Arellano University – Pasig

College of Nursing

Nursing Care Management 102

by Jorge V. Rosano, OD MACT RN MEM

PERIOPERATIVE NURSING MODULE

Preoperative Nursing Management

1. Definition of terms
a. Perioperative Nursing
b. Preoperative Nursing
c. Intraoperative Nursing
d. Post operative Nursing
2. Surgical classifications
a. based on reasons / purpose
b. based on urgency
3. Preparation for Surgery
a. Informed consent
i. Definition?
ii.What are the critieria for a valid informed consent?
b. What are the factors that affect the patients preoperatively (10 factors)?
c. What are the factors for possible surgical complications?
d. What are the nutrients that are important to wound healing
i. State the rationale for increased need
ii.State possible deficiency outcome
e. Enumerate the effects of the following medications to the surgical
experience of the patient
i. Corticosteroids
ii.Diuretics
iii.Phenothiazines
iv.Tranquilizers
v.Insulin
vi.Antibiotics
vii.Anticoagulants
viii.Anti seizure medications
ix.Monoamine Oxidase Inhibitors
x.Thyroid hormones
f. Preoperative Nursing Interventions
i. Preoperative teaching
ii.When do we teach the patient about preoperative teaching
iii.Enumerate the topics we need to teach the patient and briefly
discuss the procedure
1. Exercises
2. Pain Management
 3. Cognitive coping strategies
4. Psychosocial intervention
iv.General preoperative nursing interventions
v.Immediate preoperative nursing interventions
g. Expected patient outcomes in the preoperative nursing phase

Intraoperative Nursing Management

1. Who are the members of the surgical team and enumerate their functions
2. What are the basic guidelines for maintaining surgical asepsis
3. Types of anesthesia
4. Stages of General Anesthesia. [salient points]
5. What are the potential intraoperative complications
6. What are the common positions of the patient during surgery and when are they
indicated?

Post operative Nursing Management

1. What is a post anesthesia care unit

2. What are the phases of past anesthesia care
3. Enumerate and discuss the nursing management in the PACU
4. Post operative Nursing interventions
5. Phases of wound healing
6. Factors affecting wound healing
7. Wound Drainage / indications
8. Potential post operative complications
9. Differentiate wound dehiscence and wound evisceration. Illustrate.

References:

• Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. 11th Edition.

Edited by Suzanne C. Smeltzer
• Saunders Comprehensive Review for the NCLEX-RN®: Examination, 4th Edition
Author: Linda Anne Silvestri