Essentials of perioperative nursing

Description

Cover Title Copyright Contents CHAPTER 1 Introduction to Perioperative Nursing Phases of the Surgical Experience Preoperative Intraoperative Postoperative Nursing Process Throughout the Perioperative Period Assessment Nursing Diagnoses Planning Intervention Evaluation Perioperative Nursing Data Set Roles of the Perioperative Nurse Expanded and Advanced Practice Roles Practice Settings Members and Responsibilities of the Surgical Team CHAPTER 2 Preparing the Patient for Surgery Communication of Relevant Patient Data Nursing Diagnoses Desired Patient Outcomes Preoperative Assessment and Interventions Assessment Parameters Physiologic Psychosocial Nursing Diagnoses and Interventions Preoperative Period Intraoperative Period Prevention of Wrong-Site Surgery Documentation Patient/Family Teaching CHAPTER 3 Instrument Processing Introduction Managing Instruments at the Point of Use Instruments Exposed to Prions Transporting Items from Point of Use to the Sterile Processing Department Decontamination: Sterile Processing Department Manual Cleaning Mechanical Cleaning Special Needs Instruments Eye Instruments Flexible Endoscopes Robotic Instruments Ultrasonic Cleaning Lubrication Preparation and Packaging Inspection Assembly and Packaging Selection Criteria for Barrier Protection Packaging Items for Steam Sterilization Packaging Items for Low-Temperature Sterilization Monitoring: Chemical Indicators and Integrators Labeling Sterilization and Disinfection Sterility Assurance Level (SAL) Methods of Sterilization High-Temperature Sterilization Immediate-Use Steam Sterilization (IUSS) Low-Temperature Sterilization Technologies Sterilization Monitoring: Quality Control Physical Monitors Chemical Indicators Biological Monitors Sterilization: Documentation Disinfection Glutaraldehyde Ortho-phthalaldehyde Quality Control Documentation Reuse of Single-Use Devices Storage of Sterile Items Shelf Life CHAPTER 4 Aseptic Practices: Preparing the  Sterile  Field and the Patient for Surgery Nursing Diagnosis: Desired Patient Outcomes Nursing Responsibilities Pathogenic Microorganisms Sources of Infection (Endogenous) Sources of Infection (Exogenous) Environment Standard and Transmission-Based Precautions Control of Sources of Infection Control of Patient Sources of Infection: Skin Prep Control of Environmental Sources of  Infection: Traffic Patterns Control of Personnel Sources of Infection: Attire Scrubbing, Gowning, and Gloving Definitions Hand Hygiene Traditional Surgical Hand Antisepsis (Traditional Scrub Procedure) Use of Alcohol-Based Hand Preparations Surgical Gowns Closed Gloving Open Gloving Gowning and Gloving Assisting Others to Gown and Glove The Sterile Field Draping Draping Guidelines Standard Drapes Creating and Maintaining a Sterile Field Operating Room Environment Operating Room Sanitation Additional Considerations: Cleaning and Scheduling Special Considerations Clostridium difficile Creutzfeldt-Jakob Disease Airborne- and Droplet-Transmitted Infections CHAPTER 5 Positioning the Patient for Surgery Overview Desired Patient Outcomes Impact of Surgical Positioning: Overview of Injuries Respiratory and Circulatory System Compromise Neuromuscular Injury Facial Nerves Upper Extremity Nerves Lower Extremity Nerves Integumentary System Injury Responsibilities of the Perioperative Nurse Patient Advocate Nursing Considerations Patient Assessment Planning Care Impact of Anesthesia Patient Dignity Positioning Devices Operating Tables and Positioning Accessories Implementation of Patient Care Transportation and Transfer Initial Position Techniques Basic Surgical Positions Supine (Dorsal Recumbent) Trendelenburg Reverse Trendelenburg Lithotomy Sitting, Beach Chair Semi-Sitting, Semi-Fowler’s, Lawn-Chair Position Prone Mayfield Headrest (with Pins) Kraske (Jackknife) Position Lateral Positioning the Morbidly Obese Patient Evaluating the Positioned Patient Postoperative Transfer Documentation of Nursing Actions CHAPTER 6 Prevention of Retained Surgical Items Overview Nursing Diagnosis: Desired Patient Outcome Challenges Assistive Technologies Soft Goods Counts Sharps and Miscellaneous Items Instrument Counts Documentation CHAPTER 7 Prevention of Injury: Hemostasis, Tourniquets, and Electrosurgical Equipment Overview Natural Hemostasis Chemical Hemostasis Thrombin Absorbable Gelatin Oxidized Cellulose Microfibrillar Collagen Styptic Mechanical Hemostasis Instruments, Ties, Suture Ligatures, and Ligating Clips Bone Wax Pressure Tourniquets Nursing Diagnosis and Desired Patient Outcomes Nursing Interventions Application of the Tourniquet Electrical Hemostasis: Electrosurgery Electrosurgical Components Generator Active Electrodes Dispersive Electrodes Nursing Diagnosis Hazards: Fire and Surgical Plume Desired Patient Outcome/Criteria Nursing Interventions: Patient and Staff Safety Electrosurgical Use During Endoscopic Surgery: Special Precautions Electrosurgical Use in the Presence of an Implantable Electronic Device Ultrasonic/Harmonic Technology Argon Beam–Enhanced Electrosurgery/Argon Plasma Coagulation Enhanced Monopolar Technology CHAPTER 8 Effective Management of Surgical Instrumentation Nursing Diagnosis: Desired Patient Outcome Evolution of Surgical Instrumentation Manufacture of Surgical Instruments Instrument Finishes Instrument Nomenclature Nursing Responsibilities Related to Surgical Instrumentation Loaner Instruments Categories of Instruments Cutting Instruments Scalpels and Suture Needles Scissors Other Sharp Instruments Clamps Hemostatic Clamps Occluding Clamps Grasping and Holding Clamps Forceps Retractors Suction Specialty Instrumentation Laparoscopic Instruments Inspection General Guidelines for Care and Cleaning at the Point of Use CHAPTER 9 Wound Management: Wound Closure Nursing Diagnoses Desired Patient Outcomes/Criteria Surgical Wound Classification Wound Healing Intention Stages Suture Material Classification of Suture Material Monofilament and Multifilament Sutures Absorbable Suture Nonabsorbable Suture Suture Selection: Considerations Suture Package Information Surgical Needles Needle Characteristics Needle Attachment Other Wound-Closure Devices Stapling Devices Miscellaneous Closures Skin Tapes and Skin Adhesives Surgical Mesh Drains Dressings Nursing Responsibilities Related to Wound Management CHAPTER 10 Anesthesia and Medication Safety Overview Nursing Diagnoses and Desired Patient Outcomes Anesthesia Providers Nursing Responsibilities Preanesthesia Assessment Data Patient Preparation/Teaching Selection of Anesthetic Agents and Technique Anesthesia Techniques Preparation/Premedication Monitoring Pulse Oximetry Blood Pressure Temperature Capnography General Anesthesia Inhalation Agents Anesthesia Machine Intravenous Agents Dissociative Induction Agents Narcotics Tranquilizers/Benzodiazepines Neuromuscular Blockers (Muscle Relaxants) Stages of Anesthesia Preparation for Anesthesia: Nursing Responsibilities Sequence for General Anesthesia: Nursing Responsibilities Rapid-Sequence Intubation Nursing Responsibilities Unintended Intraoperative Awareness Malignant Hyperthermia Moderate Sedation/Analgesia Overview Nursing Responsibilities Regional Anesthesia Overview Spinal Anesthesia Epidural and Caudal Anesthesia Intravenous Block (Bier Block) Nerve Block Local Anesthetic Infiltration Local Infiltration for Postoperative Pain Relief Topical Anesthesia Nursing Implications Medication Safety CHAPTER 11 Environment of Care and Life Safety Overview Culture of Safety—Just Culture Regulations Centers for Medicare and Medicaid Services (CMS) Occupational Safety and Health Administration (OSHA) Environmental Protection Agency (EPA) National Fire Protection Association (NFPA) Standards and Recommendations Centers for Disease Control and Prevention (CDC) National Institute for Occupational Safety and Health (NIOSH) American National Standards Institute (ANSI) Association for the Advancement of Medical Instrumentation (AAMI) Agency for Healthcare Research and Quality (AHRQ) Emergency Care Research Institute (ECRI) Institute of Medicine (IOM) National Professional Organizations Accreditation The Joint Commission (TJC) Healthcare Facilities Accreditation Program (HFAP) DNVGL Healthcare Accreditation Association for Ambulatory Health Care (AAAHC) American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) Facility Safety Plan Job Safety Analysis Monitoring and Training Physical Hazards Fire Nursing Responsibilities Electricity Alarms Radiation Musculoskeletal Injuries Slips, Trips, and Falls (STFs) Head Injury Compressed Gases Chemical Hazards Formaldehyde Glutaraldehyde Methyl Methacrylate Surgical Smoke (Plume) Latex Considerations Exposure Control Plan and Personal Protective Equipment (PPE) Sharps Safety Disaster Planning Safety Compliance Appendix: Answers to Post–Test Questions Glossary A B C D E F G H I K L M N O P R S T U W Index A B C D E F G H I J K L M N O P Q R S T U V W Y Z