Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 6-1

Providing Preoperative Patient Care:

Hospitalized Patient (Continued)

Comments

18. Provide teaching about and follow dietary/fluid restrictions.
    a.Explain to the patient that both food and fluid will be
    restricted before surgery to ensure that the stomach
    contains a minimal amount of gastric secretions. This
    restriction is important to reduce the risk of aspiration.
    Emphasize to the patient the importance of avoiding
    food and fluids during the prescribed time period,
    because failure to adhere may necessitate cancellation
    of the surgery.


19. Provide intestinal preparation, as appropriate. In certain
    situations, the bowel will need to be prepared by adminis-
    tering enemas or laxatives to evacuate the bowel and to
    reduce the intestinal bacteria.
    a.As needed, provide explanation of the purpose of ene-
    mas or laxatives before surgery. If patient will be
    administering an enema, clarify the steps as needed.
    20.Check administration of regularly scheduled medications.
    Review with the patient routine medications, over-the-
    counter medications, and herbal supplements that are
    taken regularly. Check the physician’s orders and review
    with the patient which medications he or she will be
    permitted to take the day of surgery.


20. Remove PPE, if used. Perform hand hygiene.

ExcellentSatisfactoryNeeds Practice