Perioperative Nursing encompasses preoperative, intra operative, post operative

nursing.

Preoperative decision for surgery up until patient is transferred to OR room

Intra operative from OR table to PACU
Post Operative PACU to follow up evaluation

CLASSIFICATION OF SURGICAL PROCEDURES

According to Purpose
Diagnostics Check for presence/absence of disease
Exploratory determine the extent of disease condition
Palliative relieve distressing signs and symptoms not to cure the disease
Curative to cure the disease
Types of Curative Surg.
Ablative Removal of Organ
Constructive Repair of Congenital w/ defect
- Restorative Organ; strengthen weak organ
- Reconstructive repair of damage organ.
Cosmetics Improve Shape/Appearance

According to the Degree of Risk

Major Surgery Minor Surgery

- High Risk - not prolonged
- Extensive - < serious complication
- Prolong - < risk
- > Blood Loss
- > Risk of Complication

According to the degree of Urgency

Emergency done stat to save life/limb

Imperative/urgent done in 24 to 48
Planned required necessary for well deing wks or mons schedule
Elective not need for survival delay or omission will not cause defect.
Optional request by client/aesthetic purposes
Day/Ambulatory/ OPD surgery done in outpatient basis

- Nursing care is provided in the total surgical experience.

- Surgeon declares whether the surgery is major or minor OR case.

Purpose of surgery

1. Diagnostic determine presence of disease/ absence of disease.

Example: Liver biopsy
Endoscopy
2. Palliative to relieve signs and symptoms not to treat the disease.
Example: Rhizotomy- cutting of nerve endings.
3. Curative to cure a disease
*Ablative to remove an organ Ectomy
Example: Excision
Cataract Exenteration,
Appendectomy
*Constructive repair of congenital defect
*Reconstructive repair defect Pexy/Plasty /Orrhapy

Other Suffixes:
Otomy- Incision /cut Centesis- Aspiration
Ostomy- Opening
Oscopy /Graph- Visualization

Table of degree of Urgency

Want Need Time
1. Elective/
Scheduled / / > Failure to do is not catastrophe
2. Optional / X > pt decide
3. Required / complication > wks or mons
4. Urgent / complication > next day 24 - 48
5. Emergent / complication > STAT

*Need- when there is pain /discomport.

*Emergency- ABC /direct surgery

Circumcision optional
Rhinoplasty optional
Cheiloplast elective
Thyroidectomy required
Super ficial cyst removal elective
Vaginal repair elective
Cataract extension required
Excision of malignant cyst urgent
Repair of skull fracture emergent
Multiple stab repairs emergent
Appendicitis suspected urgent
Ruptured appendicitis emergent
3 Burn thorax emergent
3 Burn thigh emergent