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PART I
Ns. Heri Kristianto. SKep., MKep
Department of Medical Surgical
Nursing
Definition
One of the hospital unit to operate service
Surgery: unique human experience
Perioperative nursing 3 phases of surgical
intervention
Combining of physiologic, psychosocial,
task oriented and patient
Purpose
Diagnostic, Ablative, Constructive,
Reconstructive, Palliative, Transplant
Risk
Minor & Major
Urgency
Elective, urgent, emergency
Procedure
Receptionist
PRE
Premedication
Operation Room
Recovery Room
INTRA
POST
Receptionist
Holding/ admision area
Post Anesthetic Care Units (PACU)
Dressing room
Office
Lounges
Laboratory
Inner Zone
The procedure room where surgery is
performed and adjacent substerile areas
where the scrubs sinks & autoclaves are
located
Surgical Team
The surgeon
The first assistant to the surgeon
The anesthesiologist
The nurse anesthetist
The scrub asisstant
The circulating nurse
Procedure surgical:
Preoperative
Instrument
Intra operative
Postoperative
Documentation
Preoperative
Team Surgical
Patient
Procedure taught:
1. Deep breathing & coughing
2. Turning
3. Leg & arm exercise
Shaving of
Schedule
Informed Consent surgical area
Enema
Vital sign
Fast
General discussion:
Goals
Description of
operation
Instrument
Sterilization equipment & room
1. Steam sterilization: autoclave
2. Chemical sterilization: ethylene oxide
3. Physical sterilization: ionizing radiation
(Cobalt 60)
Intraoperative
Skin Prep
Post operative
1.
2.
3.
4.
5.
Documentation
The patients record should reflect the
perioperative plan of care, including
assessment, planning, implementation,
evaluation, and expected outcomes