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1
begins when the patient, or someone acting on the patient's behalf, is informed of the need for surgery and makes the decision to have the procedure.
Preoperative phase
2
begins when the patient is transferred to the operating room bed and ends with transfer to the postanesthesia care unit (PACU) or other area where immediate postsurgical recovery care is given
Intraoperative phase
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Nursing activities in the postoperative period focus on patient safety, emotional support, facilitation of the procedure, prevention of infection, and the patient's satisfactory physiologic response to anesthesia and the surgical intervention.
False
4
Begins with the patient's transfer to the recovery unit and ends with return to an optimal level of functioning
Postoperative phase
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What are the six surgical classifications in performing the surgery according to Brunner and suddart
diagnosis, cure, repair, reconstructive, palliative, rehabilative
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It is the method by which microbial contamination is contained in the environment
aseptic technique
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it implies the absence of pathogenic microorganisms that cause infection
asepsis
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what are the surgery classifications based on the degree of urgency involved according to Brunner and suddart
Emergent, urgent, required, elective, optional
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preoperative phase
Admission to surgical unit- Preparation for surgery (Physical, psychosocial, spiritual, legal)- transport to OR room
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intraoperative phase
Admission to OR- anesthesia - Surgery
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postoperative phase
Admission to the recovery room/PACU- Back to the surgical Unit- Discharge- Follow up care
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The Four Types of Conditions Requiring Surgery
obstructions, perforations, erosions, tumors
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what are the classifications of surgical procedures according to brunner and suddart
diagnostic, exploratory, curative, ablative, constructive, reconstructive, palliative
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contact with only intact skin or mucous membranes in an area remote from the surgical site may be cleaned, terminally disinfected, and stored unsterile between patient uses
noncritical
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Sterility is less critical for items that come into contact with intact skin or mucous membranes. These items are clean and safe to handle with bare hands
semicritical
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Any item entering the bloodstream, body tissues underlying the skin, and mucous membranes must be sterile
critical
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foundation of modern surgery
sterile technique
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sterilizing agents
thermal, chemical, radiation
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Preoperative Instructions to Prevent Postoperative Complications
Diaphragmatic breathing, coughing, leg exercises, turning to the side, getting out of the bed
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are the most resistant of all living organisms because of their capacity to withstand external destructive agents
Bacterial endospores (ex clostridia and bacillus)