent Pneumatic Compression (IPC)&nbsp;<\/li><\/ol>\n<\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\">\n<p><strong>Pharmacological prophylaxis&nbsp;<\/strong><\/p>\n\n\n\n<ol><li>Low dose heparin&nbsp;<\/li><li>Low molecular-weight heparin&nbsp;<\/li><\/ol>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Nursing Considerations<\/h5>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td> <p><strong>Consideration<\/strong><\/p> <\/td><td>\n<p><strong>VTE Prophylaxis<\/strong><\/p>\n<\/td><\/tr><tr><td>\n<p>Should be fitted and sized appropriately<\/p>\n<\/td><td>\n<p>ECS\/IPC<\/p>\n<\/td><\/tr><tr><td>\n<p>Should be applied and working before induction<\/p>\n<\/td><td>\n<p>IPC<\/p>\n<\/td><\/tr><tr><td>\n<p>Should be monitored for appropriate function<\/p>\n<\/td><td>\n<p>IPC<\/p>\n<\/td><\/tr><tr><td>\n<p>Contraindications: Peripheral vascular disease, diabetic neuropathy, skin breakdown<\/p>\n<\/td><td>\n<p>ECS\/IPC<\/p>\n<\/td><\/tr><\/tbody><\/table><figcaption>(ORNAC, 2021)<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Potential Adverse Effects of Mechanical VTE Prophylaxis<\/h5>\n\n\n\n<ol><li>Hypothermia<\/li><li>Ischemia<\/li><li>Numbness, tingling, discomfort, or pain<\/li><li>Proximal indentation at the knee<\/li><li>Skin injury<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83d\udcac Communication Highlights<\/h5>\n\n\n\n<ul><li>If using mechanical prophylaxis, the circulating nurse provides patient education regarding the intervention before bringing the patient into the OR.<\/li><li>To ensure that patients are involved in their care and attention to safety is a priority, the briefing phase of the surgical safety checklist includes a discussion of the VTE prophylaxis.<\/li><li>The circulating nurse communicates the type of VTE prophylaxis during all transfers of care.<\/li><li>The circulating and scrub nurses should be provided with continuing education about the risks of VTE prophylaxis.<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83d\udcc1 Documentation Highlights<\/h5>\n\n\n\n<ul><li>Healthcare institutions should have a policy or guideline for VTE assessment and prophylaxis.<\/li><li>It is necessary for the nurse to document the type of device and control number, start time, and end time.<\/li><li>The circulating nurse documents the assessment of the skin after removal of the mechanical VTE prophylaxis, if removal is required.<\/li><\/ul>\n\n\n\n<p>(ORNAC, 2021)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83d\udcfd\ufe0f AORN CINE-MED VIDEO&nbsp;<\/h5>\n\n\n\n<p>Navigate to the <a href=\"https:\/\/cine-med.com\/aornonline\/index.php\" data-type=\"URL\" data-id=\"https:\/\/cine-med.com\/aornonline\/index.php\" target=\"_blank\" rel=\"noreferrer noopener\">AORN Cine-Med website <\/a>and make sure that you are logged in before clicking on the link below.&nbsp;<\/p>\n\n\n\n<ul><li>Log in to watch the Cine-Med Video <a href=\"https:\/\/cine-med.com\/aornonline\/overview.php?cat=4&amp;id=2020\" target=\"_blank\" rel=\"noreferrer noopener\">Prevention of Venous Thromboembolism<\/a><\/li><li>Download the <a id=\"post-242-_Int_uSn9rdPJ\"><\/a>Study Guide included to follow along.\u00a0<\/li><li>Runtime: 27minutes<\/li><\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>\ud83e\udde0 Graded Activity<\/h5>\n\n\n\n<p>In Blackboard complete the <strong>Graded Activity: Maintaining Normothermia and Preventing VTE<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Summary<\/h5>\n\n\n\n<div class=\"wp-container-6 wp-block-columns\">\n<div class=\"wp-container-4 wp-block-column\">\n<ul id=\"block-c4bcced6-f54c-42e7-b321-34b192d73125\"><li>The normal core body temperature is 36\u00b0C to 38\u00b0C.<\/li><li>The hypothalamus triggers the cooling and warming effects when thermoreceptors receive a message regarding a change in core body temperature.<\/li><li>Thermoregulation can be maintained by active warming devices and passive warming devices.<\/li><li>Performing a thorough preoperative nursing assessment will identify the patient\u2019s risks or challenges that may contribute to perioperative hypothermia.<\/li><li>The factors that affect normothermia include age, weight, gender, and medical conditions. The elderly, children, females, and those with a high <a><\/a>ASA (America Society of Anesthesiologists) classification are at risk.<\/li><\/ul>\n<\/div>\n\n\n\n<div class=\"wp-container-5 wp-block-column\">\n<ul id=\"block-c4bcced6-f54c-42e7-b321-34b192d73125\"><li>A patient\u2019s temperature should be taken one hour before the planned procedure and documented.<\/li><li>Temperature monitoring should be done throughout the procedure. Noninvasive core temperature monitoring devices include a nasopharyngeal <a><\/a>temporary probe, esophageal\/rectal <a><\/a>temporary worker probe, <a><\/a>and tympanic thermometer.<\/li><li>The health care institution should have guidelines or a policy on management of unplanned perioperative hypothermia.<\/li><li>VTE can be a fatal <a><\/a>complication, but it is preventable and risk factors should always be assessed to determine if interventions are required.<\/li><li>The preoperative team will collaborate on the most appropriate VTE prophylaxis for the patient.<\/li><li>There are two types of prophylaxis: mechanical and pharmacological.<\/li><\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Types of Interventions Mechanical prophylaxis&nbsp; Elastic Compression Stockings (ECS)&nbsp; Intermittent Pneumatic Compression (IPC)&nbsp; Pharmacological prophylaxis&nbsp; Low dose heparin&nbsp; Low molecular-weight heparin&nbsp; Nursing Considerations Consideration VTE Prophylaxis Should be fitted and sized appropriately ECS\/IPC Should be applied and working before induction IPC Should be monitored for appropriate function IPC Contraindications: Peripheral vascular disease, diabetic neuropathy, skin [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":59,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[18],"tags":[],"wf_post_folders":[7],"_links":{"self":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/374"}],"collection":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=374"}],"version-history":[{"count":14,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/374\/revisions"}],"predecessor-version":[{"id":943,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/374\/revisions\/943"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/media\/59"}],"wp:attachment":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=374"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=374"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=374"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=374"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}