{"id":85,"date":"2022-11-22T19:27:45","date_gmt":"2022-11-22T19:27:45","guid":{"rendered":"https:\/\/perioperative1001.slc-courses.ca\/?p=85"},"modified":"2022-12-08T14:27:10","modified_gmt":"2022-12-08T14:27:10","slug":"module-1-a-pre-operative-preparation","status":"publish","type":"post","link":"https:\/\/perioperative1001.slc-courses.ca\/?p=85","title":{"rendered":"Module 1: A. Pre-Operative Preparation"},"content":{"rendered":"\n<h2>Pre-Operative Preparation<\/h2>\n\n\n\n<h5>Assessments and Evaluations<\/h5>\n\n\n\n<p>From the moment a patient meets with a surgeon and the decision is made to proceed with surgery, many assessments, evaluations, and discussions must take place. Some of these include:<\/p>\n\n\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-1\" class=\"h5p-iframe\" data-content-id=\"1\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Module 1: Assessments and Evaluations\"><\/iframe><\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Procedures and Prep<\/h5>\n\n\n\n<p>Some procedures also require specific pre-procedural preparation. For example:<\/p>\n\n\n\n<p><strong>Bowel Preparation<\/strong>: Often for bowel surgery or GI scopes, <a id=\"post-85-_Int_3xf4Bc5F\"><\/a>patients are required to clear the bowel or GI tract. This could include:<\/p>\n\n\n\n<ol><li>Enema until clear<\/li><li>Solutions such as Colyte<\/li><li>Radiology preparation<\/li><li>Sometimes X-rays or wires must be placed right before a surgical procedure<\/li><\/ol>\n\n\n\n<p>(Phillips &amp; Hornacky, 2021)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Alleviating Anxiety and Stress Before the Day of Surgery<\/h5>\n\n\n\n<p>Patients and their families <a id=\"post-85-_Int_zjqWIfQS\"><\/a>have anxiety and stress about the unknown aspects of surgery. Through the double doors into the OR, the room is a whole new world that <a id=\"post-85-_Int_OLr4uNLc\"><\/a>few have had a chance to explore. Many hospital institutions include a discussion of what to expect during the nurse interview. Some facilities even provide videos to help provide a visual of what to expect.<\/p>\n\n\n\n<div class=\"wp-container-3 wp-block-columns\">\n<div class=\"wp-container-1 wp-block-column\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Your surgery journey \u2013 the operating room\" width=\"580\" height=\"326\" src=\"https:\/\/www.youtube.com\/embed\/nj3Wd0LtND8?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-container-2 wp-block-column\">\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Coming to SickKids for Surgery: a patient guided tour\" width=\"580\" height=\"326\" src=\"https:\/\/www.youtube.com\/embed\/SOBFHCa2WvU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n<\/div>\n<\/div>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Outpatient &#8211; Arrival at the Same Day Admission Unit<\/h5>\n\n\n\n<p>All patients coming from home will be asked to register at the same-day surgical admission unit<a id=\"post-85-_Int_XuRz676I\"><\/a>. Upon arrival they will be:<\/p>\n\n\n\n<ol><li>Screened for any breeches to pre-operative preparation instructions (i.e., fasting guidelines, illnesses, etc.).<\/li><li>Registered and provided with a hospital ID band containing their unique identifiers and an allergy bracelet, if applicable. Both should be placed on the patient\u2019s arm (or leg depending on the procedure).<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Patients change into a clean hospital gown:<\/h5>\n\n\n\n<ol><li>All undergarments should be removed unless directed otherwise by the surgical team.<\/li><li>All jewelry and personal items should be removed.<\/li><li>Any assistive devices such as hearing aids, glasses, prosthetic devices, etc., can remain on the patient until just before heading to the OR room or immediately before anesthesia.<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Patients are assessed by the pre-anesthesia nurse who will:<\/h5>\n\n\n\n<ol><li>Assess all current vital signs.<\/li><li>Have the patient void <a id=\"post-85-_Int_S2S2QSwP\"><\/a>to prevent overdistention of the <a id=\"post-85-_Int_LXiidfGY\"><\/a>bladder unless the procedure requires a full bladder.<\/li><li>Apply anti-embolic stockings, if required.<\/li><li>Provide any pre-anesthesia medications.<\/li><\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h5>Inpatient \u2013 Arrival at the Pre-Operative Holding Area<\/h5>\n\n\n\n<p>Like outpatients, surgical patients coming from an inpatient unit arrive in a designated waiting area until the operating room staff are ready to bring them into the OR. The nurse is responsible for completing the pre-surgical prep as ordered by the physician. Many institutions have a pre-surgical checklist to ensure that steps are not missed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pre-Operative Preparation Assessments and Evaluations From the moment a patient meets with a surgeon and the decision is made to proceed with surgery, many assessments, evaluations, and discussions must take place. Some of these include: Procedures and Prep Some procedures also require specific pre-procedural preparation. For example: Bowel Preparation: Often for bowel surgery or GI [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"templates\/template-content.php","format":"standard","meta":[],"categories":[14],"tags":[],"wf_post_folders":[3],"_links":{"self":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/85"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=85"}],"version-history":[{"count":5,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/85\/revisions"}],"predecessor-version":[{"id":692,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=\/wp\/v2\/posts\/85\/revisions\/692"}],"wp:attachment":[{"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=85"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=85"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=85"},{"taxonomy":"wf_post_folders","embeddable":true,"href":"https:\/\/perioperative1001.slc-courses.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fwf_post_folders&post=85"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}