Ward Care

1
Ward Care

• New patient
• Pre-OP
• Post-OP
• Wound Care
• Ward Technique

2
New Patient

• Chief Complaint
• Take History(BN,Smoking)
• Physical Exam
• Differential Diagnosis
• Plan to Do

3
New Patient

• OS Routine
• SMAC,electrolyte, CXR, ECG,Stool,Urine
• Panorex,photo
• Ca Routine
• Patho,CT,Panorex,Whole Body bone
  scan,Abdominal SONO,U.S.,Take Impression,photo

4
Pre-OP

• Systemic evaluation
• CV(ECG,CAD,HTN,bokey,EF WM),
• Lung Function(CXR) , Renal, DM, Hepatitis,
  hemophilia
• Inform Consent (full discuss)
• Pre OP note, Sign permit
• NPO p MN (GA)

5
Post-OP

• GA side effect(nausea,headache,delirum)
• Vital sign observation (POR)
• Lab DATA
• Post-OP Note
• Medication(pain, bleeding, infection, oral
  hygene, swelling, oral hygene)

6
Wound Care

• Nature(cellulitis,RND)
• Discharge observation
• Soft tissue observation(????)
• Change dressing( dry v.s. wet, dirrect v.s.
  indirrect dirty or clear)
• Debridement v.s. Medication
• Oral hygene care

7
Ward technique

• NG
• Foley
• Port-A
• CVP
• Drain
• ECG
• IV

8
Thanks for Your Attention