Sample Preoperative Teaching: Activities and Events for In-Patient Surgery Preoperative Phase

Fundamental Review 6-3
Sample Preoperative Teaching: Activities and Events for In-Patient Surgery Preoperative Phase
Exercises and physical activities: Deep-breathing exercises Coughing Incentive spirometry Turning Leg exercises Early mobility Pneumatic/graduated compression stockings Pain management: Meaning of PRN orders for medications Patient-controlled analgesia (PCA), as appropriate Timing for best effect of medications Splinting incision Nonpharmacologic pain management options Visit by anesthesiologist Physical preparation: Nothing by mouth (NPO) Medications the night before and day of surgery Preoperative checklist (review items) Visitors and waiting room Transport to operating room by stretcher Intraoperative phase Holding area: Skin preparation Intravenous lines and fluids Medications Operating room: Operating room bed Lights and common equipment (e.g., cardiac monitor, pulse oximeter, warming device) Safety belt Sensations Staff Postoperative phase Postanesthesia care unit: Frequent vital signs, assessments (e.g., orientation, movement of extremities, strength of grasp) Dressings, drains, tubes, catheters Intravenous lines Pain medications, comfort measures Family/caregiver notification Sensations Airway, oxygen therapy, pulse oximetry Staff Transfer to unit (on stretcher): Frequent vital signs Sensations Pain medications, nonpharmacologic strategies NPO, diet progression Exercises Early ambulation Family/caregiver visits