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rT -1

4 o Perioperotive Considerotions
Perhaps the most significant in this chain. of events occurs when the patient, although often partially sedated, is cransported to the operating room suite. There the circulator will make certain of the patient's identity, the type of surgery to be performed, and the name of the surgeon; A checklist concerning the patient's fasting status, possible prosthetic devices, special physical conditions, and possible drug intolerances is again discussed with the patient and reviewed in the chart. The clart is checked with respect to consent forms and medical and laboratory data; see the Surgical Checklist, pp. G-7. During this review the circulator will reassure the patient that every effort will be made to maintain the patient's well-being and safety during the procedure. These measures ofpsychological $upport are continued until the patient is totally anesthetized, or they may be continued throughout the procedure when there are varying degrees of ionsciousness.

Chopter 2

Protection of the Potient


in Surgery

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ADMISSION PROCEDURE

Postoperatively these measures are continued but


are now in the hands ofthe recovery room staffor other

appropriate nursing personnel: In no small way do these considerations affecqbhe ultimate outcome of the patient's surgery. The importance of these measures must be anticipated by all
those concerned.

Upon admission of the patient to the operating room, the circulator verifies verbally with the patient and by inspection of the patients armband and the chart the patient's name, the name of the patient's surgeon, and Evidence of the preoperative preparation of the patient as required by hospital protocol should be complete and recorded on the chart. Mandatory requirements include a valid signed and dated informed consent form and a record (recent) of the patient's
the surgery to be performed.

health history and physical examination. A special permit may be required to perform operations such as sterilization, therapeutic abortion, or amputation of a body part. Other requirements may include laboratory data
and a chest x-ray examination record. Most institutions have a preoperative checklist that is vital in preventing

oversights in preparing the patient for surgery. An example of a Surgical Checklist is given on pp. 6-7.
TRANSFER FNOCTOUNE

The patient is transferred to the operating table by two

persons

in order to prevent injury. One person stabi-