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 6-4

Providing Preoperative Patient Care:

Hospitalized Patient (Day of Surgery) (Continued)

Comments

13. Attend to any special preoperative orders, such as starting
    an IV line.


14. Complete preoperative checklist and record of patient’s
    preoperative preparation.


15. Question patient regarding the location of the operative
    site. Document the location in the medical record accord-
    ing to facility policy. The actual site will be marked on
    the patient when the patient arrives in the preoperative
    holding area by the licensed independent practitioner who
    will be directly involved in the procedure (The Joint Com-
    mission, 2008).
    16.Administer preoperative medication as prescribed by
    physician/anesthesia provider.


16. Raise side rails of bed; place bed in lowest position.
    Instruct patient to remain in bed or on stretcher. If
    necessary, use a safety belt.


17. Help move the patient from the bed to the transport
    stretcher, if necessary. Reconfirm patient identification
    and ensure that all preoperative events and measures are
    documented.


18. Tell the patient’s family where the patient will be taken
    after surgery and the location of the waiting area where
    the surgeon will come to explain the outcome of the
    surgery. If possible, take the family to the waiting area.


19. After the patient leaves for the operating room, prepare the
    room and make a postoperative bed for the patient. Antici-
    pate any necessary equipment based on the type of surgery
    and the patient’s history.


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

ExcellentSatisfactoryNeeds Practice