Peri-operative Care Part 1 Purpose: Surgical Care Of Patients Preoperative Preparation • • • • Focuses on physical, psychological, sociocultural, and spiritual preparation Assesses and validates existing clinical information Reinforces patient education Provides nursing care to prepare for surgery Postoperative Preparation • Involves stabilizing a patient’s physical condition • Educating a patient and family • Preparing patient and family for effective management of the condition during recovery The Process Starts with the MD/Surgeon’s Assessment Pre-operative Diagnostic Tests are Ordered Based on Manitoba Choosing Wisely Logixmd.com/preop Send in a Slating Form to the OR to book the Surgery Based on Need Pre-operative Assessment Completed by Client at Home Mailed to the Pre-op Clinic Nurses at BTHC Pre-operative Assessment Completed by Client at Home Mailed to the Pre-op Clinic Nurses at BTHC Care of the Surgical Older Adult : OPTIMAL PERIOPERATIVE MANAGEMENT OF THE GERIATRIC PATIENT: Best Practices Guideline from ACS NSQIP®/American Geriatrics Society 2016 OSA Assessment Using STOP BANG OSA patients require special anesthesia precautions as they are sensitive to anesthetics and sedatives. Even minimal sedation can cause airway obstruction and ventilatory arrest Initial Airway Management for Patients Unable to Maintain Themselves Pre-operative Teaching: • Pre-operative Teaching: Pre-operative Teaching: Pre-operative Teaching: Pre-operative Teaching: o o o o o Pre-operative Teaching: o o o o Pre-operative Teaching: Day of Surgery: Day of Surgery: Day of Surgery: Day of Surgery: Day of Surgery: Thank you