Saturday, 18 September 2010

Role of the nurse Immediately before surgery

Immediately before surgery

Patients should empty their bladder before surgery. They should take out false teeth, hairpins and clips, and take off glasses, rings, nail polish, lipstick, etc.
The patient may be given a narcotic before the surgery and atropine to dry the secretions of the mouth. Sometimes a tranquillizer is also given. Often, however, no medications are ordered until the patient is taken to the operating theatre.

Exercising legs and feet after surgery

Tell the patient why it is important to walk as soon as possible after surgery.

Wash the skin around the site of the incision and clean it with an antimicrobial agent. The clean area must be larger than theincision so that if the cut needs to be made bigger, the skin isproperly prepared. The area should not routinely be shavedbecause that can make the skin vulnerable to infection. If there is alot of hair and it absolutely must be removed, it is better to clip thehair. Only shave if it is essential.
Usually an intravenous line with saline solution is started before surgery. This may be done in the patient’s room, or in theoperating theatre. If there is a high risk of infection, usuallyantibiotics are given intravenously.
Prepare the family for the surgery. After the patient is taken to the operating theatre, tell the family how long the surgery is likely totake. Show them where they can wait comfortably. Promise to givethem information as soon as you can. It is very helpful for a nurse tocome out of the operating theatre from time to time to tell the familythat the surgery is progressing well. If there are serious problems,however, it is not useful to inform the family until you have a clearidea of what is going to happen. As soon as the surgery is finishedand the patient has been moved to the recovery room or to ahospital room, tell the family. Tell them when they will be able to seethe patient. Let them visit as soon as the patient is in a stablecondition.