INTRODUCTION TO THE OPERATING DEPARTMENT

1
INTRODUCTION TO THE OPERATING DEPARTMENTTHE
PERIOPERATIVE NURSING

• PRPD/DN/DM/PON/11

2
Welcome to Theatre Nursing
3
Feel Strange???
4
Looked Strange !!!!
5
PERIOPERATIVE NURSING

• Promote equality for all individuals
• Help maintain health and safety in the workplace
• Help control cross infection
• Prepare the environment
• Assess, plan and implement perioperative care

6
Cont

• Prepare patient for clinical/operative procedure
• Provide assistance in clinical operative
  procedures
• Provide immediate post-operative care
• Provide initial emergency care

7
PERIOPERATIVE NURSING PERIODS

• Preoperative Phase
• The preoperative phase of the patients surgical
  experience begins when the decision is made to
  undergo surgical intervention, and it ends when
  the patient is transferred to the OR bed.

8
Cont..

• Intraoperative Phase
• The intraoperative phase begins with placement
  of the patient on the OR bed and continues until
  the patient is admitted to a post-procedure or
  postoperative area.

9
Cont ..

• Postoperative Phase
• The postoperative phase begins with admission of
  the patient to a postoperative or postanaesthesia
  area, which may be a postanaesthesia care unit
  (PACU) or an intensive care unit (ICU) or
  surgical unit before being discharged from the
  hospital.
• The postoperative phase ends when the surgeon
  discontinues follow-up care.

10
THE PERIOPERATIVE PATIENT CARE TEAM

• Circulating Nurse (A)
• 1st Assistant (D)
• The Anaesthesiologist (C)
• The Surgeon (B)
• Scrub Person (E)
• Perianaesthesia Nurse

11
Dependence of the Patient on the Qualified Team

• The perioperative team works to promote the best
  interests of the patient every single minute.
• For the welfare and safety of the patient, the
  entire team must work efficiently as a
  functioning single unit.
• The members should be familiar with procedures,
  setups, equipment, and policies and should be
  able to cope with the unpredictable.

12
Cont .

• They should have a high morale, mutual
  under-standing, trust, cooperation, and
  consideration.
• All OR personnel should have the proven
  knowledge, skill, competency, and ability to
  perform an optimal level at all times.
• The validation of clinical competence is an
  importance aspect of providing safe patient care.
• THE END